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Kay Donnellon

University of Cumbria, UK

Title: Communication and Comfort Measures for People with Dementia at End of Life: Integrating Specialist Services in Community Settings

Biography

Biography: Kay Donnellon

Abstract

As a consequence of an increasing elderly population the incidence of those living and dying with dementia is increasing with demands for quality care throughout the health and social care sector. This study involved delivery of workshops to care home staff specifically for improving communication and comfort measures at end of life for people with dementia and evaluating their effect three months later to assess whether these approaches had been embedded into practice. Semi structured interviews were undertaken 3 months following the workshops to assess whether practice had been effected by the skills and knowledge developed in the workshops. A number of themes emerged including listening and understanding; peer support; empowerment and confidence; communications; making an early start; building trust, the wider team and documentation. Through promoting confidence in the approaches they were taking and a realisation that communicating is the core of compassionate care the care home staff were empowered to provide effective multidisciplinary palliative care for their residents with dementia. This team approach ensured appropriate support was available at end of life within these care homes where the person wished to be with familiar people and surroundings which ultimately promoted client choice.