Abstract

Admiral Nursing: combining specialist dementia and hospice care

Highlights

  • Ageing and dementiaMore people are living longer in old age [1]

  • Palliative care, as a term, is still often only associated with cancer, whereas end-of-life care refers to all patients with life limiting illnesses

  • Jacqueline argues one of the benefits of having a number of other services locally supporting people with dementia and their carers at different points in the disease trajectory, is the hospice Admiral Nurse is more able to focus on advance care planning at an earlier point and ensure if the opportunity is missed at an earlier stage, people with dementia and their carers are supported to access the most appropriate end of life care required and available at that time

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Summary

Ageing and dementia

More people are living longer in old age [1]. In the UK alone, the percentage of older people (aged 65 years and over) has grown by 47% since 1974 increased to make up nearly 18% of the total population in 2014 [2]. The numbers of those reaching the oldest ages are increasing the fastest: in 2008, there were 1.3 million people in the UK aged 85 and over, with this expected to increase to 1.8 million by 2018 and to 3.3 million by 2033 [3] These changes to the age structure of the population influence both the prevalence and incidence of age-related conditions such as dementia [4]

What is dementia?
Palliative and end of life care in dementia
Hospice and dementia
Admiral Nursing
The Admiral Nurses service approach
Benefits of a collaborative approach between dementia and hospice care
Findings
Pain assessment and management in dementia

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