Abstract
Aims and method To assess the factors that affect the clinical use of advanced care planning and palliative care interventions in patients with dementia. A literature search of Medline, Embase and PsycINFO was performed to identify themes in advanced care planning and palliative care in dementia.Results In total, 64 articles were found, including 12 reviews, and three key areas emerged: barriers to advanced care planning, raising awareness and fostering communication between professionals and patients, and disease-specific interventions.Clinical implications Most of the studies analysed were carried out in the USA or Continental Europe. This narrative review aims to help guide future primary research, systematic reviews and service development in the UK.
Highlights
A search of Medline, Embase and PsycINFO was performed to investigate the current literature on advance care plan (ACP) and palliative care in dementia
The titles and abstracts of these articles were reviewed. Those published in English and pertaining explicitly to palliative interventions or advance care planning in dementia were looked at more thoroughly
Patient-centred care involves the assessment of physical illness and its functional impact with consideration of the patient’s preferences, needs and values, whereas ACP is a Downloaded from https://www.cambridge.org/core
Summary
The titles and abstracts of these articles were reviewed. Those published in English and pertaining explicitly to palliative interventions or advance care planning in dementia were looked at more thoroughly. The majority of the studies found were conducted in the USA or Continental Europe. This limits the generalisability of study findings to practice in the UK. Differences in service configuration between countries limit the generalisability of these studies, especially when considering the role of different agencies in delivering care. In the USA it is associated with improved outcomes and cost-effectiveness; these findings have not been replicated in Europe because of differences in the way services are organised.[2].
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