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Dementia care and treatment issues
  1. Roberta Heale
  1. School of Nursing, Laurentian University, Sudbury, Ontario, Canada
  1. Correspondence to Dr Roberta Heale, School of Nursing, Laurentian University, Sudbury, ON P3E 2C6, Canada; rheale{at}

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This perspectives article expands on the one published in EBN July 2019, Vol 22-3 about Care of the Older Person by focusing on commentaries specifically related to research with dementia. Dementia rates are growing internationally and along with this are the complexities of caring for this growing cohort of people.1 It is helpful to explore the literature related specifically to this issue. Commentaries related to dementia and cognitive decline were found from January 2017 to January 2020. Key themes were identified followed by a summary and discussion.

Key themes

The 13 commentaries are grouped into three themes (see box 1).

  • Pain management and dementia.

  • Carers of those with dementia.

  • Treatment issues for those with dementia.

Box 1

Evidence-based nursing commentaries on dementia and cognitive decline (2017–2020)

Theme 1: Pain management and dementia

Evidence that active pain treatment improves sleep quality and quantity in people with depression and dementia

Pain-related palliative care challenges in people with advanced dementia call for education and practice development in all care settings

Assessment and treatment of persistent pain in nursing home residents should be implemented systematically to prevent suffering

Theme 2: Carers of those with dementia

Help seeking increases stress among caregivers of partners with young-onset dementia

Better support and education is imperative to bolster informal at-home carers of people with cognitive impairment and reduce incidences of involuntary treatment of older adults in their homes

Spouses with partners with dementia living in institutional care develop visiting routines that help to maintain the spousal relationship

Theme 3: Treatment issues for those with dementia

International study reveals aged patients with dementia frequently receive ‘inappropriate prescriptions’

Deprescribing in nursing …

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