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Nursing issues
More research is needed to understand how to provide optimal palliative dementia care to people living at home
  1. Nuriye Kupeli
  1. Marie Curie Palliative Care Research Department, University College London, London, UK
  1. Correspondence to Dr Nuriye Kupeli, Marie Curie Palliative Care Research Department, University College London, London W1T 7NF, UK; n.kupeli{at}

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Commentary on: Miranda R, Bunn F, Lynch J, et al. Palliative care for people with dementia living at home: a systematic review of interventions. Palliat Med 2019;33:726-742. doi:10.1177/0269216319847092. Epub 2019 May 6.

Implications for practice and research

  • The European Association of Palliative Care (EAPC) domains provide a useful framework for guiding palliative dementia care for those living and dying at home.

  • Research is required to better understand how to design and implement palliative dementia care interventions for people living at home


Dementia is a leading cause of death,1 and keeping people with dementia at home for longer is a key governmental goal. There is growing recognition that dementia is a terminal illness and a palliative care approach may be appropriate. The EAPC provides a comprehensive definition of palliative dementia care and a framework for outcomes of good end-of-life care.2 Palliative dementia care should be continuous, proactive person-centred care with timely …

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  • Twitter @drnkupeli

  • Funding NK is supported by Alzheimer’s Society Junior Fellowship grant funding (Grant Award number: 399 AS-JF-17b-016).

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.