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Care of the older person
Repeated hospital admissions are missed opportunities to offer better end-of-life care for people with dementia
  1. Claire Anderson
  1. College of Nursing Midwifery and Healthcare, University of West London, Ealing, London, UK
  1. Correspondence to Dr Claire Anderson, College of Nursing Midwifery and Healthcare, University of West London, Ealing, London TW8 9GA, UK; Claire.anderson{at}uwl.ac.uk

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Commentary on: Leniz J, Higginson IJ, Stewart R, et al. Understanding which people with dementia are at risk of inappropriate care and avoidable transitions to hospital near the end-of-life: a retrospective cohort study. Age and Ageing 2019:afz052. doi: 10.1093/ageing/afz052

Implications for practice and research

  • Research: explorative study with healthcare professionals to identify their clinical reasoning when admitting to hospital people with dementia for end-of-life care.

  • Practice: ensure advanced directives are identified for people admitted to hospital with dementia.

Context

Around 46 million people worldwide have a diagnosis of dementia. Caring for people with dementia at the end of life has significant economic implications.1 Hospital admission is not always the preferred option for people with dementia for end-of-life care. This study explores the number of transitions to hospital that people with dementia who need …

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Footnotes

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.