Advance Care Planning for Seniors Diagnosed with Dementia: A Scoping Review of the Canadian Literature

Autor: Bronté K. Anderson, Stefani Mihilli, Manthagini Kumaresh, Aarthika Kumaresh, Raza M. Mirza, Christopher A. Klinger
Rok vydání: 2022
Předmět:
Zdroj: Canadian journal on aging = La revue canadienne du vieillissement. 41(3)
ISSN: 1710-1107
Popis: Advance care planning (ACP) is commonly recommended for persons living with dementia. Increasing age and uncertain disease trajectory add complexity to this process. A scoping review of the Canadian literature was completed to assess the feasibility and acceptability of ACP for seniors (≥ 65 years of age) diagnosed with dementia and to provide practice, policy, and research recommendations towards ACP as a critical aspect of care. Twenty-nine articles were grouped into five themes: (1) feasibility of patient engagement in ACP; (2) opinions regarding medical assistance in dying (MAiD) for incompetent patients; (3) knowledge translation to support persons living with dementia, professionals, and caregivers; (4) barriers to and facilitators of the delivery of holistic dementia care; and (5) Indigenous health considerations. Additional research should consider socio-demographic and social/cultural factors associated with older persons living with dementia’s engagement in ACP. Future policies warrant a multidisciplinary approach when reviewing legalities. Finally, ACP knowledge translation should become a routine aspect of dementia care.
Databáze: OpenAIRE