Please use this identifier to cite or link to this item:
https://doi.org/10.21256/zhaw-1818
Publication type: | Article in scientific journal |
Type of review: | Peer review (publication) |
Title: | Type and course of symptoms demonstrated in the terminal and dying phases by people with dementia in nursing homes |
Authors: | Koppitz, Andrea Luise Bosshard, Georg Händler-Schuster, Daniela Hediger, Hannele Imhof, Lorenz |
DOI: | 10.21256/zhaw-1818 10.1007/s00391-014-0668-z |
Published in: | Zeitschrift für Gerontologie und Geriatrie |
Volume(Issue): | 48 |
Issue: | 2 |
Page(s): | 176 |
Pages to: | 183 |
Issue Date: | 2015 |
Publisher / Ed. Institution: | Springer |
ISSN: | 0948-6704 1435-1269 |
Language: | English |
Subjects: | Dementia; Nursing home; Symptom; Palliative care; Terminal phase |
Subject (DDC): | 616.8: Neurology, diseases of nervous system |
Abstract: | Background: In all, 39% of people living in Swiss nursing homes suffer from dementia. Detailed data about type and course of symptoms displayed by these patients in their terminal phase are lacking. Methods: This descriptive, retrospective study analysed 65 nursing documents from deceased people with dementia in four nursing homes in the canton of Zurich, Switzerland. Results: Difficulties with mobility (81%), pain (71%) and sleep disturbance (63%) were the most frequent of the 10 identified symptoms. Towards the end of life, difficulties with mobility, sleep disturbance, agitation and other neuropsychiatric symptoms, such as episodes of depression, decreased (decrescent pattern), while pain, feeding problems, breathing abnormalities, apathy and anxiety increased (crescent pattern). Courses of pain were documented in 17% of the nursing records. In addition, 76% of the residents had been visited on a daily basis by next of kin in their last 7 days, compared with only one third of residents previously. Furthermore, daily communication between healthcare professionals and next of kin tripled during this period. Conclusion: The documented prevalence of a high and increasing level of pain towards the end of life, combined with the lack of documented courses of pain, shows potential for improvement in pain relief and pain identification for patients with dementia in their terminal phase. The increasing number of visits by next of kin and the increasingly intensive contact between healthcare professionals and next of kin in the last 7 days are a strong indicator that the end of life can be predicted relatively well by the involved participants and appropriate reactions follow. |
Further description: | Erworben im Rahmen der Schweizer Nationallizenzen (http://www.nationallizenzen.ch) |
URI: | https://digitalcollection.zhaw.ch/handle/11475/3678 |
Fulltext version: | Published version |
License (according to publishing contract): | Licence according to publishing contract |
Restricted until: | 2020-01-01 |
Departement: | School of Health Sciences |
Published as part of the ZHAW project: | Palliative Care bei demenziell erkrankten Personen in Pflegeheimen im Kanton Zürich |
Appears in collections: | Publikationen Gesundheit |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
2015_Koppitz_Type and course of symptoms_Zeitschrift für Gerontologie und Geriatrie.pdf | 851 kB | Adobe PDF | View/Open |
Show full item record
Koppitz, A. L., Bosshard, G., Händler-Schuster, D., Hediger, H., & Imhof, L. (2015). Type and course of symptoms demonstrated in the terminal and dying phases by people with dementia in nursing homes. Zeitschrift Für Gerontologie Und Geriatrie, 48(2), 176–183. https://doi.org/10.21256/zhaw-1818
Koppitz, A.L. et al. (2015) ‘Type and course of symptoms demonstrated in the terminal and dying phases by people with dementia in nursing homes’, Zeitschrift für Gerontologie und Geriatrie, 48(2), pp. 176–183. Available at: https://doi.org/10.21256/zhaw-1818.
A. L. Koppitz, G. Bosshard, D. Händler-Schuster, H. Hediger, and L. Imhof, “Type and course of symptoms demonstrated in the terminal and dying phases by people with dementia in nursing homes,” Zeitschrift für Gerontologie und Geriatrie, vol. 48, no. 2, pp. 176–183, 2015, doi: 10.21256/zhaw-1818.
KOPPITZ, Andrea Luise, Georg BOSSHARD, Daniela HÄNDLER-SCHUSTER, Hannele HEDIGER und Lorenz IMHOF, 2015. Type and course of symptoms demonstrated in the terminal and dying phases by people with dementia in nursing homes. Zeitschrift für Gerontologie und Geriatrie. 2015. Bd. 48, Nr. 2, S. 176–183. DOI 10.21256/zhaw-1818
Koppitz, Andrea Luise, Georg Bosshard, Daniela Händler-Schuster, Hannele Hediger, and Lorenz Imhof. 2015. “Type and Course of Symptoms Demonstrated in the Terminal and Dying Phases by People with Dementia in Nursing Homes.” Zeitschrift Für Gerontologie Und Geriatrie 48 (2): 176–83. https://doi.org/10.21256/zhaw-1818.
Koppitz, Andrea Luise, et al. “Type and Course of Symptoms Demonstrated in the Terminal and Dying Phases by People with Dementia in Nursing Homes.” Zeitschrift Für Gerontologie Und Geriatrie, vol. 48, no. 2, 2015, pp. 176–83, https://doi.org/10.21256/zhaw-1818.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.