Educating Nursing Home Staff About the Progression of Dementia and the Comfort Care Option: Impact on Family Satisfaction with End-of-Life Care

摘要: Objective There is a growing consensus on the relevance of palliative care approach in end-stage dementia. The objective this study was to assess impact, terms family satisfaction with end-of-life care, nursing home (NH) pilot educational program for staff and physicians comfort advanced Methods intervention, implemented one voluntary NH, consisted an that included providing information booklet all NH staff, optionally families. Satisfaction compared using validated instrument, "After death bereaved member interview" pre- post-intervention. Pre post groups were composed close relatives residents who died context Results Twenty-seven contact persons interviewed pre-intervention 21 post-intervention (participation rate 60% both groups). Descriptive statistics showed better scores pain control, emotional support, treating patient respect, what expect while dying, group. Comparison overall scale revealed no statistical differences between 2 groups, although group expressed greater area communication health team (8.0 versus 6.6, P = .109) global (8.3 7.3, .087). Discussion Although not significant, results as effectiveness such intervention improve are encouraging. Conclusion booklet, support tool, may have facilitated within team, members. Replication multicenter population needed adequately its effectiveness.