Version 1
: Received: 22 January 2024 / Approved: 22 January 2024 / Online: 23 January 2024 (04:57:24 CET)
How to cite:
Hirakawa, Y.; Komatsu, A.; Saito, T.; Yamanaka, T.; Hirahara, S.; Okochi, J.; Kuzuya, M.; Miura, H. Provision of Palliative Care for Patients with Advanced Dementia across Various Long-Term Care Settings in Japan: A Questionnaire-Based Survey. Preprints2024, 2024011597. https://doi.org/10.20944/preprints202401.1597.v1
Hirakawa, Y.; Komatsu, A.; Saito, T.; Yamanaka, T.; Hirahara, S.; Okochi, J.; Kuzuya, M.; Miura, H. Provision of Palliative Care for Patients with Advanced Dementia across Various Long-Term Care Settings in Japan: A Questionnaire-Based Survey. Preprints 2024, 2024011597. https://doi.org/10.20944/preprints202401.1597.v1
Hirakawa, Y.; Komatsu, A.; Saito, T.; Yamanaka, T.; Hirahara, S.; Okochi, J.; Kuzuya, M.; Miura, H. Provision of Palliative Care for Patients with Advanced Dementia across Various Long-Term Care Settings in Japan: A Questionnaire-Based Survey. Preprints2024, 2024011597. https://doi.org/10.20944/preprints202401.1597.v1
APA Style
Hirakawa, Y., Komatsu, A., Saito, T., Yamanaka, T., Hirahara, S., Okochi, J., Kuzuya, M., & Miura, H. (2024). Provision of Palliative Care for Patients with Advanced Dementia across Various Long-Term Care Settings in Japan: A Questionnaire-Based Survey. Preprints. https://doi.org/10.20944/preprints202401.1597.v1
Chicago/Turabian Style
Hirakawa, Y., Masafumi Kuzuya and Hisayuki Miura. 2024 "Provision of Palliative Care for Patients with Advanced Dementia across Various Long-Term Care Settings in Japan: A Questionnaire-Based Survey" Preprints. https://doi.org/10.20944/preprints202401.1597.v1
Abstract
Long-term care (LTC) settings are increasingly used for palliative care in Japan. This study aimed to assess the proportion of LTC settings that provide palliative care services for older clients with advanced dementia in Japan and the trends across the types of settings. A nationwide questionnaire survey was conducted between November 2022 and January 2023, targeting 1,000 geriatric hospitals (GHs), 1,000 geriatric health services facilities (GHSFs), and 1,000 home nursing care stations (HNCSs). The palliative care practices for older patients with advanced dementia and their families in the agencies were assessed. Less than half of the GHs supported family participation or the spiritual needs of their older clients with dementia, while many had access to pain and symptom assessments and analgesic prescriptions by physicians. Less than half the GHSFs used pain assessment tools, assessed and supported family caregivers' pain and distress, and supported family participation in palliative care. More than 80% of the HNCSs practiced most of the listed palliative care. Current palliative care practices for older adults with dementia vary among GHs, GHSFs, and HNCSs. This emphasizes the need for targeted approaches to improve the provision of palliative care for patients with dementia across LTC settings in Japan.
Keywords
dementia; long-term care facility; home nursing care; family involvement; palliative care; spiritual care
Subject
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
