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Frailty, Resilience, and Palliative Care Considerations for those Living with Dementia

  • Maureen C. Nash
Chapter

Abstract

Dementia is a chronic life-limiting illness. It has become one of the most dreaded diagnoses in the western world and has even been referred to as the “D word.” Care for those living with dementia has evolved to become more person-centered and person-directed. Frailty is a concept used to describe older adults at risk of multisystem decline. At times frailty has even been conceptualized as the loss of resilience. Resilience is not the opposite of frailty though, and older adults with dementia can be supported to become more resilient even as their illness advances. Support of resilience through care planning represents true person-centered care. Person-centered care is extremely challenging if conversations regarding the goals of care have not occurred. Palliative care focused on alleviating suffering should be considered and implemented in the care plan at the diagnosis of all life-limiting disease. Advanced dementia is a terminal illness and is a time to consider shifting the focus of care to decreasing suffering. This allows support for the person living with dementia and those who care for them.

Keywords

Dementia Palliative care Frailty Resilience Goals of care Advanced directives Advanced dementia Life-limiting disease Neurocognitive Disorder 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Maureen C. Nash
    • 1
    • 2
  1. 1.School of MedicineOregon Health and Sciences UniversityPortlandUSA
  2. 2.Providence ElderPlace OregonPortlandUSA

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