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Advanced Dementia




  • Discussion of nursing skills required for caring for someone with dementia
  • Explanation of a palliative care approach to advanced dementia
  • Identification of co-existing conditions
  • Guidelines on how to assess which treatment for infections is most appropriate for individuals with dementia
  • Support and communication guidelines are discussed and provided
  • The importance of constant documentation of data about a dementia patient's condition is explained with a case example

This chapter explores aged-care workers' responsibility to ensure that their knowledge and skills in respect to the care of people with dementia are in accordance with best practice. It suggests information about decision making for pain and infection management and the complexity of caring for a patient with dementia and the support networks needed.


Contents include

  • Introduction
  • Complexity of dementia care
  • A palliative approach to advanced dementia
  • Differential diagnosis
    • Delirium
    • Depression
  • Co-existing conditions
  • Treatment of infections
  • Communication
  • Food and fluids
  • Opportunities for living well
  • Proxy/surrogate decision-making
  • Family support
  • Documentation
  • Conclusion
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Author / Editor Biographies

Aged Care Palliative Care Consultant, RN, Dip Arts, B App Sci (adv.nsg) Grad Dip Geront. Nsg, B Theol, M Theol, PhD,FRCNA, FAAG
Dr Rosalie Hudson's varied nursing career is focused on aged care, dementia care and palliative care. As a consultant nurse educator, with qualifications in theology, she explores end-of-life issues for older people; as an author, teacher and associate professor with the University of Melbourne, she seeks to raise the profile of gerontic nursing. Rosalie has had twelve years of experience as a director of nursing of a 50-bed nursing home, as well as extensive experience in community nursing practice.
Palliative Care
Professor Margaret O’Connor is the inaugural Professor of Nursing at Swinburne University in Melbourne. Prior to this she was the Vivian Bullwinkel Chair in Palliative Care Nursing at Monash University, where she established and led a successful Palliative Care Research Team. Margaret’s research has been widely published, concentrating on models of palliative care , issues of culture and the end of life needs of particular population groups. From 2006 to 2011 Margaret served as the President of Palliative Care Australia and in 2005 she was made a member of the Order of Australia for h...

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