Publikace na 1. lékařská fakulta |
2017
Abstrakt
Palliative or hospice care research and practice for people with advanced dementia have made great strides since in 1986, JAMA published on the development and evaluation of the first dementia-specific hospice program. This program, in a Bedford, Massachusetts, nursing home, was innovative in its goal to maintain comfort without striving for maximal survival time.
Compared with usual care, it saved health care resources and improved comfort. Thirty years later, research and hospice programs have expanded, and access to palliative care for people with dementia in Western countries has improved.
We reflect on how and why it started, celebrate achievements, and consider remaining challenges.