Goals of care in end-stage dementia

Date Published: 
Tuesday, February 18, 2020

Dr Michal Boyd talks about goals of care in end-stage dementia.



  • What are the challenges for older people with dementia?
  • What challenges do families face in the end stage of dementia care?
  • How do we raise awareness and assess elder abuse without offending?
  • Advanced care plans.
  • Case studies.

Take home messages

  • Caring for dementia patients is challenging - you need to think and observe deeply.
  • Check in often with the carers as burnout is a real problem.
  • All patients - but especially Māori need a holistic wrap around care plan.
  • Do ACP early when the patients cognition is still intact.
  • Consider early referral to palliative care services.



Patient resources


Dr Michal Boyd
Associate Professor

Michal is a Nurse Practitioner and Associate Professor with School of Nursing and Freemasons’ Department of Geriatric Medicine, University of Auckland. Her main research interests are care of older adults in the community and residential aged care, and advanced nursing practice. She is currently primary investigator for the “End of life with dementia” study funded by the National Science Challenge: Ageing Well stream.



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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.