Goals of care in end-stage dementia

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

Patient resources

Dementia Health Navigator NZ
Living with dementia help sheets Dementia Australia
Alzheimers New Zealand
Dementia NZ
Carers NZ

Topics

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.

Resources

Dementia care for Māori Goodfellow short course (2019)
Driving assessment for patients with dementia: a how-to guide Goodfellow MedCase (2020)
Dementia Goodfellow short course (2017)
Assessing decision-making capacity: the clinical basics Goodfellow eLearning (2018)
Age Concern NZ
Dementia: Te Ao Māori HQSC NZ

Presenter

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.