A UK qualitative study of living and dying with dementia in the last year of life

Crowther, J, Horton, S, Wilson, K and Lloyd-Williams, M (2022) A UK qualitative study of living and dying with dementia in the last year of life. Palliative Care and Social Practice, 16. ISSN 2632-3524

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Abstract

Background:
Dementia is a life-limiting illness, but the trajectory of dying can be difficult to establish and care at end of life can be variable and problematic.
Methods:
This UK study was carried out to explore the end-of-life-care experiences of people with dementia from the perspective of their family carers. In-depth interviews were conducted with 40 bereaved family carers of people with dementia.
Results:
Forty family carers (male n = 9, female n = 31) age range: 18–86 years were interviewed. Issues with poor communication were common. The hard work of caring and issues regarding unpredictability of living and dying with dementia were also commonplace within the study. Only three patients were referred for specialist palliative care support at the end of life, all of whom had a dual diagnosis of dementia and cancer.
Conclusion:
This qualitative study has identified that there are several gaps in the end-of-life care of people with dementia, and frequently, there is poor communication during the last year of life. The need for high-quality integrated care for people dying with dementia with appropriate support during the last year of life is identified. COVID-19 has disproportionately affected people with dementia, and in the post-pandemic era, there is an urgent need to ensure every person dying with dementia is supported to die in their preferred place and that family members are supported and enabled to be treated as the ‘expert’ in terms of their knowledge of their relatives’ care and preferences.

Item Type:	Article
Uncontrolled Keywords:	communication; COVID-19; dementia; end-of-life; family carers; hospice; palliative; COVID-19; communication; dementia; end-of-life; family carers; hospice; palliative; 4203 Health Services and Systems; 4205 Nursing; 42 Health Sciences; Behavioral and Social Science; Aging; Acquired Cognitive Impairment; Neurodegenerative; Clinical Research; Caregiving Research; Neurosciences; Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD); Alzheimer's Disease; Dementia; Brain Disorders; 7.1 Individual care needs; 7.2 End of life care; Neurological; 3 Good Health and Well Being
Subjects:	R Medicine > RT Nursing
Divisions:	Nursing and Advanced Practice
Publisher:	SAGE Publications
Date of acceptance:	7 April 2022
Date of first compliant Open Access:	12 August 2026
Date Deposited:	12 Aug 2026 12:39
Last Modified:	12 Aug 2026 12:39
DOI or ID number:	10.1177/26323524221096691
URI:	https://researchonline.ljmu.ac.uk/id/eprint/29145

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