Skip to main content

Care at the End of Life: Design Priorities for People with Dementia

  • Conference paper
  • First Online:
Innovation in Medicine and Healthcare 2015

Part of the book series: Smart Innovation, Systems and Technologies ((SIST,volume 45))

  • 1382 Accesses

Abstract

This paper discusses pre-design stage research concerned with supporting excellence in end-of-life care (EoLC) for people with dementia (PwD). The discontinuation and replacement of previous with new EoLC guidance provides the opportunity for improving care package materials (CPMs) to support EoLC. Current CPMs tend largely to address governance, recording of treatment and consent for audit purposes. This research identified the need for CPMs to better reflect the complexities, coordination and communication needs between the patient (and those important to them) carers and physicians, and to anticipate discussions, scenarios and consequences of decision-making between all parties involved along a patient’s uncertain trajectory at EoL: dementia adds another level of challenge. Findings from evaluating existing CPMs and surveying of new technological developments are discussed in this context.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Barclay, S., Froggatt, K., Crang, C., Mathie, E., Handley, M., Ilife, S., Manthorpe, J., Gage, H., Goodman, C.: Living in uncertain times: trajectories to death in residential care homes. Br. J. Gen. Pract. (2014). doi:10.3399/bjgp14X681397

    Google Scholar 

  2. S.E.E.D.: Supporting Excellence in End-of-life Care in Dementia (SEED programme). In: Application for NIHR Programme Grant for Applied Research, RP-PG-06211-20005 (2012)

    Google Scholar 

  3. Chast, R.: Can’t We Talk About Something More Pleasant: a Memoir. Bloomsbury, New York (2014)

    Google Scholar 

  4. SEED. WWW. (2014) http://research.ncl.ac.uk/seed/ . Accessed 11 Oct 2014

  5. Neuberger, J., Guthrie, C., Aaronovitch, D., Hameed, K., Bonser, T.: Lord Harries of Pentregarth, et al.. More care, less pathway: a review of the Liverpool Care Pathway. [WWW]. (2011) https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/212450/Liverpool_Care_Pathway.pdf. Accessed 14 Oct 2014

  6. Leadership Alliance for the Care of Dying People (LACDP). One chance to get it right. [WWW]. https://www.gov.uk/government/…/One_chance_to_get_it_right.pdf . Accessed 11 Oct 2014

  7. The National Gold Standards Framework Centre in End of Life Care. WWW. www.goldstandardsframework.org.uk . Accessed 5 Jan 2015

  8. Talking Mats. [WWW]. http://www.talkingmats.com/ . Accessed 15 Dec 2014

  9. Murphy, J., Gray, C.M., Cox, S.: Communication and Dementia: How Talking Mats Can Help People with Dementia to Express Themselves. University of Stirling, Stirling (2007)

    Google Scholar 

  10. Alzheimer’s Society. (2014). This is me. [WWW]. http://alzheimers.org.uk/thisisme . Accessed 15 Dec 2014

  11. Portait: [WWW]. http://www.portraitsystem.co.uk/ Accessed 25 Jan 2015

  12. HELIX Centre [WWW]. http://www.helixcentre.com/ Accessed 28 Dec 2014

  13. IRISS: [WWW]. http://content.iriss.org.uk/hospitaltohome/ Accessed 15 Dec 2014

  14. Samsi, K., Manthorpe, J.: Care pathways for dementia: current perspectives. Clin. Interv. Aging 2014(9), 2055–2063 (2014)

    Article  Google Scholar 

  15. Bakhai, K., O’Sullivan, C., Riley, J.: End-of-life care: identification, communication, training, and commissioning. Editorial, Brit. J. Gen. Pract. (2013). doi:10.3399/bjgp13X660616

    Google Scholar 

  16. Read, C.: A Kinder System. Health Serv. J. suppl. 6, 6–10 (2012)

    Google Scholar 

  17. Savory, C.: Patient and public involvement in translative healthcare research. Clin. Govern. Int. J. 15, 191–199 (2010)

    Article  Google Scholar 

  18. Bate, S.P., Robert, G.: Bringing User Experience to Health Care Improvement: The Concepts, Methods and Practices of Experience-Based Design. Radcliffe Publishing, Oxford (2007)

    Google Scholar 

  19. Donetto, S., Tsianakas, V., Robert, G.: Using Experience-Based Co-Design to Improve the Quality of Healthcare: Mapping where we are now and Establishing Future Directions. King’s College London, London (2014)

    Google Scholar 

  20. Smith, C. Hough, L., Cheung, C.C. et al.: Coordinate my care: a clinical service that coordinates care, giving patients choice and improving quality of life. BMJ Support. Palliat. Care 2, 301–307 (2012). doi:10.1136/bmjspcare-2012-000265

    Google Scholar 

  21. Naughton, J.: The NHS’s chaotic IT system shows no sign of recovery. Observer 21 December (2014). http://www.theguardian.com/technology/2014/dec/21/nhs-it-system-failings-addenbrookes-john-naughton . Accessed 22 May 2015

  22. Jones, P.H.: Design for Care. Rosenfeld, New York (2013)

    Google Scholar 

Download references

Acknowledgements

For the background material for this paper, the authors acknowledge the guidance of the SEED (Supporting Excellence in End of life care in Dementia) team members in work streams 1 and 2. This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research programme (Grant Reference Number RP-PG-0611-20005). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alastair S. Macdonald .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this paper

Cite this paper

Macdonald, A.S., Robinson, L. (2016). Care at the End of Life: Design Priorities for People with Dementia. In: Chen, YW., Torro, C., Tanaka, S., Howlett, R., C. Jain, L. (eds) Innovation in Medicine and Healthcare 2015. Smart Innovation, Systems and Technologies, vol 45. Springer, Cham. https://doi.org/10.1007/978-3-319-23024-5_47

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-23024-5_47

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23023-8

  • Online ISBN: 978-3-319-23024-5

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics