Knowledge of Dementia: Do family members understand dementia as a terminal condition?

Current research identifies advanced dementia to be the terminal phase of this progressive and incurable condition. However, there has been relatively little investigation into how family members of people with advanced dementia understand their relative's condition. In this article, we report...

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Main Authors: Andrews, S., McInerney, F., Toye, Christine, Parkinson, C., Robinson, A.
Format: Journal Article
Published: 2015
Online Access:http://hdl.handle.net/20.500.11937/3375
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author Andrews, S.
McInerney, F.
Toye, Christine
Parkinson, C.
Robinson, A.
author_facet Andrews, S.
McInerney, F.
Toye, Christine
Parkinson, C.
Robinson, A.
author_sort Andrews, S.
building Curtin Institutional Repository
collection Online Access
description Current research identifies advanced dementia to be the terminal phase of this progressive and incurable condition. However, there has been relatively little investigation into how family members of people with advanced dementia understand their relative's condition. In this article, we report on semi-structured interviews with 10 family members of people with advanced dementia, in a residential aged care facility. Using a qualitative, descriptive design, we explored family members' understandings of dementia, whether they were aware that it was a terminal condition, and the ways they developed their understandings. Findings revealed that the majority of family members could not recognize the terminal nature of dementia. Relying on predominantly lay understandings, they had little access to formal information and most failed to conceptualize a connection between dementia and death. Moreover, family members engaged in limited dialogue with aged care staff about such issues, despite their relatives being in an advanced stage of the disease. Findings from our study suggest that how family members understand their relative's condition requires greater attention. The development of staff/family partnerships that promote shared communication about dementia and dying may enhance family members' understandings of the dementia trajectory and the types of decisions they may be faced with during the more advanced stages of the disease.
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spelling curtin-20.500.11937-33752017-09-13T16:11:35Z Knowledge of Dementia: Do family members understand dementia as a terminal condition? Andrews, S. McInerney, F. Toye, Christine Parkinson, C. Robinson, A. Current research identifies advanced dementia to be the terminal phase of this progressive and incurable condition. However, there has been relatively little investigation into how family members of people with advanced dementia understand their relative's condition. In this article, we report on semi-structured interviews with 10 family members of people with advanced dementia, in a residential aged care facility. Using a qualitative, descriptive design, we explored family members' understandings of dementia, whether they were aware that it was a terminal condition, and the ways they developed their understandings. Findings revealed that the majority of family members could not recognize the terminal nature of dementia. Relying on predominantly lay understandings, they had little access to formal information and most failed to conceptualize a connection between dementia and death. Moreover, family members engaged in limited dialogue with aged care staff about such issues, despite their relatives being in an advanced stage of the disease. Findings from our study suggest that how family members understand their relative's condition requires greater attention. The development of staff/family partnerships that promote shared communication about dementia and dying may enhance family members' understandings of the dementia trajectory and the types of decisions they may be faced with during the more advanced stages of the disease. 2015 Journal Article http://hdl.handle.net/20.500.11937/3375 10.1177/1471301215605630 fulltext
spellingShingle Andrews, S.
McInerney, F.
Toye, Christine
Parkinson, C.
Robinson, A.
Knowledge of Dementia: Do family members understand dementia as a terminal condition?
title Knowledge of Dementia: Do family members understand dementia as a terminal condition?
title_full Knowledge of Dementia: Do family members understand dementia as a terminal condition?
title_fullStr Knowledge of Dementia: Do family members understand dementia as a terminal condition?
title_full_unstemmed Knowledge of Dementia: Do family members understand dementia as a terminal condition?
title_short Knowledge of Dementia: Do family members understand dementia as a terminal condition?
title_sort knowledge of dementia: do family members understand dementia as a terminal condition?
url http://hdl.handle.net/20.500.11937/3375