Repository logo
 
Publication

Achieving Prudent Dementia Care (Palliare): An International Policy and Practice Imperative

2016Journal article Open access
Simple item page
dc.contributor.authorTolson, Debbie
dc.contributor.authorFleming, Anne
dc.contributor.authorHanson, Elizabeth
dc.contributor.authorAbreu, Wilson
dc.contributor.authorCrespo, Manuel Lillo
dc.contributor.authorMacrae, Rhoda
dc.contributor.authorJackson, Graham
dc.contributor.authorHvalič-Touzery, Simona
dc.contributor.authorHolmerová, Iva
dc.contributor.authorRoutasalo, Pirkko
dc.date.accessioned2020-11-27T10:32:34Z
dc.date.available2020-11-27T10:32:34Z
dc.date.issued2016
dc.description.abstractThis paper examines the provision of integrated advanced dementia care within seven European countries and critically reviews the potential contribution of the Prudent Healthcare perspective as a starting point for reform. Progressive efforts to innovate, promote quality and integrate care are tempered with the reality of resource constraints. Some policy makers in Europe and North America have turned their attention to the principles of Prudent Healthcare as a potential mechanism to maximise benefits for patients within available resources. As dementia progresses, living well requires increasing levels of support and care, people living with advanced dementia have complex health and social care needs, are highly dependent on others but are not yet at the terminal end stage of the condition. People with advanced dementia can benefit from a dementia specific palliative approach to care (Palliare), that helps them to live the best life possible for the months and often years they live with advanced dementia. It is also highly desirable to align policy innovations with integrated palliative care practice models and the education of the dementia workforce to accelerate informed improvements in advanced dementia care. There may be some coherence, at least superficially between Prudent Healthcare and integrated palliative care models such as Palliare. It is argued that for successful implementation, both require practitioners to be equipped with knowledge and skills and be empowered to deliver high quality care often within impoverished care environments. Adoption of the prudent perspective will however require development of a repertoire of approaches to hear the voice or proxy voice of people living with advanced dementia and to commit to the development and implementation of new evidence for advanced dementia practice. Evidence informing this policy debate draws upon contemporary literature and policy and the findings from research activities undertaken by the Palliare project supported through the Erasmus+ K2 Strategic Partnerships funding programme.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInternational Journal of Integrated Care, 16(4): 18, pp. 1–11,pt_PT
dc.identifier.doi10.5334/ijic.2497pt_PT
dc.identifier.eissn1568-4156
dc.identifier.urihttp://hdl.handle.net/10400.26/34168
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherUbiquity Presspt_PT
dc.relation.publisherversionhttps://www.ijic.org/115/volume/16/issue/4/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectadvanced dementiapt_PT
dc.subjectPrudent Healthcarept_PT
dc.titleAchieving Prudent Dementia Care (Palliare): An International Policy and Practice Imperativept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue4pt_PT
oaire.citation.startPage18pt_PT
oaire.citation.titleInternational Journal of Integrated Carept_PT
oaire.citation.volume16pt_PT
person.familyNameAbreu
person.givenNameWilson
person.identifier.ciencia-id0313-F7A6-AE60
person.identifier.orcid0000-0002-0847-824X
person.identifier.scopus-author-id57191608626
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication2a9bfbb4-8930-4c6c-9ed5-21d856df4a1d
relation.isAuthorOfPublication.latestForDiscovery2a9bfbb4-8930-4c6c-9ed5-21d856df4a1d

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
artigo afiliado WilsonA-08.pdf
Size:
445.19 KB
Format:
Adobe Portable Document Format
Download

Collections

ESEP - Artigos e Conference Proceedings