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Table 4 Expert round

From: Palliative care for the elderly - developing a curriculum for nursing and medical students

Field

Comments

Geriatrics

â—‹ In patients with dementia, perform pain assessment with visual instruments.

â—‹ Relevance of key worker for patients with dementia is high.

â—‹ In dementia, challenging behaviour can be interpreted as an attempt to communication.

â—‹ The use of hospices for patients suffering from dementia is questionable.

Palliative Care

â—‹ Unnecessary interventions and waiting periods may consume precious time at the end of life.

Communication and

patient autonomy

â—‹ When breaking bad news to an elderly person, the diagnosis is in many cases less relevant to the patient than the course of suffering to be expected.

â—‹ General pitfalls, like impaired hearing or understanding of complex contexts have to be kept in mind.

Organisation and

social networks

â—‹. Negative aspects on institutionalization may occur (loss of individuality and freedom).