[The current role of advance care planning for people with dementia - A narrative review]

Nihon Ronen Igakkai Zasshi. 2023;60(3):201-213. doi: 10.3143/geriatrics.60.201.
[Article in Japanese]

Abstract

Advance care planning (ACP) for people with dementia, as with other diseases, is a necessary process to realize medical treatment and care in the final stage of a person's life. On the other hand, dementia, a disease that is expected to make it difficult for people to make decisions on their own in the future, has a long course, and is characterized by uncertainty regarding the course of the disease, which may also be a limiting factor in the implementation of ACP for people with dementia. On the other hand, the uncertainties may also be a reason for implementing ACP. This paper reviews reports on ACP initiatives for people with dementia from many countries and presents their characteristics, cultural and customary influences, effects, facilitating and inhibiting factors, and recommendations for implementation, with the aim of promoting future ACP initiatives for people with dementia. The aim of the study was to promote future ACP initiatives for people with dementia.

Keywords: Advance care planning; Dementia; End of life care; Narrative review.

Publication types

  • Review
  • English Abstract

MeSH terms

  • Advance Care Planning*
  • Dementia* / therapy
  • Humans