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The topic of critical and end-of-life care is a subject that unites us all as humans but is one that we often avoid until the very last moment. Rob Epstein and Jeffrey Friedman’s short documentary End Game is less an exploration about palliative care and more a celebration of the compassionate care that can and should be offered to all of us at that existential moment in our lives when the transition between life and death comes into bold relief. Read More Although providing direct care to residents with dementia, long-term care (LTC) home staff of registered nurses’, registered practical nurses’, and personal support workers’ involvement in end-of-life decision-making is rarely acknowledged. The purpose of this study was to examine barriers and facilitators to LTC home staff involvement in end-of-life decision-making for people with advanced dementia. We report on the barriers to staff involvement in decision-making. Using an interpretive descriptive design, four major barriers to staff involvement in decision-making were identified: (a) the predominance of a biomedical model of care; (b) a varied understanding of a palliative approach; (c) challenging relationships with families; and (d) a discomfort with discussing death. Findings suggest that the predominant biomedical model in LTC homes, while important, must be imbued with a philosophy that emphasizes relationships among residents with dementia, family and staff. Is not available to customers or patients who are located outside of the United States or U. military personnel permanently assigned or on temporary duty overseas, please call our Customer Service team at 1-800-SHOP CVS (1-800-746-7287) if you need assistance with your order.

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