Dying with Dementia: Caregivers’ Observations of Physical and/or Behavioral/Psychological Decline in Older Adults
2024

Dying with Dementia: Caregivers’ Observations

Sample size: 30 publication Evidence: moderate

Author Information

Author(s): Hovland Cynthia, Mallett Christopher

Primary Institution: Cleveland State University

Hypothesis

What physical, behavioral, and psychological changes do family caregivers observe in older adults with dementia during their last weeks of life?

Conclusion

Family caregivers observe significant behavioral and physical changes in older adults with dementia as they approach death.

Supporting Evidence

  • Caregivers reported that their loved ones became different people as dementia progressed.
  • Some caregivers noted that their family members did not recognize them.
  • Caregivers observed wandering and getting lost as common behaviors.
  • Physical decline included signs that the body was shutting down.
  • Many caregivers reported a drastic decrease in self-sufficiency in their loved ones.

Takeaway

Caregivers of older people with dementia notice big changes in their loved ones as they get closer to dying, like acting differently and needing more help.

Methodology

Qualitative study using in-depth interviews and directed content analysis over a 12-month period.

Potential Biases

Potential bias in self-reported observations from caregivers.

Limitations

The study is based on caregivers' perspectives, which may not capture the full clinical picture.

Participant Demographics

Caregivers of family members aged 65 years and older who died with dementia-related diagnoses.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2354

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