Reach Us +44 1223 790975


Decision On Mode Of Feeding In Advanced Dementia: Experience Of Caregivers In The Discussion With Medical Profession | 57462
ISSN: 2161-0460

Journal of Alzheimers Disease & Parkinsonism
Open Access

Like us on:

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
Recommended Conferences

6th World Congress on Epilepsy and Brain Disorders

Valencia, Spain

5th World Brain Congress

Rome, Italy
Google Scholar citation report
Citations : 2590

Journal of Alzheimers Disease & Parkinsonism received 2590 citations as per Google Scholar report

Journal of Alzheimers Disease & Parkinsonism peer review process verified at publons
Indexed In
  • Index Copernicus
  • Google Scholar
  • Sherpa Romeo
  • Open J Gate
  • Genamics JournalSeek
  • Academic Keys
  • JournalTOCs
  • China National Knowledge Infrastructure (CNKI)
  • Electronic Journals Library
  • RefSeek
  • Hamdard University
  • OCLC- WorldCat
  • SWB online catalog
  • Virtual Library of Biology (vifabio)
  • Publons
  • Geneva Foundation for Medical Education and Research
  • Euro Pub
Share This Page

Decision on mode of feeding in advanced dementia: Experience of caregivers in the discussion with medical profession

5th International Conference on Alzheimer’s Disease & Dementia

Kwan Ching Yin, Connie

Tuen Mun Hospital, The Chinese University of Hong Kong, Hong Kong

ScientificTracks Abstracts: J Alzheimers Dis Parkinsonism

DOI: 10.4172/2161-0460.C1.021

Dysphagia and behavioural feeding problem has long been a prevalent issue in advanced stage of dementia (Easterling & Robbins, 2008). Instead of prescribing tube-feeding to tackle the impairment (Carmel, 1999), comfort feeding (or namely careful hand feeding) is an alternative to the dementia patient and caregivers in view of its comparable mortality rate to tube feeding (Sanders et al., 2000) and the patient’s quality of life (Sampson, Candy, & Jones, 2009). Therefore, it has always been a struggle for medical profession, as predictably as the patient’s caregiver, to choose between an adequate and safe nutritive support and quality end-of-life care on feeding. In this study, caregivers of advanced dementia patients of four different feeding and swallowing scenario were interviewed about their choice of feeding. The four scenarios include family choosing: (1) comfort feeding for patient diagnosed with severe dysphagia despite aspiration risk; (2) tube-feeding for patients with severe dysphagia; (3) comfort feeding for patient with feeding problem despite malnutrition; and (4) tube-feeding due to poor oral intake of the patient. Narrative analysis (Labov & Waletzky, 1997) was used for analyzing the four interviews about caregiver's experience during discussion with medical profession on mode of feeding. The study then compares and contrasts the four narratives. Implications for stakeholers in relating and working with families and patients are explored, suggesting a framework for a family-centered decision making model on mode of feeding issue for families with patients of advanced dementia. Also, by self-reflexivity of the author (Burck, 2005), the importance of listening and acknowledging each family are important to identify family’s strength and resilience.

Connie has completed her BSc in Speech and Hearing Sciences from the University of Hong Kong and MA in Family Counseling and Family Education from the Chinese University of Hong Kong. She works as speech therapist in Hospital Authority in Hong Kong, involving in a variety of projects for rehabilitation and care for the aged population. She had been the committee members of the Hong Kong Association of Speech Therapists since 2012. She has published journals regarding stroke rehabilitation services.

Email: [email protected]