The palliative care in dementia context: health professionals point of view about advantages and resistances

The palliative care in dementia context: health professionals point of view about advantages and resistances

Authors

  • Sabina Zapponi Università di Parma
  • Maria Chiara Ascari
  • Erjona Feracaku
  • Silvia Masin
  • Paola Paglia
  • Roberta Petroccione
  • Ana Pinzaru
  • Chiara Foà
  • Giovanna Artioli
  • Leopoldo Sarli

Keywords:

palliative care, dementia, chronic care, application resistences, health care operators

Abstract

Background and aim: The 38/2010 law has expanded the provision of palliative care to patients with chronic-degenerative diseases. The ISTAT data show that 60% of the dying population is suffering from these diseases and could, according to the literature review, benefit particularly from such treatments. This study investigates the point of view of healthcare professionals, working in the context of dementia, regarding the knowledge and application of palliative care in the field of dementia. The focus is on the analysis of the resistance that may prevent the spread of palliative care, slowing the application of such care in different settings of terminality. Methods: The method is a qualitative phenomenological approach. A grid of semi-structured interviews was created and was proposed to 33 health workers (18 women) who work in Health Centres or in the Alzheimer Nucleus of Northern Italy. Results: Most operators think they understand palliative care, they believe it to be useful and necessary, but often only connect it with terminal illness. Others have a broader vision based on a more abstract and theoretical level than on real practical knowledge. A majority of respondents think that the spread of palliative care is slow and difficult because of the prevalence of the biomedical model that holistically and prejudicially hinders the introduction of new models. Conclusion: Appropriate training is the fundamental key to overcoming resistance. The professionals interviewed showed that they were aware of their lack of knowledge and declared that they had little competence in managing the complexity of long-term pathologies.

 

Author Biographies

Maria Chiara Ascari

Emergency room at the Hospital Mirandola, Modena, Italy

Erjona Feracaku

Health Residence for disabled people, Monza, Italy

Silvia Masin

Cardiothoracic Intensive Care Unit, Verona, Italy

Paola Paglia

Hospice Piccole Figlie, Parma, Italy

Roberta Petroccione

Home Care Service, AUSL Pesaro, Italy

Ana Pinzaru

Neurology Department at the Hospital Carlo Poma, Mantova, Italy

Chiara Foà

University Teaching Hospital, Parma, Italy

Giovanna Artioli

Santa Maria Nuova Hospital - IRCCS, Reggio Emilia, Italy

Leopoldo Sarli

Department of Surgical Sciences of Parma University

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Published

26-03-2018

How to Cite

1.
Zapponi S, Ascari MC, Feracaku E, Masin S, Paglia P, Petroccione R, et al. The palliative care in dementia context: health professionals point of view about advantages and resistances. Acta Biomed [Internet]. 2018 Mar. 26 [cited 2024 Jul. 19];89(4-S):45-54. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/7198