Coaching members of the healthcare team to improve care provision.

Since the challenges of the coronavirus disease 2019 (COVID 19) pandemic, during which many nurses had to work in extreme circumstances and with limited resources, healthcare leaders have explored how they could better support nurses in the future. Admiral Nurses - who are supported by the charity Dementia UK to provide expert care and advice for people with dementia - have been offered coaching alongside their regular clinical supervision. In the workplace, coaching can be defined as a process that supports another person's understanding, learning, behaviour and progress.

A training needs analysis of admiral nurses to facilitate advance care planning in dementia.

Unlabelled: Education of health and social care professionals is essential in preparation to confidently and effectively support families affected by dementia to undertake advance care planning. This article describes a training needs analysis of Admiral Nurses, dementia specialists, in facilitating advance care planning for future care.

Methods: A questionnaire survey was completed by Admiral Nurses attending end-of-life care masterclasses in 2017 and 2018.

Advance care plans in dementia: user-centred design.

Objectives: Historically, dementia has not been recognised as a life-limiting condition or one that may benefit from a palliative approach to its care. There are many challenges in providing palliative and end-of-life care to this group of people, some of which may be reduced through advance care planning (ACP) to support people with dementia to have a greater influence on their care at end of life. ACP has been defined as a process of discussing and recording of wishes, values and preferences for future care and treatment held between an individual, family members and their care provider(s) that takes effect when the person loses capacity.

Palliative care in dementia: a fragmented pathway?

Background: Most deaths occur in people over the age of 65 years, yet there is widespread evidence that older people have inequitable access to good palliative and end-of-life care. For people with dementia, there are further barriers to receiving palliative care. Identifying when older people with dementia are reaching the end of their lives is not straightforward.

Advance care planning.

Advance care planning (ACP) is a structured discussion about a person's wishes and thoughts for the future, and is recognised as a vital part of good care at the end of life ( Department of Health 2008 , Royal College of Physicians et al 2009 , General Medical Council 2010 ).