Table 2

Summary of papers included (n=12)

Author, year of publicationCountryPublication typeManagement decisionDescription
Cahill et al, 201222Republic of Ireland and Northern IrelandPeer-reviewed paperEnsuring a ‘good death’Guidelines for nursing homes delivering end of life care, which have been developed from in-depth qualitative interviews with bereaved caregivers of people with dementia
Callahan, 199523USAReportEnding life-sustaining treatmentReport which raises the question; under what circumstances should life-sustaining treatment for someone with dementia be ended?
Gillick, 200124USAPeer-reviewed paperSwallowing/eating difficultiesProvides a stepwise approach about what nursing homes should do when someone with dementia stops eating
Karlawish et al, 199925USAPeer-reviewed paperEnsuring a ‘good death’Describes how to reach consensus in decision-making, using a case study of a person with dementia who develops neurogenic dysphagia and aspiration pneumonia
Kovach et al, 201226USAPeer-reviewed paperPain and agitationQuasi-experimental study of a 5-step and 9-step decision support tool for management of pain and agitation in people with dementia
McAlister et al, 198927CanadaPeer-reviewed paperSwallowing/eating difficultiesProposes an analytic approach to decision-making for people with dementia who refuse feeding by hand
Palecek et al, 201028USAPeer-reviewed paperSwallowing/eating difficultiesProposes ‘comfort feeding only’ as a means to eliminate the apparent care–no care dichotomy assumed by a decision to forgo artificial hydration and nutrition
Schwartz et al, 201429USAPeer-reviewed paperSwallowing/eating difficultiesSynthesis of literature which supports the notion that forgoing artificial nutrition and hydration is acceptable in dementia end of life care. Discusses decision-making principles when considering artificial nutrition and hydration as an option for feeding
Smith et al, 200930UKPeer-reviewed paperSwallowing/eating difficultiesContains an algorithm to aid decisions about eating
van der Steen et al, 200031The NetherlandsPeer-reviewed paperTreatment of pneumoniaThrough the use of case studies, describes the use of a checklist to make decisions about whether or not to treat pneumonia in patients with dementia
van der Maaden et al, 201432The NetherlandsPeer-reviewed paperTreatment of pneumoniaA 5-round Delphi study, from which a guideline was created for optimal symptom control for patients with dementia who develop pneumonia
Zagaria, 201533USAPeer-reviewed paperRationalising medicationPromotes a philosophy of stopping any medication that is not in line with the primary goals of care