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A qualitative inquiry about end-of-life care for people with advanced dementia: “Planning ahead not in reality”
Yun‐Hee Jeon, Heather A. McKenzie. Geriatric Nursing, 2026-02-27
Topic: Risk, prevention and care in population studies
Plain-language summary
Six key themes were identified: Inadequate preparation, guidance and access to appropriate resources; Taboo and misunderstanding: talking about death; Dementia as a terminal illness and the role of palliative care; Key time points, critical events and decisions; Planning ahead not in reality; Family issues and dynamics. From clinicians' and service providers' perspectives, problems related to limited resources, poor consumer access, and skilled workforce shortages all undermined efforts to enable living and dying at home. Family carers found that conversations about death and care home admission were "too confronting" for many, hampering planning in advance. A lack of public, community and health professional awareness led to suboptimal end-of-life planning, signaling the need for all health professionals, especially community and primary care practitioners to be knowledgeable in dementia care. Addressing unique challenges that people with advanced dementia and their family carers experience requires continuity of care and coordination of multidisciplinary care services. Further research is needed to identify dementia-appropriate policies, for example adaptation of current models of advance care planning to meet the needs of this population.
What this study adds
Evidence grade: Low
This qualitative inquiry identified themes including inadequate preparation and resources, taboo around talking about death, and that planning ahead was 'not in reality' for families. It found that limited resources, poor access, and workforce shortages undermined efforts to enable living and dying at home, and calls for dementia-appropriate policies and adapted advance care planning.
Taken from this record’s own fields, not from reading the paper. The grade is assigned from the abstract’s wording; what that means.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Jeon, Y., & McKenzie, H. A. (2026). A qualitative inquiry about end-of-life care for people with advanced dementia: “Planning ahead not in reality”. Geriatric Nursing. https://doi.org/10.1016/j.gerinurse.2026.103975
Vancouver
Jeon Y, McKenzie HA. A qualitative inquiry about end-of-life care for people with advanced dementia: “Planning ahead not in reality”. Geriatric Nursing. 2026. doi:10.1016/j.gerinurse.2026.103975. PMID: 41763155.
BibTeX
@article{jeon2026-41763155,
author = {Jeon, Yun‐Hee and McKenzie, Heather A.},
title = {{A qualitative inquiry about end-of-life care for people with advanced dementia: “Planning ahead not in reality”}},
journal = {Geriatric Nursing},
year = {2026},
doi = {10.1016/j.gerinurse.2026.103975},
pmid = {41763155},
url = {https://doi.org/10.1016/j.gerinurse.2026.103975}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- Six key themes were identified: Inadequate preparation, guidance and access to appropriate resources; Taboo and misunderstanding: talking about death; Dementia as a terminal illness and the role of palliative care; Key time points, critical events and decisions; Planning ahead not in reality; Family issues and dynamics.
- From clinicians' and service providers' perspectives, problems related to limited resources, poor consumer access, and skilled workforce shortages all undermined efforts to enable living and dying at home.
- Family carers found that conversations about death and care home admission were "too confronting" for many, hampering planning in advance.
- A lack of public, community and health professional awareness led to suboptimal end-of-life planning, signaling the need for all health professionals, especially community and primary care practitioners to be knowledgeable in dementia care.
- Addressing unique challenges that people with advanced dementia and their family carers experience requires continuity of care and coordination of multidisciplinary care services.
Why it matters
This qualitative inquiry identified themes including inadequate preparation and resources, taboo around talking about death, and that planning ahead was 'not in reality' for families. It found that limited resources, poor access, and workforce shortages undermined efforts to enable living and dying at home, and calls for dementia-appropriate policies and adapted advance care planning.
Study details
- Evidence strengthLow
How this study scored 30/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Geriatric Nursing) |
| Journal's citation record | 1 / 4 | Geriatric Nursing: journal h-index 78 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 2 year(s) since 2026 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Heather A. McKenzie: h-index 16 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | The University of Sydney: institution h-index 1,466 (OpenAlex) |
| Multicenter collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41763155) |
| Free to read | 2 / 2 | Free to read |
| Total | 30 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1016/j.gerinurse.2026.103975
- PubMed: 41763155
- Original source →
- Free full text: Geriatric Nursing →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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