TY - JOUR
T1 - Distinctive lives and deaths: a retrospective survey of the last months of life of people with Down Syndrome
AU - Todd, Stuart
AU - Worth, Eleri
AU - Shearn, Julia
AU - Parsons, Gareth
AU - Bernal, Jane
AU - Hunt, Katherine
AU - Oloidi, Edward Olayinka
PY - 2019
Y1 - 2019
N2 - BackgroundResearch highlights the prevalence and life limiting implications of dementia in people with Down Syndrome (DS). However, little is known about end-of-life outcomes for this group. Methods A survey was conducted with a sample of UK ID service providers that supported over 12,000. There were 222 deaths, of which 43 (19.4%) were the deaths of adults with DS. Core data were obtained for all 43 deaths. For 33 (76.7%) deaths, care staff returned a supplemented version of VOICES-SF. Results 33 (69.8%) deaths were dementia related. It influenced mortality, staff anticipation, place of death and involvement of external support. However, awareness of death was independent of a dementia diagnosis. Conclusion Deaths amongst people with DS are distinct in an ID context. End of life outcomes were dependent on good inter-disciplinary collaboration. How and when people with DS are informed about dementia remains an area for research and service development.
AB - BackgroundResearch highlights the prevalence and life limiting implications of dementia in people with Down Syndrome (DS). However, little is known about end-of-life outcomes for this group. Methods A survey was conducted with a sample of UK ID service providers that supported over 12,000. There were 222 deaths, of which 43 (19.4%) were the deaths of adults with DS. Core data were obtained for all 43 deaths. For 33 (76.7%) deaths, care staff returned a supplemented version of VOICES-SF. Results 33 (69.8%) deaths were dementia related. It influenced mortality, staff anticipation, place of death and involvement of external support. However, awareness of death was independent of a dementia diagnosis. Conclusion Deaths amongst people with DS are distinct in an ID context. End of life outcomes were dependent on good inter-disciplinary collaboration. How and when people with DS are informed about dementia remains an area for research and service development.
KW - down syndrome
KW - dying
KW - death
KW - end of life care
KW - intellectual disabilities
M3 - Article
SN - 1741-1122
JO - Journal of Policy and Practice in Intellectual Disabilities
JF - Journal of Policy and Practice in Intellectual Disabilities
ER -