Palliative and end of life care in advanced dementia

Despite growing understanding in recent years of the biological, psychological, social, environmental and spiritual aspects of dementia, people with advanced dementia continue to experience inequalities in accessing health care capable of improving their lives. The complexities of advanced dementia challenge professional competence and demand the highest level of skilled, compassionate care. In this article we consider the status and direction of palliative care as it applies to people with dementia and explore contemporary issues regarding advanced dementia and end of life, with a focus on guidance for practitioners and support for best practice.