2NURSING ASSIGNMENTRendering person-centered and family focused palliative care for older people thrivingwith end-stage dementia in case of aged care facilities may be disrupted due to pervasiveness ofvarious issues such as paucity of access to palliative care, communication problems and faultypain management. These issues impede the proper management of the deleterious healthcondition of dementia that tends to rob oneself of her personal stand. Lack of access to palliative care Dementia is a potentially debilitating illness in which the declining cognitive status of theaffected person majorly influences the judgment, reasoning, memory and communication skillsthereby posing threat to the victims. Hence, providing adequate and most appropriate treatmentintervention is a challenging task for the healthcare professionals. Moreover, end stage dementiais particularly hard to handle due to insufficient and considerable knowledge acquisition on thepart of healthcare professionals in addition to limited resources and dearth of curative therapies.Transcending the traditional care with respect to dementia patients, novel and improvedhealthcare practices are required to remedy the sufferings of the dementia affected patients aswell as their families thereby providing opportunities for maximizing the quality of life of themacross various stages of illness. Poor outcomes because of end of life issues in dementia patientsis of particular botheration as it tend to jeopardize the stability in a person’s life and incur threatsto health (Lee et al. 2017). Further, researches carried out with respect to the provision of end-of-life care depicted that despite being a terminal illness condition; dementia is often underminedthat leads to inadequate healthcare delivery. People with end stage dementia do not have accessto most suited end-of-life care needs that compromise their healthcare outcomes in a major way.In contrast to other terminal illness, stereotype and stigma is attached with dementia that makes itmore difficult to combat the adverse outcomes. Difficulty in dementia diagnosis coupled with

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