Date of Award

Spring 5-2019

Document Type

DNP Project

Project Team Faculty Member

Amelia Pérez, PhD, RN

Project Team Faculty Member

Debra Jenkins, PhD, RN


Alzheimer's, Dementia, Palliative care, Advanced Directives, End of Life


Current evidence indicates a lack of assessment protocols focusing on palliative care needs for patients with Alzheimer’s disease. This gap in practice supported the need to implement an evidence-based assessment protocol for early identification of palliative care needs in patients with Alzheimer’s disease residing in a long-term care facility. The protocol included using the patient’s Global Deterioration Scale (GDS) score to determine the patient’s palliative care needs according to the Dementia Progression Prioritization of Goals model. If the score indicated moderate to severe Alzheimer’s disease, then their goal was maximization of comfort, indicating a need to begin palliative care plans.

A total of 36 residents in the long-term care facility selected for this project were assessed. Based on the protocol, 17 residents needed a palliative care consult. Following implementation of the protocol, hospice care was initiated on four residents and palliative care plans were initiated on another four residents. An educational session about the protocol was conducted to the staff. Upon evaluation of the protocol, staff identified the protocol easy to understand, feasible for daily use, and beneficial to practice. Further follow up is needed to evaluate the long-term impact of this project.

Download Full Text Above

Background Introduction_eyarnel.docx (16 kB)

Problem Statement_eyarnel.docx (15 kB)
Problem Statement

Clinical Relevance_eyarnel.docx (16 kB)
Clinical Relevance

Literature Review_eyarnel.docx (21 kB)
Literature Review

Conceptual Framework_eyarnel.docx (15 kB)
Conceptual Framework

Project Methods_eyarnel.docx (16 kB)
Project Methods

Evaluation Process_instruments_eyarnel.docx (1706 kB)
Evaluation Process

References_eyarnel.docx (20 kB)
Final Reference List

Included in

Nursing Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.