End-of-life care for older adults with dementia living in group homes in Japan

Sayuri Kobayashi, Noriko Yamamoto-Mitani, Satoko Nagata, Sachiyo Murashima

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Aim: The aim of this study was to elucidate the components of end-of-life care provided to older adults with dementia who live in group homes (GHs) in Japan. Introduction: The number of GHs in Japan is rapidly increasing. Although GHs were originally not established to care for elderly people with advanced-stage dementia, many residents remain in the GH even after their stage of dementia advances; thus, end-of-life care is required. Methods: Interviews were conducted with seven GH administrators on their experience in providing end-of-life care to their residents. The constant comparative approach was used for data collection and analysis. Findings: Four themes emerged as essential components of end-of-life care in the GH setting: (i) maintaining a familiar lifestyle; (ii) minimizing physical and mental discomfort; (iii) proactively utilizing desirable medical care; and (iv) collaborating with family members. Conclusion: The combination of the four components seems to be a unique characteristic of end-of-life care in GHs in Japan. These findings may be used to establish a framework for end-of-life care at GHs.

Original languageEnglish
Pages (from-to)31-40
Number of pages10
JournalJapan Journal of Nursing Science
Issue number1
Publication statusPublished - 2008 Jun


  • Administrator
  • Constant comparative approach
  • Dementia
  • End-of-life care
  • Group home

ASJC Scopus subject areas

  • Research and Theory


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