Type: Video 34 mins
Supporting Aged Care Quality Standard: 3

A Measure to Assess Symptoms and Concerns in Advanced Dementia

IPOS-Dem is a proxy-completed measure for use with people with advanced dementia living in care homes, developed at the Cicely Saunders Institute. It is derived from the Integrated Palliative care Outcome Scale, and has been developed for use by care home staff to improve assessment and monitoring of symptoms and other concerns, as well as for research. Very few measures exist which are both suitable and well-validated for use among those with advanced dementia. This webinar will discuss these considerations and present some practical solutions and useful steps forward.


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Professor Fliss Murtagh

Fliss qualified in medicine in the UK in 1986. She worked in General Practice for almost 10 years, and then undertook specialist training in palliative medicine.

She is now a Reader in Palliative Medicine at the Cicely Saunders Institute, King’s College London, UK. She is experienced in providing palliative care to a wide range of people with far advanced disease and their families, and has published extensively on palliative and end-of-life care needs, especially for older people and those with advanced kidney disease. She is experienced in development and use of outcomes, especially development of the Integrated Palliative care (or Patient) Outcome Scale (see www.pos-pal.org). She has led analytical modelling work commissioned by the UK Department of Health and is currently working on evaluating complexity in palliative care, and mapping needs, service provision, and outcomes. She is co-leading a UK National Institute for Health Research-funded project to validate a case-mix classification for palliative care, and test different models of care.



  • To understand some of the challenges related to outcome measurement in advanced dementia
  • To consider an example of an holistic, person-centred assessment and outcome measure, IPOS-Dem, and how it meets some of these challenges


1 hour of Continuing Professional Development


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