TABLE 6.

Recommendations for practice improvement in the provision of dementia palliative care

Recommendations for practice improvement	Examples
Personnel	Palliative care trainees in neurology Team that can monitor symptoms locally when patients live far away Telehealth opportunities
Training	Communication ○How to have difficult conversations ○Doctor–doctor communication ○Doctor–patient communication Grief counseling Pharmacology and polypharmacy Palliative care certification for neurology providers Cultural competency Family counseling Behavioral symptom management Understanding of what constitutes palliative care Observational learning—have neurology trainees observe and learn from nurses and social workers
Protocols	Knowing how/when/who to refer to palliative care Pamphlet for families (protocol for families/patient–family‐facing materials) Guidelines or checklist for when to initiate goals of care discussions Incorporate palliative care training and discussion into case conferences
Systems‐level changes	Reimbursements for palliative care‐focused appointments in neurology Infrastructure to facilitate routine home visits Reducing the stigma around palliative care and hospice