The EOLD–SWC is a 10-item scale that was developed for after-death assessment of satisfaction with care by family members of residents with dementia. Examples of items are ‘I felt fully involved in all decision making’ or ‘The health care team was sensitive to my needs and feelings.’ For both scales, higher scores

reflect higher levels of comfort Inhibitors,research,lifescience,medical and higher levels of satisfaction respectively. The EOLD–CAD is a 14-item scale developed to assess the condition of the care recipient during the dying process. The scale comprises the subscales physical distress, dying symptoms, emotional symptoms, and well-being [24]. Data collection and procedures We also ask families to provide socio-demographic characteristics of both the respondent (age, gender, marital Inhibitors,research,lifescience,medical status, relationship to the nursing home resident) and of the decedent (age, gender, marital status and date of death). The participating nursing homes send the questionnaire with the EOLD-instruments to the family caregiver of a nursing home Inhibitors,research,lifescience,medical resident who died with dementia. During 20 months the deaths on the nursing homes’ psychogeriatric wards are recorded. Six to eight weeks after the death of their loved one, the nursing home sends the questionnaire to the family caregivers. Along with the questionnaire, the family caregivers receive a letter

that explains the involvement of the nursing home in the FOLlow-up project, and the returning of a completed questionnaire is considered as informed consent to participate. Further, the exact dates on which the questionnaires were sent out and received back, as well as the number of residents with dementia who died and whose family caregiver could not Inhibitors,research,lifescience,medical provide written feedback, and the reasons for ineligibility are registered. It is up to the nursing home

to decide which staff member is most eligible to be responsible for the registration and sending of the questionnaires, but usually these tasks are performed by a member of the Inhibitors,research,lifescience,medical nursing homes’ administrative support team. Strategies for implementation The two strategies to implement the EOLD-instruments 1) the generic Florfenicol feedback strategy and 2) the patient specific feedback strategy both link to specific suggestions on how to improve care. The improvement suggestions were developed based on the latest national and international literature and care guidelines in the field of end-of-life- and palliative care, and when available, specific to dementia [6,18,33-37]. They also included practical suggestions to inspire improvements even in the absence of evidence. HIF activator Subsequently, the improvement suggestions were reviewed by professionals in the field on their practical applicability to improve care quality. Table 1 provides an example of an item of the EOLD-SWC scale with the related suggestion for care improvement.