title: The mourning process of older people with dementia who lost their spouse.
abstract: OBJECTIVE
  To explore the mourning process of people with dementia who have lost their spouse, using family caregivers' and professionals' perspectives and to devise grief care for people with dementia.
  
  
  BACKGROUND
  There have been studies on the loss of one's spouse; however, little is known about widows and widowers with dementia as they may find it hard to tell their perception and feelings to others accurately because of cognitive impairment.
  
  
  METHODS
  Qualitative descriptive study using semi-structured interviews.
  
  
  METHODS
  Seven family caregivers and six professional caregivers from day care centres were interviewed between June and September 2015. Qualitative content analysis was used to identify mourning behaviours of people with dementia.
  
  
  RESULTS
  In the mourning process of people with dementia, different behaviours were found according to dementia stages and different circumstances. In FAST2, they could remember their spouse's death. In FAST4 -6, it took 1 year to be able to perceive their spouse's death and more time to store it. In FAST 7, people with dementia did not discern his spouse's death throughout the process. Furthermore, it was revealed that people with dementia followed a different mourning process from conventional ones.
  
  
  CONCLUSIONS
  In the care of widows and widowers with dementia it is crucial to adjust circumstances to allow people with dementia to guess reality. Further studies are needed to clarify differences between the mourning process of people with dementia and that of intact older people to develop a grief model and educational programmes.
authors.affiliation: Graduate School of Nursing, Chiba University, Chiba, Chiba, Japan.
authors.forename: Akiko
authors.identifier: http://orcid.org/0000-0002-4169-1114
authors.initials: A
authors.lastname: Watanabe
authors.affiliation: Graduate School of Nursing, Chiba University, Chiba, Chiba, Japan.
authors.forename: Sayuri
authors.initials: S
authors.lastname: Suwa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001601:Bereavement; D017028:Caregivers / Q000523:psychology*; D003704:Dementia / Q000523:psychology*; D005260:Female; D006117:Grief; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D018454:Spouses / Q000523:psychology*; D017805:Widowhood / Q000523:psychology*
keywords: Alzheimer's disease; bereavement; dementia stage; grief model; mourning process; nursing; older people; rituals; spouse