Grief and loss in people living with dementia: a review and metasynthesis of qualitative studies

Objectives: This review seeks to synthesise qualitative studies that focus on the experience of grief and loss in people living with dementia.Methods: Included studies were quality appraised, synthesised and analysed using inductive thematic analysis.Results: 19 studies were selected for inclusion in the final review and metasynthesis, including 486 participants (115 participants living with dementia, 152 family carers, 219 professionals).Five key dimensions of grief in people living with dementia were identified during the analysis process: grieving for the person I used to be, grieving for how others see me, grieving for the person I will become, grieving for those who have died and what helps me with my grief.Conclusion: It is evident that people living with dementia can experience grief related to a range of previous, current and anticipated losses.Many of the studies included in this review did not directly include people living with dementia in their research and did not ask participants directly about their experience of grief and loss.As grief is a highly personal and individual experience, further research addressing the experience of grief that directly includes participants living with dementia is required, in order to improve awareness of grief-related needs and to develop and deliver support to meet these needs.