• J Palliat Med · Nov 2020

    Top Ten Tips Palliative Care Clinicians Should Know About Cognitive Impairment and Institutional Care.

    • Mathias Schlögl, Florian Riese, Milta O Little, David Blum, Ralf J Jox, Lynn O'Neill, Sophie Pautex, Ruth Piers, Deborah Way, and Christopher A Jones.
    • Centre on Aging and Mobility, University Hospital Zurich and City Hospital Waid Zurich, Zurich, Switzerland.
    • J Palliat Med. 2020 Nov 1; 23 (11): 1525-1531.

    AbstractMost long-term care (LTC) residents are of age >65 years and have multiple chronic health conditions affecting their cognitive and physical functioning. Although some individuals in nursing homes return home after receiving therapy services, most will remain in a LTC facility until their deaths. This article seeks to provide guidance on how to assess and effectively select treatment for delirium, behavioral and psychological symptoms for patients with dementia, and address other common challenges such as advanced care planning, decision-making capacity, and artificial hydration at the end of life. To do so, we draw upon a team of physicians with training in various backgrounds such as geriatrics, palliative medicine, neurology, and psychiatry to shed light on those important topics in the following "Top 10" tips.

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