• Clin. Geriatr. Med. · Aug 2014

    Review

    Palliative care in advanced dementia.

    • Susan E Merel, Susan Merel, Shaune DeMers, and Elizabeth Vig.
    • Division of General Internal Medicine, Department of Medicine, University of Washington, 1959 Northeast Pacific Street, Box 356429, Seattle, WA 98195-6429, USA. Electronic address: smerel@uw.edu.
    • Clin. Geriatr. Med. 2014 Aug 1;30(3):469-92.

    AbstractBecause neurodegenerative dementias are progressive and ultimately fatal, a palliative approach focusing on comfort, quality of life, and family support can have benefits for patients, families, and the health system. Elements of a palliative approach include discussion of prognosis and goals of care, completion of advance directives, and a thoughtful approach to common complications of advanced dementia. Physicians caring for patients with dementia should formulate a plan for end-of-life care in partnership with patients, families, and caregivers, and be prepared to manage common symptoms at the end of life in dementia, including pain and delirium.Copyright © 2014 Elsevier Inc. All rights reserved.

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