Palliative Care in Advanced Dementia

• Autores: Susan E. Merel, Shaune M. DeMers, Elizabeth K. Vig
• Localización: Clinics in geriatric medicine, ISSN 0749-0690, Vol. 30, Nº. 3, 2014, págs. 469-492
• Idioma: inglés
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• Resumen

  • Because 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.