title: Palliative care for advanced dementia.
abstract: Dementia is a common, devastating, and ultimately fatal illness. Although no cure exists for most causes of dementia, palliative interventions for the predictable complications of the illness can effectively reduce the suffering of patients and families. Care of patients with end-stage dementia is clinically and conceptually consistent with hospice and palliative care, and this approach to care for patients with terminal dementia is preferred. Although the 6-month risk for mortality can be predicted (to satisfy current American hospice eligibility requirements), palliative care interventions are appropriate much earlier in the course of deterioration from dementia.
authors.affiliation: Departments of Psychiatry and Medicine, University of Alabama School of Medicine, Birmingham, Alabama, USA.
authors.forename: J L
authors.initials: JL
authors.lastname: Shuster
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D014150:Antipsychotic Agents / Q000627:therapeutic use; D003220:Conflict, Psychological; D003657:Decision Making; D003704:Dementia / Q000150:complications / Q000401:mortality / Q000517:prevention & control* / Q000523:psychology; D005190:Family / Q000523:psychology; D006167:Guilt; D006801:Humans; D010166:Palliative Care / Q000379:methods* / Q000523:psychology; D011379:Prognosis; D012307:Risk Factors; D013727:Terminal Care / Q000379:methods* / Q000523:psychology; D013997:Time Factors
chemical_list: D014150:Antipsychotic Agents