title: [Consensus statement on severe dementia].
abstract: Under the auspices of the French Society of Gerontology and Geriatrics, a multidisciplinary group of experts, including geriatricians, neurologists, epidemiologists, psychiatrists, pharmacologists, and public health specialists developed consensus recommendations about care for patients with severe dementia. They defined 21 recommendations for general practitioners, long-term care physicians, and specialists, based on the knowledge currently available (2005). The aim of care at all stages is to mitigate the quality-of-life of patient, caregiver, and family insofar as possible, combining care and future planning until the end of life. Management, to take into account problems including nutritional status, behavior disorders, and ability (or inability) to perform activities of daily living, must be global, multidisciplinary, and coordinated and must optimize use of local medical and social resources. The group also stressed the importance of clinical research to improve knowledge of disease course and assess management strategies and recommended specific area for research.
authors.affiliation: CHU Casselardit, secteur A gériatrie, Toulouse. vellas.b@chu-toulouse.fr
authors.forename: B
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authors.lastname: Vellas
authors.forename: S
authors.initials: S
authors.lastname: Gauthier
authors.forename: H
authors.initials: H
authors.lastname: Allain
authors.forename: S
authors.initials: S
authors.lastname: Andrieu
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authors.lastname: Berrut
authors.forename: M
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authors.lastname: Berthel
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authors.lastname: Blanchard
authors.forename: V
authors.initials: V
authors.lastname: Camus
authors.forename: J F
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authors.lastname: Dartigues
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authors.lastname: Dubois
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authors.lastname: Forette
authors.forename: A
authors.initials: A
authors.lastname: Franco
authors.forename: R
authors.initials: R
authors.lastname: Gonthier
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authors.initials: A
authors.lastname: Grand
authors.forename: M P
authors.initials: MP
authors.lastname: Hervy
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authors.lastname: Jeandel
authors.forename: M E
authors.initials: ME
authors.lastname: Joel
authors.forename: P
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authors.lastname: Jouanny
authors.forename: F
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authors.lastname: Lebert
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authors.initials: JL
authors.lastname: Montastruc
authors.forename: F
authors.initials: F
authors.lastname: Nourhashemi
authors.forename: P J
authors.initials: PJ
authors.lastname: Ousset
authors.forename: J
authors.initials: J
authors.lastname: Pariente
authors.forename: A S
authors.initials: AS
authors.lastname: Rigaud
authors.forename: P
authors.initials: P
authors.lastname: Robert
authors.forename: G
authors.initials: G
authors.lastname: Ruault
authors.forename: D
authors.initials: D
authors.lastname: Strubel
authors.forename: J
authors.initials: J
authors.lastname: Touchon
authors.forename: M
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authors.lastname: Verny
authors.forename: J M
authors.initials: JM
authors.lastname: Vetel
mesh_terms: D000368:Aged; D001921:Brain / Q000473:pathology; D017028:Caregivers / Q000523:psychology; D003266:Continuity of Patient Care; D003704:Dementia / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D004185:Disability Evaluation; D015577:Geriatric Assessment; D006760:Hospitalization; D006801:Humans; D009483:Neuropsychological Tests; D028701:Patient Rights