title: Palliative care as a primary therapeutic approach in advanced dementia: a narrative review.
abstract: OBJECTIVE
  The goal of this narrative review was to identify and summarize the ways in which palliative care could benefit patients who have advanced dementia.
  
  
  METHODS
  This case-based discussion article examines current literature on palliative care for dementia.
  
  
  RESULTS
  Dementia is an incurable, progressive disease that affects millions of subjects. The prevalence has grown in the last decade and is projected to continue on this trajectory. In the later stages of dementia, subjects require increasing levels of care due to severe cognitive and functional impairment. Although the field of palliative medicine focuses on improving the quality of life of patients with life-limiting illnesses, many patients with advanced dementia do not receive palliative care services.
  
  
  CONCLUSIONS
  Palliative care has been shown to improve patient and caregiver satisfaction, quality of life, and symptom burden at the end of life. Patients with advanced dementia would benefit from increased access to palliative care.
authors.affiliation: Icahn School of Medicine at Mount Sinai, Department of Psychiatry, New York, New York. Electronic address: erin.zahradnik@mssm.edu.
authors.forename: Erin K
authors.initials: EK
authors.lastname: Zahradnik
authors.affiliation: Icahn School of Medicine at Mount Sinai, Department of Psychiatry, New York, New York; James J. Peters Veterans Affairs Medical Center.
authors.forename: Hillel
authors.initials: H
authors.lastname: Grossman
mesh_terms: D003704:Dementia / Q000523:psychology / Q000628:therapy*; D006801:Humans; D010166:Palliative Care; D011788:Quality of Life
keywords: Alzheimer’s disease; dementia; geriatric psychiatry; geriatrics; palliative care