Dementia Care at End of Life: Current Approaches.

Curr Psychiatry Rep

Center for Palliative Medicine, Mayo Clinic, Rochester, MN, USA.

Published: June 2018

AI Article Synopsis

  • The article reviews late-stage dementia, highlighting its progressive decline through early, middle, and late stages.
  • Survival times differ by dementia subtypes, but care should prioritize comfort, dignity, and quality of life as patients approach the end.
  • Barriers to optimal end-of-life care exist, but better planning and early discussions can enhance palliative and hospice care access, improving overall care for those with dementia.

Article Abstract

Purpose Of Review: Dementia is a progressive and life-limiting condition that can be described in three stages: early, middle, and late. This article reviews current literature on late-stage dementia.

Recent Findings: Survival times may vary across dementia subtypes. Yet, the overall trajectory is characterized by progressive decline until death. Ideally, as people with dementia approach the end of life, care should focus on comfort, dignity, and quality of life. However, barriers prevent optimal end-of-life care in the final stages of dementia. Improved and earlier advanced care planning for persons with dementia and their caregivers can help delineate goals of care and prepare for the inevitable complications of end-stage dementia. This allows for timely access to palliative and hospice care, which ultimately improves dementia end-of-life care.

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Source
http://dx.doi.org/10.1007/s11920-018-0915-xDOI Listing

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