Palliative Care for Patients With Dementia in Long-Term Care

被引：10

作者：

Fulton, Ana Tuya ^{[2
]}

Rhodes-Kropf, Jennifer ^{[1
,9
]}

Corcoran, Amy M. ^{[3
]}

Chau, Diane ^{[4
,6
]}

Castillo, Elizabeth Herskovits ^{[5
,7
,8
]}

机构：

[1] Hebrew SeniorLife, Div Geriatr, Boston, MA 02446 USA

[2] Brown Univ, Butler Hosp, Warren Alpert Med Sch, Div Geriatr,Dept Med, Providence, RI 02906 USA

[3] Univ Penn, Ralston Penn Ctr, Div Geriatr Med, Philadelphia, PA 19104 USA

[4] Univ Nevada, Sch Med, Dept Med, Div Geriatr Med, Reno, NV 89502 USA

[5] MAHEC Mt AHEC, Geriatr Med Program, Asheville, NC 28804 USA

[6] VA Community Living Ctr, Reno, NV USA

[7] UNC Chapel Hill Sch Med, Dept Family Med, Chapel Hill, NC 27599 USA

[8] Givens Estates CCRC, Asheville, NC 28803 USA

[9] Harvard Univ, Sch Med, Beth Israel Deaconess Med Ctr, Ctr Communities Brookline, Boston, MA 02446 USA

来源：

CLINICS IN GERIATRIC MEDICINE | 2011年 / 27卷 / 02期

关键词：

Palliative care; Dementia; Long-term care; Tube feeding; Pain; Transitions; Prognostication; Quality of life; NURSING-HOME RESIDENTS; BRIGHT LIGHT THERAPY; FEEDING-TUBE USE; HOSPICE ENROLLMENT; ALZHEIMERS-DISEASE; EXCESS DISABILITY; CONTROLLED-TRIAL; OLDER-ADULTS; MANAGEMENT; PAIN;

D O I：

10.1016/j.cger.2011.01.002

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Seventy percent of people in the United States who have dementia die in the nursing home. This article addresses the following topics on palliative care for patients with dementia in long-term care: (1) transitions of care, (2) infections, other comorbidities, and decisions on hospitalization, (3) prognostication, (4) the evidence for and against tube feeding, (5) discussing goals of care with families/surrogate decision makers, (6) types of palliative care programs, (7) pain assessment and management, and (8) optimizing function and quality of life for residents with advanced dementia.

引用

页码：153 / +

页数：19

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