Ethical issues in end of life treatments for patients with dementia

被引：16

作者：

Congedo, M. ^{[1
]}

Causarano, R. I. ^{[2
]}

Alberti, F.

Bonito, V. ^{[3
]}

Borghi, L. ^{[4
]}

Colombi, L. ^{[5
]}

Defanti, C. A. ^{[6
]}

Marcello, N. ^{[7
]}

Porteri, C. ^{[8
]}

Pucci, E. ^{[9
]}

Tarquini, D. ^{[10
]}

Tettamanti, M. ^{[11
]}

Tiezzi, A. ^{[12
]}

Tiraboschi, P. ^{[13
]}

Gasparini, M. ^{[14
]}

机构：

[1] ASS 4 Med Friuli, Ambulatorio Neurol, Distretto Di Udine, Italy

[2] Osped Niguarda Ca Granda, Hosp Tulipano 2, Milan, Italy

[3] Osped Riuniti Bergamo, Bergamo, Italy

[4] Univ Campus Biomed, Rome, Italy

[5] Dirigenza Infermierist AREU Lombardia, Milan, Italy

[6] Ctr Alzheimer Osped Briolini, Gazzaniga, BG, Italy

[7] AO Santa Maria Nuova, Reggio Emilia, Italy

[8] IRCCS Ctr S Giovanni Dio, Unita Bioet, Brescia, Italy

[9] UO Neurol ASUR Marche ZT9, Macerata, Italy

[10] PTP Nuovo Regina Margherita, Rome, Italy

[11] Ist M Negri, Milan, Italy

[12] Osped S Donato, UO Neurol, Ctr Alzheimer, Arezzo, Italy

[13] Osped Niguarda Ca Granda, Milan, Italy

[14] Ist Clin Perfezionamento, Milan, Italy

来源：

EUROPEAN JOURNAL OF NEUROLOGY | 2010年 / 17卷 / 06期

关键词：

artificial nutrition and hydration; dementia; end of life treatments; palliative care; NURSING-HOME PATIENTS; ALZHEIMERS-DISEASE; STAGE DEMENTIA; ELDERLY-PATIENTS; DECISION-MAKING; WEIGHT-LOSS; CARE; DISCOMFORT; PAIN; SURVIVAL;

D O I：

10.1111/j.1468-1331.2010.02991.x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Dementia is a terminal disease, associated with great suffering and difficult decisions in the severe stage. The decision-making process is characterized by uncertainty because of lack of scientific evidence in treatments and by the need to reconcile conflicting points of view. In intercurrent diseases, aggressive interventions are used without consideration of its futility; in comparison with cancer, several consequences of physicians' attitude not to consider dementia as a terminal disease have been reported, especially concerning pain relief. Lack of evidence of artificial nutrition and hydration effectiveness makes advance care planning relevant.

引用

页码：774 / 779

页数：6

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