Dying dementia patients: Too much suffering, too little palliation

American Journal of Alzheimer's Disease and other Dementias

Volumn 19, Issue 4, 2004, Pages 243-247

  Aminoff, Bechor Zvi ^a,b   Adunsky, Abraham ^a,b  

^a SHEBA MEDICAL CENTER   (Israel)

^b TEL AVIV UNIVERSITY   (Israel)

Author keywords

Dementia; Dying; End of life; Quality of life; Suffering

Indexed keywords

AGED; ARTICLE; DECUBITUS; DEMENTIA; DISTRESS SYNDROME; DYING; FEMALE; GERIATRIC HOSPITAL; HOSPITAL ADMISSION; HUMAN; MAJOR CLINICAL STUDY; MALE; MINI SUFFERING STATE EXAMINATION SCALE; NURSING; PAIN; PALLIATIVE THERAPY; QUALITY OF LIFE; RATING SCALE; RELIGION; RESTLESSNESS; SUFFERING; SURVIVAL; TERMINAL CARE; TRADITIONAL MEDICINE;

EID: 4143140830     PISSN: 15333175     EISSN: None     Source Type: Journal    
DOI: 10.1177/153331750401900402     Document Type: Article

References (17)

1. Luchins DJ, Hanrahan P, Murphy K: Criteria for enrolling dementia patients in hospice. J Am Geriatr Soc. 1997; 45(9): 1054-1059.
2. Hurley AC, Volicer L, Blasi ZV: End-of-life care for patients with advanced dementia. JAMA. 2000; 284(19): 2449-2450.
3. Ahronheim JC, Morrison RS, Baskin SA, et al.: Treatment of the dying in the acute care hospital. Advanced dementia and metastatic cancer. Arch Intern Med. 1996; 156(18): 2094-2100.
4. Hinkka H, Kosunen E, Lammi EK, et al.: Decision making in terminal care: A survey of Finnish doctors' treatment decisions in end-of-life scenarios involving a terminal cancer and terminal dementia patient. Palliat Med. 2002; 16(3): 195-204.
5. Evers MM, Purohit D, Perl D, et al.: Palliative and aggressive end-of-life care for patients with dementia. Psychiatr Serv. 2002; 53(5): 609-613.
6. Teno JM, Mor V, DeSilva D, et al.: Use of feeding tubes in nursing home residents with severe cognitive impairment. J Am Med Assoc. 2002; 287(24): 3211-3212.
7. Volicer L: Management of severe Alzheimer's disease and end-of-life issues. Clin Geriatr Med. 2001; 17(2): 377-391.
8. Shuster JL Jr: Palliative care for advanced dementia. Clin Geriatr Med. 2000; 16(2): 373-386.
9. Luchins DJ, Hanrahan P, Murphy K: Criteria for enrolling dementia patients in hospice. J Am Geriatr Soc. 1997; 45(9): 1054-1059.
10. Keene J, Hope T, Fairburn CG, et al.: Death and dementia. Int J Geriatr Psychiatry. 2001; 16(10): 969-974.
11. Boersma F, Van Den Brink W, Deeg DJ, et al.: Survival in population-based cohort of dementia patients: Predictors and causes of mortality. Int J Geriatr Psychiatry. 1999; 14(9): 748-753.
12. Aminoff BZ, Purits E, Noy S, et al.: Measuring the suffering of end-stage dementia: Reliability and validity of the Mini-Suffering State Examination. Arch Gerontol Geriatr. 2004; 38(2): 123-130.
13. American Psychiatric Association (ADA). Diagnostic and Statistic Manual of Mental Disorders. 4th Ed. Washington, DC: American psychiatric Association, 1994.
14. Folstein MF, Folstein SE, McHugh PR: "Mini-mental State." A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3): 189-198.
15. Granger CV, Hamilton BB: The Uniform Data System for Medical Rehabilitation report of first admissions for 1992. Am J Phys Med Rehabil. 1994; 73(1): 51-55.
16. Siegler EL, Levin BW: Physician-older patient communication at the end of life. Clin Geriatr Med. 2000; 16(1): 175-204.
17. Cassell EJ: The nature of suffering and the goals of medicine. N Engl J Med. 1982; 306(11): 639-645.