Neurol. praxi. 2010;11(1):16-19
Management of advanced dementia - palliative approach
- 1 Neurologická klinika IPVZ a Fakultní Thomayerovy nemocnice, Praha
- 2 Klinika anesteziologie, resuscitace a intenzivní medicíny, Všeobecná fakultní nemocnice a 1. LF UK, Praha
- 3 Gerontologické centrum a Katedra řízení a supervize v sociálních a zdravotnických organizacích, UK FHS, Praha
- 4 Katedra filozofie a etiky v pomáhajících profesích, Zdravotně sociální fakulta JU v Českých Budějovicích
End-stage of dementia can be defined as a period when the disease reaches irreversible and severely reduced autonomy in basic activities
of daily living with a need of persistent nursing care. Treatment options, mainly acetylcholinesterase inhibitors and memantin,
decision making capacity and principles of autonomy in these patients are discussed. Indication of intensive care, the role of palliative
approaches and management of complications are described. Finally, the importance of communication with the patient and the caregiver
and aspects of institutionalization are mentioned more in detail.
Keywords: dementia, end stage disease, prognosis, intensive care, palliative care
Published: March 1, 2010 Show citation
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