7 responses to “The natural history of severe dementia”

  1. The natural history of severe dementia…

    I found your entry interesting do I’ve added a Trackback to it on my weblog :)…

  2. This brings up a point in “directive of care” by living will or power of attorney (for personal care). Since the potentially high mortality events or complications in demented nursing home patients, should there be some preset directives not to actively or invasively treat these, and let demented patients die in peace and dignity, and to avoid unnecessary and unrealistic, or simply “cruel” prolongation of “life”. We don’t have to think of or advocate euthanasia: simply witholding treatment for demented seniors will be kinder and considerate for patient, family and society.

  3. This was a very useful article, although I wasn’t sure about the reviewers final comment indicating an intention so assess swallowing in all patients with neurodegenerative disorders. This would seem to be contrary to the idea of accepting this as an expected consequence of dementia. I don’t know that I’d ask for an OT swallowing assessment or radiographic swallowing assessment unless the patient was still functioning quite well and had complaints regarding eating or clear aspiration affecting quality of life.

  4. Agree entirely with note from John Edworthy

  5. Thank you for the numbers. I believe they will facilitate discussions with my patients and their families

  6. ThankYou for the this very useful and timely article.I agree with
    Kevin chan helpful in a pragmatic discussion with families and
    Family physicians

  7. At Perley Health, we use a frailty informed approach to care and imbed it.
    We call this program “SeeMe”.

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