End-of-Life Care of Persons with Alzheimer's Disease and Other Dementias.

Darlon Jan, Kye Y Kim
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Abstract

End-of-life (EOL) care has been a common option for patients with terminal medical conditions such as cancers. However, the utilization of EOL care in Alzheimer disease and other dementing conditions have become available relatively recently. As the end-stage dementia approaches, the clinicians and caregivers become faced with numerous clinical challenges-delirium, neuropbehavioral symptoms, the patient's inability to communicate pain and associated discomfort, food refusal, and so on. In addition to providing quality clinical care to the EOL patients, clinicians should pay special attention to their families, assuring that their loved ones will receive supportive measures to improve quality of life (QOL).

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阿尔茨海默氏症和其他痴呆症患者的临终关怀。
生命末期护理(EOL)一直是癌症等绝症患者的常见选择。然而,生命末期护理在阿尔茨海默病和其他痴呆症中的应用则相对较晚。随着痴呆症晚期的临近,临床医生和护理人员面临着众多临床挑战--谵妄、神经行为症状、患者无法表达疼痛和相关不适、拒食等。除了为临终患者提供优质的临床护理外,临床医生还应特别关注患者家属,确保他们的亲人能够得到支持性措施,以提高生活质量(QOL)。
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