Document Detail


Dying demented. Concepts of care and palliative medicine
MedLine Citation:
PMID:  20195948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A third of the elderly population dies with dementia. This poses major and partly unmet needs on relatives, professional carers and medical specialists. Our review summarizes epidemiological risk factors for the increased mortality in demented patients (age, somatic co-morbidity, neuropsychiatric symptoms), current practice (place of death, decision making, complications, medical treatment, course of dying, cause of death, suicide, bereaved relatives), and instruments for the assessment of pain, burden, prognosis and treatment planning in the terminal stage of illness. We describe the current legal situation in Germany and present a brief outline of practical management issues. We also list a number of areas offering leeway for improvement regarding research, training, psycho-education, preparation, diagnosis, treatment and support.
Authors:
H F?rstl; H Bickel; A Kurz; G D Borasio
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Publication Detail:
Type:  English Abstract; Journal Article; Review     Date:  2010-03-01
Journal Detail:
Title:  Fortschritte der Neurologie-Psychiatrie     Volume:  78     ISSN:  1439-3522     ISO Abbreviation:  Fortschr Neurol Psychiatr     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-08     Completed Date:  2010-07-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8103137     Medline TA:  Fortschr Neurol Psychiatr     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  203-12     Citation Subset:  IM    
Affiliation:
Klinik und Poliklinik f?r Psychiatrie und Psychotherapie, Technische Universit?t M?nchen, Germany. hans.foerstl@lrz.tu-muenchen.de
Vernacular Title:
Sterben mit Demenz. Versorgungssituation und palliativmedizinischer Ausblick.
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MeSH Terms
Descriptor/Qualifier:
Aged
Decision Making
Dementia / diagnosis,  epidemiology,  therapy*
Germany / epidemiology
Humans
Neuropsychological Tests
Palliative Care*
Prognosis
Suicide / statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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