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Related Concept Videos

Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

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Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
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Restorative Care01:19

Restorative Care

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Dementia01:30

Dementia

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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
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Ethical Dilemmas II01:30

Ethical Dilemmas II

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

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Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
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Related Experiment Video

Updated: Dec 12, 2025

Community-based Adapted Tango Dancing for Individuals with Parkinson's Disease and Older Adults
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Palliative Care in Advanced Dementia.

Yvonne Eisenmann1, Heidrun Golla1, Holger Schmidt1

  • 1Department of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.

Frontiers in Psychiatry
|August 15, 2020
PubMed
Summary

Palliative care is crucial for individuals with advanced dementia, addressing symptoms like pain and breathlessness. Early integration and advanced care planning improve comfort and reduce burdensome interventions for dementia patients.

Keywords:
advance care planningadvanced dementiaend of lifepalliative careterminal careterminal symptoms

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Area of Science:

  • Gerontology
  • Neurology
  • Palliative Care

Background:

  • Dementia is a growing public health concern, particularly among the elderly.
  • Individuals with advanced dementia often experience significant functional decline and symptom burden.
  • Access to palliative care remains limited for people with dementia.

Purpose of the Study:

  • To review the specific palliative care needs and interventions for individuals in advanced stages of dementia.
  • To highlight challenges and best practices in managing symptoms and transitions for this population.

Main Methods:

  • This study is a narrative review of existing literature on palliative care in advanced dementia.
  • It synthesizes information on symptom management, decision-making, and support for patients and families.

Main Results:

  • People with advanced dementia frequently experience pain, eating difficulties, breathlessness, and neuropsychiatric symptoms.
  • Nonpharmacological and pharmacological interventions can alleviate symptom burden.
  • Advanced care planning and sensitive assessment tools are vital for improving care quality.

Conclusions:

  • Early integration of palliative care, recognizing end-of-life signs, and effective symptom management are recommended.
  • Person-centered care, advanced care planning, and robust support for family caregivers are essential.
  • Collaboration among healthcare providers ensures continuity of care for dementia patients.