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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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Dementia01:30

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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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Alzheimer's Disease: Treatment01:22

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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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Alzheimer's Disease: Overview01:26

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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.
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Ethical Dilemmas II01:30

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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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Planning Nursing Care I01:21

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Related Experiment Video

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Symmetric Bihemispheric Postmortem Brain Cutting to Study Healthy and Pathological Brain Conditions in Humans
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Primary Palliative Care in Dementia.

Neal Weisbrod1,2

  • 1Department of Neurology, University of Florida, 1505 SW Archer, Gainesville, FL, 32608, USA. neal.weisbrod@neurology.ufl.edu.

Neurotherapeutics : the Journal of the American Society for Experimental Neurotherapeutics
|January 26, 2022
PubMed
Summary

Primary palliative care is essential for dementia patients, focusing on communication, symptom management, and caregiver support. It addresses complex needs, including end-of-life decisions and navigating challenges like COVID-19.

Keywords:
Alzheimer diseaseCommunicationCounselingDementiaPalliative carePrognostication

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Area of Science:

  • Geriatrics
  • Palliative Medicine
  • Neurology

Background:

  • Dementia care requires comprehensive palliative strategies.
  • Effective communication and decision-making support are crucial for patients and families.
  • The COVID-19 pandemic adds complexity to serious illness care.

Purpose of the Study:

  • To outline key components of primary palliative care for dementia patients.
  • To emphasize the role of clinicians in managing dementia-related symptoms and caregiver burden.
  • To highlight when specialist palliative care consultation is beneficial.

Main Methods:

  • Review of best practices in primary palliative care for dementia.
  • Discussion of communication strategies for diagnosis, prognosis, and end-of-life care.
  • Emphasis on medication review (deprescribing) and pain management protocols.

Main Results:

  • High-quality communication, shared decision-making, and timely hospice referral are vital.
  • Managing pain, behavioral disturbances, and caregiver burden are critical elements.
  • Deprescribing medications with uncertain benefits improves care quality.

Conclusions:

  • Primary palliative care is integral to high-quality dementia care.
  • Clinicians must balance patient autonomy with protection, especially regarding decision-making capacity.
  • Palliative care specialists offer valuable support for complex cases and care teams.