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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

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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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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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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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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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
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Related Experiment Video

Updated: Jul 11, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Palliative care in dementia.

Elena Gupta1, Pragnesh Patel1

  • 1Division of Geriatrics, Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI, USA.

Annals of Palliative Medicine
|November 12, 2023
PubMed
Summary
This summary is machine-generated.

Advanced dementia care requires a patient-centered approach to manage symptoms and improve quality of life. Palliative and hospice care are crucial for addressing physical, spiritual, and caregiver needs during end-of-life care.

Keywords:
Dementiaadvanced dementiahospice carepalliative care

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Area of Science:

  • Geriatrics
  • Palliative Medicine
  • Neurology

Background:

  • Dementia is a leading cause of death in the US, affecting approximately 6 million elderly individuals in 2020.
  • The increasing aging population necessitates improved care strategies for patients with advanced dementia.
  • Advanced dementia presents complex challenges impacting both patients and their caregivers, leading to significant distress.

Purpose of the Study:

  • To review and highlight a patient-centered approach for managing symptoms and needs in advanced dementia.
  • To discuss key challenges in providing end-of-life care for individuals with advanced dementia.
  • To improve the quality of life for patients and the experience for caregivers.

Main Methods:

  • A comprehensive literature review was conducted using PubMed, EBSCO, and Google Scholar databases.
  • Searches included terms such as dementia, palliative care, advanced dementia, hospice care, geriatrics, end-of-life, and symptom management.
  • Relevant references from identified articles were also reviewed.

Main Results:

  • Palliative and hospice care are vital for alleviating physical symptoms and addressing non-medical needs in advanced dementia.
  • There are numerous opportunities to enhance care for this vulnerable population.
  • A patient-centered approach can significantly improve end-of-life care and caregiver support.

Conclusions:

  • Implementing a patient-centered strategy is essential for improving care in advanced dementia.
  • Addressing challenges in advanced dementia care can lead to more peaceful and dignified end-of-life experiences.
  • Palliative and hospice care integration is critical for comprehensive dementia care.