A proposal to restructure hospital care for dying patients

Article Abstract:

A hospice unit directly attached to a hospital intensive care unit could improve the treatment of dying patients. A 1995 study found that 38% of the patients admitted to ICUs at 5 hospitals stayed 10 days or longer and half who eventually died had moderate to severe pain much of the time. A hospice unit attached to the ICU could take those patients who do not want aggressive end-of-life care or do not respond to it. Such a unit could also train medical students and residents to deal better with end-of-life issues.

Planning, Hospices (Terminal care), Hospices

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Rethinking the role of tube feeding in patients with advanced dementia

Article Abstract:

There is little evidence that a feeding tube is beneficial for patients with severe dementia. Feeding tubes are usually used to maintain good nutrition and prevent aspiration. However, studies have shown that they are not effective for either situation. The ability to eat is one of the last functions to be lost so this indicates that the patient is in the final stages of life. For this reason, the feeding tube may not prolong life and it may in fact cause suffering.

Parenteral feeding, Parenteral nutrition

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End-of-life care and the effects of bereavement on family caregivers of persons with dementia

Article Abstract:

Caring for a family member who has dementia is very stressful and demanding, according to a study of 217 caregivers. Half said they spent more than 40 hours a week caring for their relative and many had to quit their jobs or reduce their work hours. Many were depressed, but most had recovered within one year of their relative's death.

Psychological aspects, Caregivers

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