Chapter

Palliative Care for Patients with Severe Dementia: A Consensus-Based Approach to Decision Making 

Timothy E. Quill

in Caring for Patients at the End of Life

Published in print May 2001 | ISBN: 9780195139402
Published online November 2011 | e-ISBN: 9780199999859 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780195139402.003.0009
Palliative Care for Patients with Severe Dementia: A Consensus-Based Approach to Decision Making 

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This chapter discusses a consensus-based approach to decision making in palliative care for patients with severe dementia. It relates the author's experience in caring for a 73-year-old woman with Alzheimer's disease. The chapter explains the core principles with which to plan palliative care and outlines the steps in providing palliative care for patients who lack decision-making capacity. It suggests that a physician's investment of time in dialogue and consensus building with the patient may minimize the time and effort needed for future decisions.

Keywords: palliative care; consensus-based approach; clinical decision making; dementia; Alzheimer's disease

Chapter.  5351 words. 

Subjects: Palliative Medicine

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