Speaker: Date: Topic
Sumer Verma, MD
Apr 30, 2014
Understanding Dementia and the Medical and Moral Dilemmas of End of Life Care
Article from The New Yorker, Apr 28, 2014
Responsibility for Content
The WebEx video, PowerPoint presentation, take-away points, article links, etc., were sent by the Medical Library and the CME Committee.
Diane E. Young, Information Specialist
Take-Away Points of the Presentation
1: Dementia is a growing public health hazard. It is one of the top ten causes of death and cannot be prevented, cured or effectively slowed.
2: The loss of function tends to follow a pattern that reverses the developmental sequence that is responsible for the acquisition of function in infancy, and young adulthood.
3: Pharmacological interventions are often not evidence based and can result in even greater dysfunction.
4: Dementia is a terminal illness and as health care providers we must become more comfortable with palliative care and ensuring the idea of a good death.
Links to Articles Cited in the Presenation
- Hughes JC: Specialist palliative care in dementia. BMJ 2005;330(7482):57-8.
- Lynn J: Perceptions by family members of the dying experience of older and seriously ill patients. S
- Mitchell SL: Estimating prognosis for nursing home residents with advanced dementia. JAMA 2004;291(2
- Murray TH: The quest to reform end of life care: rethinking assumptions and setting new directions.
- Reisberg B: FAST Scale Administration. Psychopharmacol Bull 1988;24(4):653-9.
- Reisberg B: Functional assessment staging (FAST). Psychopharmacol Bull 1988;24(4):653-9.
- Singer PA: Quality end-of-life care: patients' perspectives. JAMA 1999;281(2):163-8.