Dementia natural history, complications and prognosis: Difference between revisions
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* Institutionalization<ref name="pmid19327073">{{cite journal |vauthors=Teno JM, Mitchell SL, Skinner J, Kuo S, Fisher E, Intrator O, Rhodes R, Mor V |title=Churning: the association between health care transitions and feeding tube insertion for nursing home residents with advanced cognitive impairment |journal=J Palliat Med |volume=12 |issue=4 |pages=359–62 |date=April 2009 |pmid=19327073 |pmc=2700356 |doi=10.1089/jpm.2008.0168 |url=}}</ref> | * Institutionalization<ref name="pmid19327073">{{cite journal |vauthors=Teno JM, Mitchell SL, Skinner J, Kuo S, Fisher E, Intrator O, Rhodes R, Mor V |title=Churning: the association between health care transitions and feeding tube insertion for nursing home residents with advanced cognitive impairment |journal=J Palliat Med |volume=12 |issue=4 |pages=359–62 |date=April 2009 |pmid=19327073 |pmc=2700356 |doi=10.1089/jpm.2008.0168 |url=}}</ref> | ||
* [[pneumonia]] | * [[pneumonia]] | ||
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* [[Falls]] and their complications | * [[Falls]] and their complications | ||
* Elder [[abuse]]<br /> | * Elder [[abuse]]<br /> | ||
Revision as of 01:31, 29 September 2020
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Dementia Microchapters |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: ,Sabeeh Islam, MBBS[2]
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Dementia Microchapters |
Overview
Complications
Complications of dementia include
- Urinary tract infection (UTI)
- weight loss
- Institutionalization[1]
- pneumonia
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Prognosis
The prognosis of dementia is poor even with treatment. One study mentions that patients with dementia were less likely to have interventions such as PEG tubes, hospitalization, catheterizations, parenteral therapy, and venipunctures when their proxy's estimate of their life expectancy was shorter rather than greater than six months
Advanced Dementia Prognostic Tool (ADEPT) is a 12-item additive score that includes information on patient age, gender, level of functional dependence, nutritional status, and presence or absence of various symptoms and medical conditions, such as congestive heart failure and shortness of breath.[2]
References
- ↑ Teno JM, Mitchell SL, Skinner J, Kuo S, Fisher E, Intrator O, Rhodes R, Mor V (April 2009). "Churning: the association between health care transitions and feeding tube insertion for nursing home residents with advanced cognitive impairment". J Palliat Med. 12 (4): 359–62. doi:10.1089/jpm.2008.0168. PMC 2700356. PMID 19327073.
- ↑ Mitchell SL, Miller SC, Teno JM, Kiely DK, Davis RB, Shaffer ML (November 2010). "Prediction of 6-month survival of nursing home residents with advanced dementia using ADEPT vs hospice eligibility guidelines". JAMA. 304 (17): 1929–35. doi:10.1001/jama.2010.1572. PMC 3017367. PMID 21045099.