Harrison Dening Karen
Dementia UK, London.
Nurs Stand. 2016 Feb 3;30(23):42-9. doi: 10.7748/ns.30.23.42.s46.
Dementia is a life-limiting condition that is largely a disease of ageing. However, older people in general, and older people with dementia in particular, have not always had equal access to effective palliative and end of life care. As a result, people with dementia at the end of life often receive aggressive and burdensome interventions, or inadequate assessment and management of their symptoms. Patterns in how people with dementia experience and present symptoms as they near the end of life can indicate when the goals of care should change and a palliative approach should be adopted.
痴呆症是一种限制生命的疾病，在很大程度上是一种老年疾病。然而，一般的老年人，尤其是患有痴呆症的老年人，并不总是能够平等地获得有效的姑息治疗和临终关怀。因此，临终痴呆症患者往往接受激进且负担沉重的干预措施，或者对其症状的评估和管理不足。痴呆症患者在临终时体验和表现症状的方式模式可以表明何时应改变护理目标并采用姑息治疗方法。
