Clifford Kristen, Moreno Monica, Kloske Courtney M
Alzheimer's Association Chicago Illinois USA.
Alzheimers Dement (Amst). 2024 Mar 15;16(1):e12530. doi: 10.1002/dad2.12530. eCollection 2024 Jan-Mar.
Alzheimer's disease (AD) is the most common cause of dementia, a general term for memory loss and decline in other cognitive abilities enough to interfere with daily life. AD accounts for 60% to 80% of dementia cases. The late stage of AD tends to be the shortest stage and, on average, lasts 1 to 2 years. As this stage of the condition progresses, it requires continuous intensive long-term care and around-the-clock intensive care. The Alzheimer's Association stands firm in its commitment to supporting individuals living with AD and other dementia, their care partners, and their health-care providers as they navigate treatment and care decisions across the continuum of the disease. This article is a direct response to recently published works that run counter to the Association's viewpoint. It outlines the Association's perspective on crucial factors for consideration during late-stage dementia care, including advanced directives, palliative care, nutrition, and legal considerations. It explores diverse perspectives from the field, differing from the Alzheimer's Association's stance. Last, it underscores resources available through the Alzheimer's Association, aiming to present a comprehensive perspective on late-stage care for support and assistance to all involved.
阿尔茨海默病(AD)是痴呆症最常见的病因,痴呆症是一个统称,指记忆力丧失及其他认知能力衰退到足以干扰日常生活的程度。AD占痴呆症病例的60%至80%。AD晚期往往是最短的阶段,平均持续1至2年。随着病情发展到这个阶段,需要持续的长期密集护理和全天候的重症护理。阿尔茨海默病协会坚定致力于支持患有AD和其他痴呆症的患者、他们的护理伙伴以及他们的医疗服务提供者,帮助他们在疾病的整个过程中做出治疗和护理决策。本文是对最近发表的与协会观点相悖的作品的直接回应。它概述了协会对晚期痴呆症护理中关键考虑因素的观点,包括预先指示、姑息治疗、营养和法律考量。它探讨了该领域与阿尔茨海默病协会立场不同的各种观点。最后,它强调了阿尔茨海默病协会提供的资源,旨在为晚期护理提供全面的视角,以支持和帮助所有相关人员。