Decisiones terapéuticas complejas en el anciano con demencia
- García-Soldevilla, M.A.
- Barragán Martínez, D.
- Rojo Sebastián, A.
- Ayuso Peralta, L.
- Tejeiro Martínez, J.
ISSN: 0304-5412
Año de publicación: 2019
Serie: 12
Número: 74
Páginas: 4381-4384
Tipo: Artículo
Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado
Resumen
Because the prognosis of dementias depends on multiple factors, its forecast is highly inaccurate. Key prognostic factors are cognitive reserve and neuronal plasticity. In order to establish treatments in advanced stages of the disease and in the transition to palliative care (taking into account the treatment of nutritional disorders and respiratory infections), patients (in the initial or prodromal phases), and/or relatives (advances stages) and their clinicians have to agree. In that sense, the National Hospice Organitation criteria are a helpful tool. It is of the greatest importance to detect patients mistreatment and malnutritition.
Referencias bibliográficas
- Hirakawa Y, Uemura K. Signs and symptoms of impending death in end of life elderly dementia sufferers: point of view of formal caregivers in rural areas: -a qualitative study. J Rural Med. 2012;7(2):59-64.
- Pavão Martins I, Maruta C, Morgado J, Loureiro C, Tavares J, Freitas V. Predictors of cognitive stability or decline during aging: A longitudinal study in primary care. Appl Neuropsychol Adult. 2018;5:1-13.
- Rivera-Navarro J, Sepulveda R, Contador I, Fernández-Calvo B, Ramos F, Tola-Arribas MA. Detection of maltreatment of people with dementia in Spain: usefulness of the Caregiver Abuse Screen (CASE). Eur J Ageing. 2018;15(1):87-99
- Sanders CL, Wengreen HJ, Schwartz S, Behrens SJ, Corcoran C, Lyketsos CG. Nutritional status is associated with severe dementia and mortality: The Cache County Dementia Progression Study. Alzheimer Dis Assoc Disord. Alzheimer Dis Assoc Disord. 2018;32(4):298-304.
- Weiler M, Casseb RF, de Campos BM, de Ligo Teixeira CV, Carletti-Cassani AFMK, Vicentini JE. Cognitive reserve relates to functional network efficiency in Alzheimer’s disease. Front Aging Neurosci. 2018;10: 255.
- Zeiler FA, Kim DJ, Cabeleira M, Calviello L, Smielewski P, Czosnyka M. Impaired cerebral compensatory reserve is associated with admission imaging characteristics of diffuse insult in traumatic brain injury. Acta Neurochir (Wien). 2018;160(12):2277-87.