Hospice use for the patient with advanced Alzheimer’s disease: The role of the geriatric psychiatrist

Author:

Aupperle Peter M.1,MacPhee Edward R.2,Strozeski Janet E.3,Finn Myra4,Heath John M.5

Affiliation:

1. Division of Geriatric Psychiatry, Department of Psychiatry, University Behavioral Healthcare, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

2. University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

3. Department of Psychiatry, Saint Vincent Catholic Medical Centers, New York Medical College, New York, New York

4. New York University School of Medicine, New York University, New York, New York

5. Department of Family Medicine Geriatric Programs, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

Abstract

Advanced Alzheimer’s disease (AD) can place an immense burden on caregivers as they struggle to provide end-of-life (EOL) care for the patient. Palliative care, as delivered by hospice, provides a viable solution. Hospice maintains the patient’s quality of life (QOL) and helps the family during the grieving process. However, many providers are not familiar with hospice and its care for advanced AD patients. Geriatric psychiatrists can be central in implementing hospice, and they can remain an important part of the care once it is in place. A principal clinical challenge is establishing the six-month prognosis for such patients, which is a prerequisite for initiating hospice admission.

Publisher

SAGE Publications

Subject

General Medicine

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Role of an Old Age Psychiatrist;Seminars in Old Age Psychiatry;2019-07-11

2. Hospice Referrals of Patients With Alzheimer Disease in Southeastern Georgia;Journal of Hospice & Palliative Nursing;2012-05

3. Chronic Palliative Care: Specific Practices for Alzheimer's Disease Sufferers;Journal of Palliative Care;2009-12

4. Hospice Care for Patients with Dementia: Does Volume Make a Difference?;Journal of Pain and Symptom Management;2008-03

5. Helping Families With End-of-Life Care in Alzheimer's Disease;The Journal of Clinical Psychiatry;2007-03-15

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