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Volume 342:206-210 January 20, 2000 Number 3
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Rethinking the Role of Tube Feeding in Patients with Advanced Dementia

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A byproduct of the aging of the population has been a dramatic rise in the rate of Alzheimer's disease and other types of dementia. A conservative estimate is that there are currently 4 million people in the United States with dementia.1 In the final stage of dementia, patients are typically unable to walk or to feed themselves, they are incontinent and aphasic, and they have lost the capacity to have relationships with other people. Family members or other surrogate decision makers must make difficult and often painful decisions about limiting care.2 Should they authorize surgery, hospitalization, intravenous medication? Is a . . . [Full Text of this Article]

Do Feeding Tubes Work in Patients with Dementia?

Do Feeding Tubes Promote the Comfort of Patients with Advanced Dementia?

Is Withholding Artificial Nutrition Morally Wrong?

A New Standard of Care

Obstacles to a New Standard of Care

References


Related Letters:

Rethinking the Role of Tube Feeding in Patients with Advanced Dementia
Vollmann J., Burke W. J., Kupfer R. Y., Tessler S., Friedel D. M., Ozick L. A., Gillick M.
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N Engl J Med 2000; 342:1755-1756, Jun 8, 2000. Correspondence

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