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Volume 350:733-734 February 12, 2004 Number 7
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End-of-Life Care for Patients with Dementia

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by Prigerson, H. G.
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by Schulz, R.
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To the Editor: Schulz et al. (Nov. 13 issue)1 have done a service in drawing attention to the substantial burdens experienced by caregivers of patients with dementia. Missing from the Discussion section of their report and from the Perspective article by Prigerson,2 however, is any mention of the extent to which life-prolonging therapies in patients with profound dementia, such as artificial feeding and antibiotics, may have contributed to the suffering of both patients and caregivers. The fact that about 40 percent of the patients cared for by the participants in the study died in the hospital suggests that, at least . . . [Full Text of this Article]



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