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Previous Volume 331:485 August 18, 1994 Number 7 Next

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By Muriel R. Gillick. 208 pp. Cambridge, Mass., Harvard University Press, 1994. $19.95. ISBN 0-674-128-125.

Dr. Gillick, a clinical geriatrician, uses the stories of her own family and her patients to explore the controversies surrounding medical care in old age. She considers the unique circumstances of four kinds of patients: the demented, the robust, the dying, and the frail. She asks difficult questions about patients with dementia. Is a point ever reached when vigorous medical treatment no longer makes sense because it turns to torment? Gillick considers the problem of aggressive treatment for a woman with advanced dementia; such treatment was demanded by her family but felt to be contrary to her best interests by . . . [Full Text of this Article]

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