Dying from Dementia, Suffering Often Unnecessary

This discussion and research on Dying with Dementia and the unnecessary care that often accompanies the late stages of dementia is worth discussing and considering.ByAlzheimer's Reading RoomThis topic is often overlooked and avoided until it is too late.I believe these issues should be considered, and when possible,discussed in support groups. This information is worth sharing and discussing with family members.Learn More -Coping with Alzheimer'sSince individuals with advanceddementia cannot report their symptoms, these symptoms often are untreated, leaving them vulnerable to pain, difficulty breathing and various other conditions.We shouldn't allow these people to suffer. We should be providingpalliative care to make them more comfortable in the time they have left. Topic -Hospice Care, Palliative CareAs a teenager, I had the unfortunate but ultimately career-shaping experience of watching my maternal grandmother decline from Alzheimer's disease.  She resided in a nursing home, where her final months were marked by repeated courses of antibiotics for infections and the use of restraints or medications to control her agitation before she died from one last infection.  Seeing my grandmother in that state was so distressing that my mother eventually stopped taking the grandchildren to visit. My grandmother had little in the way of either comfort or company toward the end.  ~Greg A. Sachs, M.D.Topic -Dying from Dementia, Suffering Often Unneces...
Source: Alzheimer's Reading Room, The - Category: Neurology Tags: Alzheimer's Dementia assisted living and memory care facility care homes for elderly with dementia care of dementia patients care of dementia patients at home dementia care elderly dementia care Source Type: blogs

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DiscussionIt is important to consider the possibility of an underlying malignant process in the differential diagnosis since its early identification can be determinant for prognosis.ResumenObjetivoDescribir las diferentes características clínicas de los pacientes ingresados en el Servicio de Reumatología por manifestaciones reumáticas como primera expresión de un proceso tumoral no conocido.Pacientes y métodosEstudio observacional retrospectivo y descriptivo protocolizado por la revisión de las historias clínicas de los ingresados en Reumatología del Hospital ...
Source: Reumatologia Clinica - Category: Rheumatology Source Type: research
ConclusionThere is a paucity of treatment guidelines for acute lung injury secondary to marijuana inhalation. We advocate early use of short-term steroids and also more awareness on quitting marijuana smoking to prevent life-threatening complications like myocardial infarction, diffuse alveolar hemorrhage and acute respiratory distress syndrome.
Source: Heart and Lung: The Journal of Acute and Critical Care - Category: Respiratory Medicine Source Type: research
Conclusions: MPE is common at presentation (11%) in patients with SCLC and may be associated with decreased survival. Additional studies are required to assess the treatment-adjusted survival rate in the setting of MPE.Respiration
Source: Respiration - Category: Respiratory Medicine Source Type: research
Conclusion: Our results suggest that hip osteoarthritis and sacroiliac joint degeneration are related, and that with further investigation, the sacroiliac joint may become a new treatment target in hip osteoarthritis. Published on 2019-05-23 10:23:16
Source: Journal of the Belgian Society of Radiology - Category: Radiology Source Type: research
In this study, a cohort of 16 patients was prospectively recruited from the emergency department for resting-state functional MRI (fMRI) during the acute stage of TGA, as confirmed by a standardized neuropsychological assessment. Twenty age- and sex-matched controls, as well as twenty patients with a history of TGA, were recruited for comparison. Functional data were processed using independent component analysis (ICA), allowing the complete automatic (data-driven) identification of spontaneous network dynamics. We documented a severe disturbance in anterograde episodic long-term memory in all patients. Group-based ICA of ...
Source: NeuroImage: Clinical - Category: Radiology Source Type: research
Publication date: Available online 23 May 2019Source: The Social Science JournalAuthor(s): Hovannes Abramyan, Gerard AlexanderAbstractIn recent years, strong public opposition to amnesty has prevented the passage of any new immigration laws that include a “pathway to citizenship” for the millions of undocumented immigrants who reside in the United States. Much scholarship on the origins of white opposition to immigration has focused on ethnocentrism. However, it has also tended to conflate racial prejudice with potentially non-racial social concerns – even though the latter could, in theory, be ameliorate...
Source: The Social Science Journal - Category: Psychiatry & Psychology Source Type: research
Conclusions: pGTV, as a measure of tumor size, is not only an important prognostic indicator but also an independent predictive factor of tumor response, even pCR. PMID: 31116055 [PubMed - as supplied by publisher]
Source: Journal of Investigative Surgery - Category: Surgery Tags: J Invest Surg Source Type: research
Conclusions: Our results at the very least can support that laparoscopic surgery for rectal cancer is a safe and feasible option for patients taking long-term AT discontinued perioperatively. PMID: 31116623 [PubMed - as supplied by publisher]
Source: Minimally Invasive Therapy and Allied Technologies - Category: Surgery Tags: Minim Invasive Ther Allied Technol Source Type: research
Publication date: Available online 23 May 2019Source: Pathology - Research and PracticeAuthor(s): Shigehiro Ito, Yasuhiro Miki, Ryoko Saito, Chihiro Inoue, Yoshinori Okada, Hironobu SasanoAbstractAmyloid precursor protein (APP) is a well-known to be involved in the development of Alzheimer's disease and harbors several phosphorylation sites in its cytoplasmic domain. APP has been also proposed as one of the molecules involved in cell proliferation and invasion in several human malignancies. However, the roles of APP including its phosphorylated form (p-APP) have remained largely unexplored in non-small cell lung carcinoma ...
Source: Pathology Research and Practice - Category: Pathology Source Type: research
In this study, we aimed to investigate the expression signatures of exosomal miRNAs and develop a serum exosome-derived miRNA panel for diagnosis of non-small cell lung cancer (NSCLC). The miR-17-92 cluster including 6 miRNAs (miR-17-5p, miR-18a-5p, miR-19a-3p, miR-19b-1-5p, miR-20a-5p and miR-92a-1-5p) was selected as potential diagnostic candidate molecule. Then, expression profiles of the candidate miRNAs were firstly analyzed in 43 pairs of serum samples from the training set by quantitative real-time PCR, and the dysregulated miRNA along with three tumor markers (carcinoembryonic antigen, CEA; cytokeratin 19 fragment,...
Source: Pathology Research and Practice - Category: Pathology Source Type: research
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