A patient with dementia may live for many years. The presence of several clinical findings may indicate a patient who may only have a few months to live.
Patient selection: chronic, irreversible dementia
Criteria for increased risk of mortality in a patient with dementia - all of the following:
(1) unable to walk without assistance
(2) unable to dress without assistance
(3) unable to bathe properly without assistance
(4) urinary and/or fecal incontinence
(5) inability to speak or communicate meaningfully, with speech limited to only a few words
The presence of one or more significant comorbid illnesses further increases the risk:
(1) malnutrition from difficulty swallowing or refusal to eat
(2) recurrent infection (sepsis, pyelonephritis, aspiration pneumonia, etc.)
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Purpose: To evaluate a patient with dementia for clinical findings associated with short term survival.
Objective: selection, quality of life, end-of-life, palliative care
ICD-10: Z51.5, F03,