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Lookup NU author(s): Professor Julian Hughes
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© 2017 by Taylor & Francis Group, LLC. A philosophical question that arises in connection with dementia is when should end-of-life or palliative care begin? In the popular mind, palliative care is associated with dying. So palliative care begins when the person is dying, but when is that? ese are both practical and conceptual problems. ey are even more pointed when it comes to dementia. For dementia is a condition that is variable in both its nature and progression. We can stipulate that end-of-life care in dementia refers to the last 6 or 12 months of life. But why should this be the case? e person with dementia may be quite active 5 months before he or she dies. We could, alternatively, stipulate that endof-life care refers only to the last few hours or days. But this would then ignore all those decisions - about articial nutrition and hydration, the use of antibiotics or cardiopulmonary resuscitation - which are about end-of-life and are oen much better made well before the last few hours or days. It makes much more sense, therefore, to extend the concept of end-of-life backwards; in which case, it is more natural to speak of palliative care.
Author(s): Hughes JC, van der Steen JT
Publication type: Book Chapter
Publication status: Published
Book Title: Dementia
Print publication date: 02/02/2017
Online publication date: 24/02/2017
Acceptance date: 01/01/1900
Publisher: CRC Press
Place Published: Boca Raton, FL, USA
Library holdings: Search Newcastle University Library for this item