Current changes of the health care system force all health care providers to reassess their activities. The emphasis has shifted from providing any available treatment to careful evaluation of costs and benefits of different treatment strategies. Such an evaluation is especially important for management of diseases that become more common with age because our population is rapidly aging. One group of these diseases consist of Alzheimer's disease and related dementias, which affect a large portion of our elders. The comfort, dignity, and psychological well-being of those with Alzheimer's disease must also be considered.
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References
1.
1. Fabiszewski KJ, Volicer B, Volicer L: Effect of antibiotic treatment on outcome of fevers in institutionalized Alzheimer patients. JAMA. 1990; 263: 3168-3172.
2.
2. Volicer L, Berman SA, Cipolloni PB, Mandell A: Persistent vegetative state in Alzheimer's disease: Does it exist?Arch.Neurol. 1997; in press.
3.
3. Hill TE: Dignity and Practical Reason, Ithaca and London:Cornell University Press, 1992; pp. 47-50.
4.
4. Pick N, McDonald A, Bennett N, Litsche M, Dietsche L, Legerwood R, Spurgas R, LaForce FM: Pulmonary aspiration in a long-term care setting: Clinical and laboratory observations and an analysis of risk factors. J. Am. Geriatr Soc. 1996; 44: 763-768.
6. Lawton MP: The varieties of well-being. Exper Aging Res. 1983; 9: 65-72.
7.
7. Volicer L, Simard J: Establishing a dementia special-care unit. Nurs. Home Econ. 1996; 3 (1): 12-19.
8.
8. Lawton MP, Van Haitsma K, Klapper J: Observed affect in nursing home residents with Alzheimer's disease. J. Gerontol.[B] 1996; 51B: P3-P14.
9.
9. Volicer L, Collard A, Hurley A, Bishop C, Kern D, Karon S. Impact of special care unit for patients with advanced Alzheimer's disease on patients' discomfort and costs. JAGS. 1994; 42: 597-603.
