Abstract

End of life care in dementia is important to avoid patients receiving unnecessary investigations and treatments. In this paper, the authors discuss the final stage of dementia, illustrating this with a case example reflecting what is frequently encountered in hospital practice. The distinction is drawn between ‘terminal inanition’ of dementia and the more protracted cachexia, sarcopenia and progressive frailty that accompanies advancing dementia, with best practice clinical care considerations for palliative care outlined.

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