Comfort Feeding Only: A Proposal to Bring Clarity to Decision‐Making Regarding Difficulty with Eating for Persons with Advanced Dementia: (See Editorial Comments …

EJ Palecek, JM Teno, DJ Casarett… - Journal of the …, 2010 - Wiley Online Library
Feeding and eating difficulties leading to weight loss are common in the advanced stages of
dementia. When such problems arise, family members are often faced with making a …

American Geriatrics Society feeding tubes in advanced dementia position statement

… and Clinical Practice and Models of Care … - Journal of the …, 2014 - Wiley Online Library
When eating difficulties arise, feeding tubes are not recommended for older adults with
advanced dementia. Careful hand feeding should be offered because hand feeding has …

The standard of caring: why do we still use feeding tubes in patients with advanced dementia?

MR Gillick, AE Volandes - Journal of the American Medical Directors …, 2008 - Elsevier
A consensus among geriatricians, ethicists, and neurologists supports a palliative approach
to the care of individuals with late-stage dementia. But ten years after the publication of the …

Feeding tubes in patients with severe dementia

I Li - American family physician, 2002 - aafp.org
Patients with advanced dementia are among the most challenging patients to care for
because they are often bedridden and dependent in all activities of daily living. Difficulty with …

To PEG or not to PEG: a review of evidence for placing feeding tubes in advanced dementia and the decision-making process.

FA Cervo, L Bryan, S Farber - Geriatrics, 2006 - europepmc.org
Percutaneous endoscopic gastrostomy (PEG) has evolved into a common low-risk
procedure in current medical practice. Clinical evidence supporting the use of tube feedings …

A cross‐national survey of tube‐feeding decisions in cognitively impaired older persons

SL Mitchell, RE Berkowitz… - Journal of the …, 2000 - Wiley Online Library
OBJECTIVES: Many factors affect the decision to institute long‐term tube‐feeding in older
persons. The objectives of this cross‐national survey are to examine the tube‐feeding …

Tube-feeding versus hand-feeding nursing home residents with advanced dementia: a cost comparison

SL Mitchell, JL Buchanan, S Littlehale… - Journal of the American …, 2004 - Elsevier
OBJECTIVE: To compare the costs associated with caring for severely demented residents
nursing homes with and without feeding tubes. DESIGN: Retrospective cohort study …

Tube feeding in dementia: how incentives undermine health care quality and patient safety

TE Finucane, C Christmas, BA Leff - Journal of the American Medical …, 2007 - Elsevier
For nursing home residents with advanced dementia, very little evidence is available to
show clinical benefit from enteral tube feeding. Although no randomized clinical trials have …

Decision‐making and outcomes of feeding tube insertion: a five‐state study

JM Teno, SL Mitchell, SK Kuo… - Journal of the …, 2011 - Wiley Online Library
OBJECTIVES: To examine family member's perceptions of decision‐making and outcomes
of feeding tubes. DESIGN: Mortality follow‐back survey. Sample weights were used to …

Tube feeding in patients with advanced dementia: a review of the evidence

TE Finucane, C Christmas, K Travis - Jama, 1999 - jamanetwork.com
Patients with advanced dementia frequently develop eating difficulties and weight loss.
Enteral feeding tubes are often used in this situation, yet benefits and risks of this therapy …