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Alzheimer’s / Dementia

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Alzheimer’s / Dementia

This section is specific for Alzheimer’s disease and related disorders, and is not appropriate for other types of dementia, such as multi-infarct dementia.
Patients will be considered to be in the terminal stage of dementia if they meet the following criteria:

  • Patients with dementia should show ALL of the following characteristics:
  • • Stage 7 or beyond according to the Functional Assessment Staging Scale Tool (FAST).
  • • Unable to ambulate without assistance.
  • • Unable to dress or bathe without assistance.
  • • Urinary and fecal incontinence, intermittent or constant.
  • • No consistently meaningful verbal communication: stereotypical phrases only or the ability to speak is limited to six or fewer intelligible words.

  • Patients should have had one of the following within the past 12 months:
  • • Aspiration pneumonia.
  • • Pyelonephritis or other upper urinary tract infection.
  • • Septicemia.
  • • Skin breakdown/decubitus ulcers, multiple, stage 3-4.
  • • Fever, recurrent after antibiotics.
  • • Inability to maintain sufficient fluid and calorie intake with 10% weight loss during the previous six months or serum albumin < 2.5 gm/dl.