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By Madhusree Singh Internist Hospital Medicine VA San Diego Bioethics Narrative Medicine
https://www.readbyqxmd.com/read/25201279/use-of-medications-of-questionable-benefit-in-advanced-dementia
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Jennifer Tjia, Becky A Briesacher, Daniel Peterson, Qin Liu, Susan E Andrade, Susan L Mitchell
IMPORTANCE: Advanced dementia is characterized by severe cognitive impairment and complete functional dependence. Patients' goals of care should guide the prescribing of medication during such terminal illness. Medications that do not promote the primary goal of care should be minimized. OBJECTIVES: To estimate the prevalence of medications with questionable benefit used by nursing home residents with advanced dementia, identify resident- and facility-level characteristics associated with such use, and estimate associated medication expenditures...
November 2014: JAMA Internal Medicine
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