A patient with Alzheimer’s disease, fed via percutaneous endoscopic gastrostomy, with personal reflections on some of the ethical issues arising from this case

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Dementia is a common condition which is often complicated by difficulties with eating and drinking, including dysphagia. This case study describes the management of the dysphagia of an elderly woman with Alzheimer’s disease and her eventual feeding via percutaneous endoscopic gastrostomy. Some of the ethical issues arising from the case are discussed, including enteral nutrition in dementia care, resource allocation and the consequences of not using nonoral feeding to manage dysphagia.

Keywords: PEG; dementia; ethics; nonoral feeding

Document Type: Research Article

DOI: http://dx.doi.org/10.1046/j.1365-277x.2000.00211.x

Affiliations: Elderly Services, Kingsway Hospital, Derby DE22 3LZ, UK

Publication date: February 1, 2000

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