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Dementia is most often thought of as a memory disorder, an illness of the aging mind. In its initial stages, that's true - memory loss is an early hallmark of dementia. But experts in the field say dementia is more accurately defined as fatal brain failure: a terminal disease, like cancer, that physically kills patients, not simply a mental ailment that accompanies older age. (See the top 10 medical breakthroughs...
...residents who died over the course of the study were sent to the emergency room, hospitalized, tube-fed or given IV nutrition during the last three months of life. These interventions can themselves cause distress and pain while providing, at best, questionable benefit and minimal prolongation of life, experts say. Among the family members who directed these residents' care, however, those who believed that the resident had less than six months to live and understood the nature of advanced dementia were less likely to intervene aggressively than caregivers who lacked such understanding. "Clinicians, patients' families and nursing-home staff need...
...Experts say part of the reason it is so common to intervene in dementia cases is that the patient, by definition, cannot make medical decisions autonomously, leaving a relative or friend to serve as their health-care proxy. "Family members are much less likely to forgo treatments or let go. An 80-year-old patient will tell you, 'I have lived a good, long life. I have no regrets.' But talk to his 50-year-old son, and he isn't ready. Being the decision maker for someone else is a much harder thing to do," says Sachs, who says...
Occasionally teased for their national obsession with hockey and sometimes mocked for the way they pronounce words like “out” and “about,” many of Harvard’s Canadians say their celebration of Thanksgiving reveals deeper cultural and political differences that exist between the neighboring countries...
Though not entirely representative of the whole Harvard community, this general unawareness does hint at an unfamiliarity with Canadian culture that Canadian students say they have encountered among Harvard undergrads...