Many factors influence the decision to withhold treatment, withdraw treatment or make use of palliative .
Each requires discussion and agreement between the patient and health care providers.
Paul Turpin was admitted to a Tennessee hospital in January, the biggest concern was whether the 69-year-old endocrinologist would survive.
But as he battled a life-threatening infection, Turpin developed terrifying hallucinations, including one in which he was performing on a stage soaked with blood.
To make matters even worse, not getting enough sleep can worsen the behavior and mindset of someone with dementia.
Of course, this is true for those of us who don’t have Alzheimer’s as well: we all become more prone to emotional instability and irritation when we’re tired.
However, I now know that this is not an isolated case, and feel it's probably happening to others as well.
However as death approaches, extending life may not be in the best interests of the patient.
A number of treatments and interventions can artificially extend life at end of life: certain medications, artificial nutrition, treatments such as dialysis, transfusions, radiation, and ventilation for breathing.
Studies have also shown that even younger healthy people perform worse on cognitive tests when they are sleep-deprived.
Getting enough sleep is important, for people diagnosed with dementia and their hard-working caregivers.