Discomfort in Nursing Home Patients With Severe Dementia in Whom Artificial Nutrition and Hydration Is Forgone

Abstract
Many patients with dementia develop difficulties with eating and drinking during the course of the disease.1-7 When the intake of food and fluids becomes insufficient, a decision has to be made whether to start administration of artificial nutrition and/or hydration (ANH). Important issues often debated in relation to this decision are whether ANH causes discomfort and whether death due to dehydration is painful.

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