Aminoff suffering syndrome (ASS) in advanced dementia is the new
proposed term for a pathological symptomatology and entity that is
characterized by a high Mini Suffering State Examination (MSSE) scale score,
<6 months survival, irreversible and intractable aggravation of suffering
and medical condition until demise. Dementia is considered a global public
health priority. End-stage dementia (ESD) patients are completely helpless,
confined to wheelchairs or bedridden, with double incontinence, malnutrition,
feeding tubes, decubitus ulcers, and suffering that may continue for months or
years.
This paper proffers a new, alternative approach and setting for
end-stage dementia (ESD) patients with ASS that could pertain to the Israeli
setting, and could possibly be applicable in other countries. The MSSE scale
comprises 10 items relating to the patients’ characteristics, as well as the
perception of their condition by medical staff and families. Each item scores 0
(no) or 1 (yes). Total score ranges between 0-10, with high scores reflecting
higher degrees of suffering. Short hospitalization periods of approximately 1
month and treatment in Relief of Suffering Units may be a new, palliative
approach and present a possible solution for coping with the horrendous burden
of the anguish of end-of-life dementia patients, their families, and the
medical and nursing staff.
Author(s)
Details
Bechor
Z. Aminoff
Geriatric Division, The Chaim Sheba Medical Center, Tel Hashomer,
Human Suffering and Satisfaction Research Center, El-Ad, Israel.
Please see the link:- https://doi.org/10.9734/bpi/mmrnp/v1/1491
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