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Title: Hip fractures and dementia: clinical decisions for the future.
Authors: Waran, Eswaran
William, Leeroy
Affiliation: Territory Palliative Care , Royal Darwin Hospital , Tiwi, NT, Australia..
Monash Health, Clayton, VIC, Australia; Eastern Health, Box Hill, VIC, Australia; Monash University, Clayton, VIC, Australia..
Issue Date: Feb-2016
Citation: Oxford medical case reports 2016-02; 2016(2): 19-21
Abstract: Severe dementia is a life-limiting condition; hip fractures are more common in patients who have dementia. This study outlines the case of a 92-year-old female with severe dementia who sustained a hip fracture. Despite having a terminal diagnosis (severe dementia and hip fracture) and poor premorbid quality of life, she had a life-prolonging surgery. The report outlines issues around treatment options in such circumstances, informed consent and substitute decision-making. The authors propose a 'goals of care' approach to manage patients in whom the best treatment is unclear, during their attendance to the emergency department. It is suggested that utilization of such a model may help with substitute decision-making and true informed consent.
DOI: 10.1093/omcr/omw001
ISSN: 2053-8855
Type: Journal Article
Appears in Collections:NT Health digital library

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