How do you know when a dementia patient is dying

Musik-Downloads für Smartphone und Player. Mit Autorip gratis bei jedem CD-Kauf Signs of Dying in the Elderly with Dementia Dementia is a general term for a chronic or persistent decline in mental processes including memory loss, impaired reasoning, and personality changes. Alzheimer's disease is the most common form of dementia, accounting for 60-80% of all cases of dementia

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Behaviors such as rare talking and denial to recognize the nearest ones are the warning signs that the patient is soon dying from dementia. To elaborate further, here are four symptoms of late-stage dementia There are many signs that can tell you death is near for a dementia payment. Even though you may be prepared for the end, it is never easy. The ten signs that death is near include The start of the dying process As someone's condition worsens and they get to within a few days or hours of dying, further changes are common. The person will often: deteriorate more quickly than befor Someone with dementia does not follow the process of a gradual death; they do not show us the signs that death is approaching. Someone with dementia can withdraw from this world's activities for years, by being not interested, non-interactive, uncomprehending, unfocused

Oftentimes, this mild decline in memory is merely normal age-related cognitive decline, but it can also be one of the earliest signs of degenerative dementia. At this stage, signs are still virtually undetectable through clinical testing. Concern for early onset of dementia should arise with respect to other symptoms In the end, most people with late-stage dementia die of a medical complication related to their underlying dementia. For instance, a person may die from an infection like aspiration pneumonia, which occurs as a result of swallowing difficulties, or a person may die from a blood clot in the lung as a result of being immobile and bedbound

Signs of Dying in the Elderly with Dementia: End-Stag

  1. What Happens In the end stages of dementia, many of the symptoms are a result of the body shutting down. The patient will probably be bedridden, and uncommunicative. Other common symptoms can includ
  2. d long before their body fails. Prior to reaching that state, the patient really doesn't understand the extent of their dementia, so telling them goodbye would only frighten them
  3. One to Three Months Prior to Death The dying process starts to be recognizable for many people in the period between a month and three months prior to death. As we discuss these changes, we may use the words 'he or she, but the process is fairly similar regardless of gender. There are some differences
  4. When a dementia like Alzheimer's disease is first diagnosed, if everyone understands that there is no cure, then plans for the end of life can be made before thinking and speaking abilities fail and the person with Alzheimer's can no longer legally complete documents like advance directives
  5. Remember, you can't make a dementia patient remember something no matter how hard you try. As many dementia caregivers come to learn, little white lies are often necessary to simplify life and calm anxious or agitated loved ones. Refraining from bringing up their spouse's death isn't going to harm anyone
  6. Awareness is like a lot of the other things with dementia. By the end what is death and what is life is about as understandable as quantum physics. By this point they may not be aware of what they hear or see because the connections between the senses and brain have been lost. Their eyes still see but their brain cannot conceive of what sight is

Although dementia at the end of life is increasingly being studied, we lack prospective observational data on dying patients. In this study symptoms were observed in patients with dementia in the last days of life. When the elderly care physicians in two Dutch nursing homes expected death within one week, symptoms of (dis)comfort, pain and suffering were observed twice daily Rohlfs-Young: As the disease progresses, we have to realize that they live in a more literal world, so using euphemisms like he passed away may not make as much sense to that person as being honest, direct and clear and saying, Ed has died It is difficult to know when a person with dementia is coming to the end of their life. However, there are some symptoms that may indicate the person is at the end of their life including: limited speech (single words or phrases) needing help with everyday activities. eating less and swallowing difficulties Here are some hints for telling a person with dementia about a death: Tell the news as soon as possible. They will sense that something is wrong and need information to understand, even if just for that period of time. If you are too emotional to talk to them, find someone else — maybe a friend or healthcare professional

Dying from Dementia - Four Dangerous Signs You Shouldn't Mis

Signs Of Death in Elderly With Dementia: End Stag

The person with dementia deserves the dignity of being told, at least once, when a loved one has died. After that, individual circumstances direct how to tell the news and how often to repeat it. Last days and hours of life The last days or hours of a person's life are sometimes called the terminal phase. This is when someone is actively dying. Everyone's experience of dying is different, and some people will die suddenly or unexpectedly There are certain signs when illness or old age has tipped into a preparation for death. The dying may feel compelled to resolve unfinished business - End-of-life research studies show that the dying are often called by an almost organic process to confront and resolve unfinished issues from their past, particularly with estranged family members

When a senior with dementia can't remember a loved one's face or doesn't recognize their own home, it can cause severe agitation and fear. Similarly, when a senior with dementia perceive their cognitive shortcomings, anxiety often ensues. Distress manifests itself differently depending on the dementia patient 1 to 2 weeks before death, the person may feel tired and drained all the time, so much that they don't leave their bed If you have been diagnosed with dementia, know someone who has, or are just curious about the subject, you may wonder how a person with dementia dies. It's possible that you could die from complications of dementia, but you're unlikely to die from the disease itself What to Expect at the End of Life. The way people with Alzheimer's disease die is different from person to person, but there's a basic pattern to the process. They slowly lose the ability to.

Recognising when someone is reaching the end of their life

  1. The 3 stages of dementia. Typically, these stages apply to all types of dementia, including Alzheimer's.. But it's important to remember that someone with dementia may not always fit in a specific stage or go through every stage because the progression of dementia is unique and different for each person
  2. Let's not make the dying any more ambiguous than it is What do we know about dying with dementia? 1. Death is certain. 2. Trajectories all show declining function. 3. Unique characteristics of different dementias. 4. Co-morbidities affect the trajectory. 5. Indicators that may precede the active dying phase. 6
  3. al lucidity or dementia clarity before death? The truth is, we don't know. It hasn't been well studied. But one small study has estimated about 10% of dementia patients will experience this sudden improvement before death . Among those who do, the majority die within a week of doing so, and about half of them within the.
  4. Someone with vascular dementia lives for about five years after diagnosis. Someone who has dementia with Lewy bodies will typically live for six to twelve more years. Average life expectancies for the most common types of dementia are as follows: Dementia type. Average life expectancy following diagnosis. Alzheimer's. 8 - 12 years
  5. All your older patients living in registered homes should have the opportunity to express preferences re their preferred place of care and be actively considered for your register. Some of your deaths will be genuinely 'unexpected': around 16% each year are in under 65-year-olds, but in over 65-year-olds only 0.25% are from 'external causes'
  6. Make sure you reassure them that they are safe, tell them who you are, and where they are. It is also common for people dying to say that they have seen someone who has already passed away. This happens so often that it can be assumed to be normal. You do not need to do anything about it unless the person is distressed

How The Body Prepares For The Onset Of Dying. When a person is about to die, his body prepares for the onset of dying. There are many different ways how the body prepares for the onset of dying and they all seem to show one thing -- the body starts shutting down one system after another How to Know When It's Time to Move to Memory Care. It's difficult to know when your loved one needs to change living situations, because the disease progresses so slowly. Alzheimer's takes years to transition from early to mid and late stages, so even if your gut says it's getting worse, your mind and heart might argue otherwise Repeatedly telling a person with dementia about a death can make family members' grief more painful. Telling About a Death Here are some hints for telling a person with dementia about a death: Tell the news as soon as possible. They will sense that something is wrong and need information to understand, even if just for that period of time Why Do Dementia Patients Fidget? If a dementia patient is anxious or stressed, you can usually see it in their hands. They are likely to pull at their clothes, wring their hands, rub their skin, or twist their fingers if they are afraid, upset, or agitated. Fidgeting and associated behaviors are how people with dementia deal with their discomfort

Signs of Approaching Death with Dementia - BK Book

  1. A person with dementia may have problems with thinking and reasoning that can affect how they understand and adapt to bereavement. This doesn't mean they are unable to feel emotions after bereavement and experience grief. Telling the person about a death. When someone close to a person with dementia dies, you may wonder whether to tell them
  2. It's something to help the visitor but also help the person who is ill not feel so alone, says Real. Even when a patient isn't particularly responsive, they know someone's there. She writes: Guidelines for visiting me when I can't speak for myself. At some point, I won't be able to articulate my wishes
  3. Background: Evidence-based data on prevalence and risk factors of suicidal intentions and behavior in dementia are as scarce as the data on assisted dying. The present literature review aimed on summarizing the current knowledge and provides a critical discussion of the results. Methods: A systematic narrative literature review was performed using Medline, Cochrane Library, EMBASE, PSYNDEX.
  4. also important to allow the person with dementia to talk about how they feel. Handling awkward questions If you haven't been able to do any of the above, or even if you have, there is a strong possibility that the person with dementia will continue to ask for the person who has died wanting to know where they are and when they will be back

You are probably reading this because someone close to you is dying. You wonder what will happen. You want to know how to give comfort, what to say, what to do. You might like to know how to make dying easier—how to help ensure a peaceful death, with treatment consistent with the dying person's wishes. A peaceful death might mean something. Taking advantage of an elderly person with dementia is known as elder abuse. In cases where the abuse is financial, it is referred to as financial exploitation. Financial exploitation can take the form of theft, scams, deception, coercive control or threats. Elder abuse is a crime, although the penalties vary from state to state How to Know it is Time for 24 Hour Home Care. 24 hour care is around-the-clock, daytime and overnight. While each state has its own regulations, typical options for 24 hour care include: One caregiver who works a full day, with breaks, followed by 8 hours rest in the client's home. Two caregivers work in 12 hour shifts

En español | The terms dementia and Alzheimer's have been around for more than a century, which means people have likely been mixing them up for that long, too. But knowing the difference is important. In the simplest terms, one is broader than the other. If the two were nesting dolls, Alzheimer's would fit inside dementia, but not the other way around People with dementia will progress through these stages at different speeds and with differing symptoms. If you suspect you may be experiencing early symptoms of dementia, talk to your doctor Patients with dementia do not die faster without feeding tubes.5 Patients with advanced cancer do not die faster if they choose hospice or palliative care, and may in fact live longer, even though they are less likely to receive artificial life support.6 7 The person with dementia may also wish to make a will, while the Alzheimer's Society (2001) advises setting up a trust so that money and property can be administered on a person's behalf. The society's website provides useful information on financial planning and benefits that may be claimed

Can you take us through the process of dying, starting at, say, three months out? The first period is actually 90 days, and there are a lot of emotions that go on. Firstly, a lot of family. In the end stages of dementia (in the last few months or weeks of life), the person's food and fluid intake tends to decrease slowly over time. The body adjusts to this slowing down process and the reduced intake. It is thought that by this stage the hunger and thirst part of the brain has now stopped functioning for most people

3. Offer to take the person home. Several times when my father could not be comforted, I offered to take him home. We got in the car, and I told him, You'll need to help me find it because it. When you are giving bad news about a life-limiting illness, many patients and their families want to know all they can about the condition: treatments, cures and how long patients survive. But the. The Person Dying Abused Me. If the person who abused you or abandoned you is dying and you are asked to come to their death bed, please know you don't have to if you don't want to. This is your choice. If the person dying asks for your forgiveness, you have the choice to give that freely but no one can force that on you

Hospice and the Alzheimer's Patient: What You Need to Know Alzheimer's patients require more care and skilled attention than the average hospice patient. Hospice providers with expertise and experience in dealing with dementia can help patients and families understand what to expect in the final stages of Alzheimer's, offering support. Whenever someone tries to bring the dementia person back to reality or ask them questions that they can no longer answer, I tell them what someone told me, If this person had a broken leg, you would not expect them to perform a jump at your request; so, why do you expect their broken brain to perform? One day, my mother was anxious Family members should also know that hospice provides comfort, warmth, kindness, and the serenity dementia patients need. Emotions remain within the dementia patient long after other aspects of that person are lost, Wright notes. Hospice responds to those emotions, and the dementia patient responds in turn

know exactly what changes the person you are caring for will experience when they are dying. There are certain bodily changes that signify a person is likely to be close to death. It is normal for these signs to come and go over a period of days, and if they do go, this does not usually mean that a person is recovering 9. Coolness in the tips of the fingers and toes. In the hours or minutes before death, blood circulation draws back from the periphery of the body to help the vital organs. As this happens, the extremities (hands, feet, fingers, toes) become notably cooler. Nail beds may also look more pale, or bluish Most people know that strokes can cause one side of the face to droop, weakness of an arm or a leg, trouble walking, and slurred speech. Did you know that strokes can also cause dementia?. Strokes. It is within every person's right and dignity to seek and receive the best care possible. Every patient deserves it. And so do you. SOURCES. Cancer and Dementia Together — a Deadly Situation, Caring.com. For Alzheimer's, Detection Advances Outpace Treatment Options, New York Time

By Katie Tardiff, Vice President, Clinical Services on Mar 14, 2018 1:33:22 PM. Dementia is a progressive impairment of cognitive function caused by damage to the brain. Over time, a person with dementia will have increased difficulty with memory, understanding, communication, and reasoning.. Healthcare providers frequently speak about a person's dementia in terms of stages People have different levels of knowledge about dying. People may or may not want to know what happens when someone dies. There are things you can do to prepare for a person's death. There may be spiritual matters to consider when a person is nearing the end of life. There are some common signs when a person is nearing death

The Seven Stages Of Dementi

Dying From Dementia With Late-Stage Symptom

Even better, he said his memory and focus were better than when he was in his 20s. With these lifestyle changes, Bud had lowered his risk for the dreaded disease. You can do it too. 5 Strategies to Reduce Your Risk for Dementia Go for early screening. If you have a family member with any form of dementia, get screened around age 40 Dementia care - what is sundowning? Sundowning - sometimes referred to as 'late-day confusion' - is a symptom that causes those living with dementia to become more agitated or confused in the late afternoon and early evening. In this guide, we run through the essentials you need to know Know in advance what you want to ask, or where you want to go with the conversation. Think about where you might have that conversation — alongside each other, without eye contact, might be best

End Stage Of Dementi

LIMITATIONS TO HOSPICE CARE. In a study of the dying process in a hospice in the UK, Lawton, a sociologist, observed that physical degeneration—which happens commonly when elderly people die—causes an inevitable destruction of the self 9.A central goal of the hospice movement is to enable patients to retain control of their lives until death, 'to live until you die' 10 Late-stage dementia results in coma and death, often from infection. Prevention. There's no sure way to prevent dementia, but there are steps you can take that might help. More research is needed, but it might be beneficial to do the following: Keep your mind active Diagnosing dying (the last hours or days of life) In order to care for dying patients it is essential to diagnose dying (figure). 7 However, diagnosing dying is often a complex process. In a hospital setting, where the culture is often focused on cure, continuation of invasive procedures, investigations, and treatments may be pursued at the expense of the comfort of the patient

The late stage of Alzheimer's disease may last from several weeks to several years. As the disease progresses, intensive, around-the-clock care is usually required. What to expect. Bowel and bladder function. Your role as caregiver. Skin and body health. Late-stage care options. Infections and pneumonia. Food and fluids 15/11/2016. Gary John NormanGetty Images. Alzheimer's disease and other types of dementia have replaced heart disease as the leading cause of death in England and Wales for the first time. The doctor's elderly patient was actively dying, there was nothing more to be done to prolong the patient's life, and to try to do so would cause physical pain. The doctor met with the patient and the family to explain all of this, and offered to enroll the patient into hospice so they could be maintained comfortably at home until they died Hi Mo ~ thank you so much! I know you have had to go through this and it can be extremely difficult. I do hope my words will help many through the process. Thanks so much for your feedback. Sending hugs your way! Sharyn. Catherine Taylor from Canada on December 03, 2012: So well written and useful. We never talk about death and we should

The dying process can differ by individual, but there are several signs and symptoms that many dying patients display as they approach death. Knowing certain signs and symptoms can help caregivers and families of a dying patients to better prepare themselves both emotionally and organizationally Tell the person what you are going to do, step by step while you help them bathe or get dressed. Serve meals in a consistent, familiar place and give the person enough time to eat. Tips for Changes in Communication and Behavior for People With Dementia We do not know, however, what their level of awareness might be. Even when your loved one seems unresponsive, he or she might very well sense your presence, whether you are sitting quietly nearby, holding hands, or speaking. Confusion and delirium A person near death may become disoriented or agitated

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What is the dying process of those with dementia

Dementia is a progressive decline in brain function. It's often thought of as memory loss, but dementia affects overall brain functioning, including the brain cells that control movement and swallowing.. Alzheimer's disease, the most common form of dementia, is the 6 th leading cause of death for adults in the United States, according to the Centers for Disease Control and Prevention. But maybe most important, the medicalization of food deprives the dying of some of the last remnants of the human experience: taste, smell, touch and connection to loved ones. So why do so many demented patients die with feeding tubes? Food is how we know best to care for one another, from breast to deathbed Communication difficulties - dementia patients, may have challenges when having a conversation with other people because finding the proper words to express themselves becomes problematic. Personality shift - the condition also affects judgment where people go through various mood changes. A once outgoing person may suddenly become very shy

How to Recognize When Your Loved One Is Dyin

Do you know all the things you loose from going off of hospice? You no longer have aids to give baths, a nurse on-call when emergencies arise, a nurse who checks for changes in the patient regularly. You loose all the supplies like the diapers, bed pads, wheelchair, mouth swabs, pillows, wipes, ointment, and more Don't Argue With the Person: It's never a good idea to argue with a person who has dementia. First of all, you can't win. And second, it will probably upset them or even make them angry. I learned a long time ago, when caring for my beloved Romanian soul mate, Ed, the best thing to do is simply change the subject -- preferably to something pleasant that will immediately catch their attention Supporting the person with dementia Seeing the person behind the dementia You should think of the person as a 'person with dementia' and not a 'demented person'. Even though the person has failing memory or reduced understanding, it does not mean that they do not have a sense of self, personality, or thoughts and feelings. D Before that, it feels wrong to accept a loss, but after that it can be an act of great kindness to say, You may go when you feel it is time. I will be OK.. At the time a person is near death.

End-of-Life Care for People with Dementia National

You're easily one of the bravest people I've ever met, and I don't know how you do what you do. I'm so glad to know you. I heard the funniest thing today, and it made me think of you. (Share a funny anecdote that will make the person laugh.) How to Write a Card to Someone with Terminal Cance Stage 7 - Severe Alzheimer's. This is the final stage of Alzheimer's disease, at which the long goodbye comes to an end. Even though the Alzheimer's person may somewhere inside really hear and understand what is being said, he or she can no longer respond, other than possibly to speak a word or phrase loss may occur despite the person with advanced dementia being given all the food they want. Weight loss may be part of the process of dying from dementia. Watching someone with advanced dementia lose weight, despite being fed enough food, can be frightening. It is quite normal to feel this way. Staff in this facility will talk to you about an From dementia to medically assisted death: A Canadian woman's journey, and the dilemma of the doctors who helped. To give Alzheimer's patient Mary Wilson the death she sought, her physicians. Plan activities the person with dementia enjoys and can do. Dancing, painting, gardening, cooking, singing and other activities can be fun, can help you connect with your loved one, and can help your loved one focus on what he or she can still do. Establish a nighttime ritual

Awkwafina's 'The Farewell' raises complex questions. Imagine finding out your loved one was dying, but you had to keep it a secret. That's the moral conundrum Chinese-American director/writer Lulu. 2. If this is a chronic patient and the delusion/hallucination is not too upsetting to the patient, go along with it during the course of your conversation. It must be difficult hearing that baby crying (hallucination). That would upset me too. or It must be hard being Jesus all the time (delusion) Advance Care Planning for Alzheimer's Disease or Dementia. Only mentally competent adult residents suffering from a terminal illness with a prognosis of 6 or fewer months to live are eligible to use their state's death with dignity law. You must be of sound mind, i.e. be able to make your own healthcare decisions, when making requests for. There are important facts about Lewy body dementias that you should know if you, a loved one, or a patient you are treating may have LBD. Lewy body dementias (LBD) are the second most common form of degenerative dementia. The only other form of degenerative dementia that is more common than LBD is Alzheimer's disease (AD)

Dementia and Grief: Should You Tell a Person With Dementia

They do not remember much of the past and do not care about the future. They live in the here and now in a private world. God is glorified when loving people take the time necessary to understand that world. In a sense, they allow themselves to inhabit the world of a person with dementia Mood and personality changes can be associated with early signs of dementia. This could include becoming confused, suspicious, depressed, fearful or anxious, and your parent may find themselves getting easily upset in places they feel unsure about. Some of the dementia symptoms NHS lists include: Increased anxiety. Panic attacks If you know they like the smell of mandarins, take mandarins, even if they don't get to eat them, Leigh says. Meaningful photos and items can be comforting for the person, but don't take in too.

Do dementia patients know they are dying? - Quor

In short, physician aid in dying is unlikely to emerge in the US as an option for those with dementia. Others plan to do themselves in without a doctor's help, and some will succeed. There are. Donate. Donate You have been the beating heart of Alzheimer's research, moving us closer to better treatments and, ultimately, a cure. You've also ensured compassionate support services for people living with dementia and their caregivers. Donate online Donate now to the Alzheimer Society of Canada. You can make a one-time gift, give monthly or give in memory or tribute

Dementia is a term used to describe a group of conditions that affect thinking, memory, and behavior enough to interfere with a person's daily life, according to the Centers for Disease Control. The first thing you need to know about dementia is that it is not a specific diagnosis but a term to describe a wide variety of symptoms that lead to a decline in brain function. The second is that it's not uncommon for older adults to experience changes in their thinking ability - say, becoming slower at recalling words or thinking through. Some patients with obstructive lung disease, those prone to chronic aspiration such as stroke, and dementia patients may rattle with retained respiratory secretions and yet not be actively dying. Cyanosis and mottling of the upper extremities appear more specific for impending death than do such changes in the lower extremities, where they. Dementia or no, helping an aging parent is usually a long journey. Building some daily walking and daily mindfulness practice into your day can make a big difference. Good luck! Do get that dementia assessment and then get help learning to deal with her behaviors. It's an effort but it will pay off in the long run

Vascular dementia is the second most common cause of dementia, after Alzheimer's. Some people have both vascular dementia and Alzheimer's disease, often called mixed dementia. Symptoms of vascular dementia are similar to Alzheimer's disease, although memory loss may not be as obvious in the early stages I do not think I have ever seen any dementia patient get adequate pain reief - if you have any knid of mental deficit, pain medicine is the first thing to go. It makes sense when the problem is of sudden onset (acute), but in patients with dementia it amounts to torture Dementia Dementia is not a single disorder or disease; it is an umbrella term that covers a wide range of specific medical problems, including Alzheimer's disease. The abnormal brain changes cause these conditions grouped under the general term called dementia. Such changes cause a decrease in the ability to think, also known as a cognitive [ Dementia can cause people to feel confused and frightened, which can mean that they experience pain in a heightened way. There are things that you can look out for that can help you identify pain in a person with dementia. Once pain is identified, you can help the person seek appropriate treatment, so they feel more comfortable and content

Quality communication among intensive care unit doctors, nursing staff and families about dying patients' goals of care and quality of life leads to better deaths. Nearly 20 percent of U.S. deaths occur in or shortly after stays in the intensive care unit, where many patients are unable to participate in the decision-making process and. Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are. Ask if your condition can be treated in other ways. Know why a test or procedure is recommended and what the results could mean. Know what to expect if you do not take the medicine or have the test or procedure

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Symptoms and treatment when death is expected in dementia

Dementia Patients & Dignity - Respectful Caregiving. When someone close to you has dementia and spends an increasing amount of time in a confused state, it can be difficult to remember the person they were before the disease began to take control. However, it's important to remember that he or she is an adult, not a child, and deserves to. Recognising the dying phase shifts focus of care from disease management to the patient's priorities and symptoms #### Key points Every year, more than half a million people die in the United Kingdom, and over half of these deaths occur in hospital. Junior doctors are often required to care for dying patients,1 and assessment and management of these patients are essential skills.2 3 4 The. Dementia will gradually affect the way a person communicates. Their ability to present rational ideas and to reason clearly will change. If you are looking after a person with dementia, you may find that as the illness progresses you'll have to start discussions to get the person to make conversation. This is common When a person's health care team determines that the cancer can no longer be controlled, medical testing and cancer treatment often stop. But the person's care continues, with an emphasis on improving their quality of life and that of their loved ones, and making them comfortable for the following weeks or months.. Medicines and treatments people receive at the end of life can control pain. Frontal lobe dementia life expectancy will vary between different patients, but on average it is around eight years after diagnosis. Unlike Alzheimer's disease, frontal lobe dementia generally affects younger people, both men and women, and it is usually seen in patients between the ages of 40 and 65, although it can affect people of any age.. Once a patient has been diagnosed with Pick's.

How to tell someone with dementia that a loved one has

If you have general questions about dementia or want to know more about dementia research and how you and your loved ones can get involved, our Dementia Research Infoline can help. Just call us on 0300 111 5 111 where someone from the team would be happy to help The family of 85-year-old Derek Brickley, who is dying of prostate cancer, have had to drain his bank account and put his home on the market to meet the £900-a-week cost of his care

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