Tianeptine versus fluoxetine in the treatment of depression complicating Alzheimer's disease

✍ Scribed by Tomasz M. Sobow; Marcin Maczkiewicz; Iwona Kloszewska

• Publisher: John Wiley and Sons
• Year: 2001
• Tongue: English
• Weight: 38 KB
• Volume: 16
• Category: Article
• ISSN: 0885-6230
• DOI: 10.1002/gps.457

✦ Synopsis

Beeching, 1991)

, sometimes transferring their own disquietude at such discussions with relatives on to the reluctance of relatives to talk about DNR issues.

Perhaps, in the UK, we need to learn from many of our American colleagues who see it appropriate to formulate an advance directive that combines the living will with their equivalent of an Enduring Power of Attorney, early on in the illness before competence is well and truly lost (Prost and Whitehouse, 1995).

For the protection of staff and patients, it is as essential to develop DNR policies in psychiatric units as it is in any other health care setting (Cournos, 1986±87). Therefore a policy should be instituted in Old Age Psychiatry enabling well documented resuscitation/DNR decisions to become routine and form an integral part of each patient's care plan (Cournos, 1986±87;Prost and Whitehouse, 1995;Skerritt and Pitt, 1997).

By understanding patients' and family members' preferences for `end-of-life' care and treating them accordingly, we respectfully preserve their human dignity.