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American Journal of Hospice and Palliative Medicine®, Vol. 21, No. 6, 427-437 (2004)
DOI: 10.1177/104990910402100608
© 2004 SAGE Publications

Hospice use for the patient with advanced Alzheimer’s disease: The role of the geriatric psychiatrist

Peter M. Aupperle, MD, MPH

Division of Geriatric Psychiatry, Department of Psychiatry, University Behavioral Healthcare, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

Edward R. MacPhee, BA

University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

Janet E. Strozeski, MD

Department of Psychiatry, Saint Vincent Catholic Medical Centers, New York Medical College, New York, New York

Myra Finn, BA

New York University School of Medicine, New York University, New York, New York

John M. Heath, MD

Department of Family Medicine Geriatric Programs, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

Advanced Alzheimer’s disease (AD) can place an immense burden on caregivers as they struggle to provide end-of-life (EOL) care for the patient. Palliative care, as delivered by hospice, provides a viable solution. Hospice maintains the patient’s quality of life (QOL) and helps the family during the grieving process. However, many providers are not familiar with hospice and its care for advanced AD patients. Geriatric psychiatrists can be central in implementing hospice, and they can remain an important part of the care once it is in place. A principal clinical challenge is establishing the six-month prognosis for such patients, which is a prerequisite for initiating hospice admission.

Key Words: hospice • Alzheimer’s disease • dementia • quality of life • end of life • psychiatry


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