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Some authorities even discourage the widespread use of PEG tubes for patients who suffer from advance dementia. Tube feeding in patients with advanced dementia: a review of the evidence. Long-term follow-up of consequences of percutaneous endoscopic gastrostomy PEG tubes in nursing home patients. The second reason is the lack of clinical data regarding outcomes of PEG tubes for many patients. PEG tubes appear to be beneficial as a nutritional treatment of choice for patients with acute dysphagic stroke and for some older adults with neoplastic diseases of the oropharynx, larynx, and esophagus. H has a poor prognosis independent of PEG tube placement. Deciding against PEG tube placement and focusing on comfort and palliative care can always play a role in the care of acutely and chronically ill older adults.

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The practitioner may ask how much and what kind of care makes sense for someone like Mrs.

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Unintentional weight loss in long-term care: predictor of mortality in the elderly. Percutaneous endoscopic gastrostomy does not prolong survival in patients with dementia. Cochrane Database Syst Rev.

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