Geriatrics
Advanced Dementia Care
NICE NG97 — recognise terminal phase, comfort care, manage BPSD, advance care planning, family support.
Source: NICE NG97 (2018)
Used in: Delirium & Cognitive Impairment
Step 1 of ~3
info
Recognise Advanced Stage
FAST score 6c–7f: profound functional decline; non-verbal; incontinent; bed-bound; recurrent infection / aspiration; significant weight loss. Distinguish progression from delirium superimposed on dementia (acute change → investigate reversible).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Folinic Acid (Calcium Folinate / Leucovorin) · Antidote / Chemotherapy Support
- Enteral feeds · Nutritional support
- Donepezil · Acetylcholinesterase inhibitor (AChEI) — dementia
- Memantine · NMDA receptor antagonist — dementia
- Rivastigmine · Dual AChEI and BuChEI inhibitor — dementia
- Quetiapine (Elderly — Dementia Caution) · Atypical Antipsychotic
Pathways
- Falls Assessment in Older Adults · NICE CG161 2013
- Delirium Outside ICU · NICE CG103
- Comprehensive Geriatric Assessment (CGA) · BGS / NICE
- Delirium Assessment and Management · NICE CG103 2010
- Frailty Recognition and Management · BGS Frailty Framework / NHS NHSE
- Polypharmacy and Medicines Optimisation · STOPP/START v2 2014 / NICE NG5
Decision support only. Always apply local guidelines and clinical judgement.