when a person with dementia reaches the latter stages and is approaching the end of life there will be important decisions to make about their care. these decisions which may include being resuscitated after a heart attack for e!ample, ongoing medical procedures or whether they wish to have any religious practices would be difficult for any of us to make but impossible for a dementia sufferer who lacks capacity. ?t is not always the case that family members such as ne!t of kin have the final say on these matters as this varies according to the decision and what advance planning is in place, decisions however will always be made in the person+s best interests.an individual with dementia needs to be supported to make advance care plans as early as possible because dementia is a progressive illness that gets worse over time and e!isting or future illnesses such as infections can speed up the process rapidly or contribute towards aninfection becoming terminal. this is why it is important to make plans whilst the individual is inearly stages and may be able to make some decisions around their care before the dementia affects their capacity. end of life planning should be approached in a sensitive and straightforward manner involving the individual and their loved ones. although someone maynot be able to make certain decisions it shouldn+t mean that they lack capacity to make all decisions unless they have been assessed as lacking full capacity. it is important to to remember that even being able to e!press preferences such as meal choices can help a dementia sufferer to feel more comfortable and sometimes these types of wishes and preferences can have a big effect on an individual+s well”being.

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