Abstract
Alzheimer's disease (AD) and other progressive dementias are afflicting 2.5 to 4 million Americans. Complications of progressive dementia include functional losses such as incontinence and eating difficulties. Because the functional decline associated with dementia is not reversible or amenable to treatment, advanced AD is considered to be a terminal illness. Therefore, comfort, quality of life, and preservation of dignity for the person diagnosed with AD should be considered priorities when goals of care and treatment decisions are formed. Interdisciplinary treatment teams caring for persons with dementia can educate and support patients and families in making the difficult decisions that management of advanced dementia brings.