neurologic disorders
Alzheimer Disease
Prognosis for Alzheimer Disease
Although progression rate varies in patients with Alzheimer disease, cognitive decline is inevitable. Average survival from time of diagnosis is 7 years, although this figure is debated. Average survival from the time patients can no longer walk is about 6 months. Because insight and judgment deteriorate in patients with dementia, appointment of a family member, guardian, or lawyer to oversee finances may be necessary. Early in dementia, before the patient is incapacitated, the patient’s wishes about care should be clarified, and financial and legal arrangements (eg, durable power of attorney, Durable power of attorney for health care ) should be made. When these documents are signed, the patient’s In advanced dementia, Palliative Care and Hospice may be more appropriate than highly aggressive interventions or hospital care. 