Medicine

People disregard dementia patients’ wishes about life-sustaining treatment

How the science connects

DementiaMedical ethics

AI Insight

Research from the University of Colorado Anschutz found that survey participants were approximately 19 percentage points less likely to recommend life-sustaining treatment for seriously ill patients with dementia compared to patients without dementia. This preference persisted even when patients had advance directives explicitly requesting life-sustaining care, suggesting that the presence of dementia significantly influenced treatment recommendations regardless of documented patient wishes.


This finding reveals a potential gap between patient autonomy and treatment decisions in dementia care. The research suggests that advance directives may be systematically disregarded when patients have dementia, raising concerns about end-of-life care decisions and the effectiveness of advance care planning for this population.


People were about 19 percentage points less likely to recommend life-sustaining treatment for a seriously ill patient with dementia than for a patient without dementia, even when an advance directive requested life-sustaining care, according to new research from the University of Colorado Anschutz.

Source: Survey participants less likely to recommend life-sustaining care for patients with dementia, despite documented wishes