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Dementia patients ● Tube feeding must come with sound reasons

The Straits Times

|

December 09, 2024

I would like to weigh in on a few issues raised in the Opinion piece "Dementia caregivers' dilemma: 'No tube feeding? Am I killing him?' (Dec 5).

- Philip Yap Chairman Dementia Singapore

Dementia arising from stroke or Parkinsonism can present with swallowing difficulties earlier in the disease where tube feeding is a viable treatment.

Even in patients with advanced dementia, feeding problems may not always be due to progressive dementia but arise from potentially treatable and reversible causes such as delirium, depression and infections.

The treatment approach is then to elucidate and treat the underlying cause. Hence, tube feeding may be needed to administer the necessary medication and basic sustenance while awaiting recovery.

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