Artificial Nutrition and Hydration in Advanced Alzheimer’s Disease: Quality in End of Life Care

The single most pressing issue in Alzheimer Disease ethics is the use of artificial nutrition and hydration. For those who have lost the capacity to swallow, artificial feeding via a gastrostomy tube has become a very common approach for sustaining life. This widespread practice of tube feeding needs to be carefully reconsidered and for the severely demented patient the practice needs to be evaluated on clinical grounds.