<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-1429</journal-id>
<journal-title><![CDATA[Revista Costarricense de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. costarric. salud pública]]></abbrev-journal-title>
<issn>1409-1429</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-14292019000100117</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cuidados paliativos al final de la vida en pacientes con demencia terminal]]></article-title>
<article-title xml:lang="en"><![CDATA[End-of-life palliative care in patients with terminal dementia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alpízar Herrera]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>28</volume>
<numero>1</numero>
<fpage>117</fpage>
<lpage>125</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-14292019000100117&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-14292019000100117&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-14292019000100117&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La demencia es condición que típicamente involucra un deterioro gradual y progresivo de la cognición, el comportamiento y el funcionamiento de un individuo, hasta alcanzar la muerte. La medicina paliativa asiste a pacientes que enfrentan procesos degenerativos progresivos como este y les provee insumos para mejorar su calidad de vida, aliviar su dolor y apoyar a quienes les asisten; en una forma interdisciplinaria e integral hasta el final de su vida. Este trabajo pretende exponer brevemente, mediante una revisión de literatura vigente, el conocimiento y teorías actuales sobre demencia como una condición terminal que requiere atención paliativa; desde una perspectiva integral, enfocándose en el manejo y los objetivos de cuidado del paciente con esta condición, que reúna tanto la visión médica como la del paciente, su red de apoyo y su entorno. Se describe la demencia como una condición terminal que requiere de atención paliativa desde el momento de su diagnóstico, las necesidades propias del paciente con esta condición y las implicaciones de su atención, requiriendo un abordaje integral y un planteamiento de objetivos claros, humanizados y centrados en el paciente; que satisfacen sus necesidades, consideran y respetan su individualidad y contemplan aspectos como la voluntad adelantada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Dementia is a condition that typically involves a gradual and progressive deterioration of the cognition, behavior and functioning of an individual, to death. Palliative medicine assists patients who face progressive degenerative processes like this one and provides them with supplies to improve their quality of life, relieve their pain and support those who assist them; in an interdisciplinary and integral way until the end of his life. This work aims to briefly expose, through a review of current literature, knowledge and current theories about dementia as a terminal condition that requires palliative care; from a holistic perspective, focusing on the management and objectives of patient care with this condition, which brings together both the medical and the patient's vision, their support network and their environment. Dementia is described as a terminal condition that requires palliative care from the moment of diagnosis, the specific needs of the patient with this condition and the implications of their care, requiring a comprehensive approach and a clear, humanized and patient-centered approach to goals of care; that meet their needs, consider and respect their individuality and contemplate aspects such as their advanced wills.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cuidados paliativos]]></kwd>
<kwd lng="es"><![CDATA[demencia terminal]]></kwd>
<kwd lng="es"><![CDATA[final de la vida]]></kwd>
<kwd lng="es"><![CDATA[ética médica]]></kwd>
<kwd lng="en"><![CDATA[Palliative care]]></kwd>
<kwd lng="en"><![CDATA[terminal dementia]]></kwd>
<kwd lng="en"><![CDATA[end-of-life care]]></kwd>
<kwd lng="en"><![CDATA[medical ethics]]></kwd>
</kwd-group>
</article-meta>
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