Takahashi's past wishes will help the healthcare team understand the patient's current quality of life compared to her state before the onset of dementia and also before the stroke. The quality of a person's life appears different from different people, hence the disagreement between the grandchildren. Ms. Takahashi has a 5-10% chance of returning to a meaningful quality life with aggressive treatment that will most likely include significant suffering. Doctors have noted in the past that when treating patients similar to Ms. Takahashi the healing process was not always effective, the patients were susceptible to other diseases, and mobility was limited, at best, to a wheelchair or a Bed. A study conducted by Morrison and Siu (2000) followed acute patients with end-stage dementia and a poor prognosis to determine whether the emphasis should shift from curative interventions to palliative care. The first group of participants included dementia patients with pneumonia or hip fractures, while the second group included cognitively intact older adults with similar injuries. The researchers found that for older adults with pneumonia, the mortality rate was 53 percent in demented patients and only 13 percent for non-demented patients. An identical trend was observed in participants with hip fractures, producing a mortality rate of 55% in demented patients and 12% in non-demented individuals. Both types of participants received the same amount of intensive procedures, but mortality rates differed dramatically, leading to the conclusion that healthcare teams should focus their efforts on improving the comfort of the dementia patient population (Morrison & Siu 2000 ). Given the poor prognosis, the Ethics Committee believes it is imperative that the healthcare team learn more about Ms. Takahashi's preferences and family relationships before dementia and recommend treating the patient with palliative care if there is no substantial improvement in her health afterward. a limited period of time. aggressive