Patients with advanced dementia commonly have problems with chewing and swallowing, which may lead to aspiration of food, weight loss, and malnutrition. Guidelines for patients with advanced dementia recommend careful hand feeding in most cases. Geriatric or palliative care teams can discuss feeding options with caregivers and explain that weight loss and lower calorie intake are expected as dementia progresses. ➡️ Learn more about the benefits of hand feeding and the possible risks and complications associated with feeding tubes for patients with dementia in this JAMA Patient Page: ja.ma/3HLazFG