Alzheimer’s Disease and Hospice Care

Alzheimer’s disease is a degenerative disease of the brain with progressive loss of the brain’s nerve cells over time. This results in dementia, a decline in thought processes, as well as a decline in the individual’s ability to function and care for themselves.

While no one is really sure what causes Alzheimer’s disease, we do know that there is no cure. There are many medications on the market that allege to be able to slow the progression of the disease, but research is limited. Furthermore,  there is some concern that many of the dementia medications may actually be contradicted for patients in the later stages of the disease by actually causing more harm than good. 

Being a caregiver for an individual with Alzheimer’s disease in other brain-related impairments, such as Parkinson’s disease, Multiple Sclerosis, Vascular Dementia, Lewy Body Dementia, and Amyotrophic Lateral Sclerosis is no easy feat. Many caregivers express frustration with behavioral changes, changes in appetite, and alterations in mobility as the patient’s disease progresses. The team at ProCare, hospice of Nevada is here to help. Caregivers find tools to provide better care and develop a better understanding of the disease and its processes.

Alzheimer’s disease and other progressive dementias are life-altering. There is no cure and they are eventually fatal. Patients with dementia or Alzheimer’s may be eligible for hospice care is when they show all of the following characteristics:

• Unable to ambulate without assistance 

• Unable to dress without assistance 

• Unable to bathe properly 

• Incontinence of bowel and bladder 

• Unable to speak or communicate meaningfully 

To determine if you or a loved one may be eligible for hospice, talk with your physician.

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Dr. Iryna Kobita, MD

Iryna Kobita recently completed her Internal Medicine Residency at The Valley Health System in Las Vegas and is pleased to continue her medical training in Hospice and Palliative Medicine. Prior to relocating to the United States, she practiced medicine in Ukraine, bringing valuable international clinical experience to her work. Iryna looks forward to contributing to the program, building strong professional relationships, and continuing to grow as a physician. Outside of medicine, she enjoys traveling, spending time outdoors, and being with family and friends.

Dr. Diana Lee, MD

Dr. Diana Lee graduated from Capital Medical University in Beijing, China, in 1991. Following graduation, she completed five years of pediatric residency training at Beijing Children's Hospital, one of the largest and most prestigious pediatric hospitals in China.

After relocating to the United States, she completed her second residency training program in Internal Medicine at Greater Baltimore Medical Center in 2004. She then worked as a hospitalist with Mercy Medical Group in Sacramento, California, for 10 years, before moving to Las Vegas to join Platinum Hospitalist Group, where she currently practices.

After earning her ABIM board certification in Hospice and Palliative Medicine in 2012, Dr. Lee focused her career on this specialty. In 2017, she established the first hospital-based inpatient palliative care consultation service in Las Vegas at St. Rose Dominican Siena Hospital. Under her leadership, this initiative expanded from a single-physician service into a multidisciplinary team of four palliative care physicians and 12 nurse practitioners, providing consultations across eight hospitals in Las Vegas. She has also served as the program director for the OPTI-West Hospice and Palliative Medicine Fellowship since 2021.

Dr. Lee is dedicated to advancing patient-centered palliative care through clinical excellence, program development, education, and collaboration. As the founder of one of the region's largest inpatient palliative care programs, she continues to expand access to specialty services and improve care for patients with serious illnesses throughout Southern Nevada.

Dr. Dan Miulli, DO, MS, FACOS

Graduate of Midwestern University-CCOM and completed Neurosurgical Residency Training at Allegheny General Hospitals receiving diploma from Philadelphia College of Osteopathic Medicine. Board certified in Neurological Surgery and Neurocritical Care. Practices Neurosurgery in Southern California. Is the Designated Institutional Official, Chief Academic Officer, and CEO of OPTI-West Educational Consortium and Sponsoring Institution.