“Is it time for a feeding tube?”This is a deeply personal and emotional decision many families face in the late stages of dementia.Feeding tubes are not routinely recommended for advanced dementia. Research shows they often don’t prolong life, don’t prevent aspiration pneumonia, and don’t improve comfort. In some cases, they can lead to more complications.Hand-feeding can be just as effective — and offers comfort, connection, and dignity at the end of life.No judgment. Every family is different.