The Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying

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JHU Press, 2000 - 163 páginas
Society today, writes Stephen Post, is hypercognitive: it places inordinate emphasis on people's powers of rational thinking and memory. Thus, Alzheimer disease and other dementias, which over an extended period incrementally rob patients of exactly those functions, raise many dilemmas. How are we to view--and value--persons deprived of what some consider the most important human capacities? In the second edition of The Moral Challenge of Alzheimer Disease, Post updates his highly praised account of the major ethical issues relating to dementia care. With chapters organized to follow the progression from mild to severe and then terminal stages of dementia, Post discusses topics including the experience of dementia, family caregiving, genetic testing for Alzheimer disease, quality of life, and assisted suicide and euthanasia. New to this edition are sections dealing with end-of-life issues (especially artificial nutrition and hydration), the emerging cognitive-enhancing drugs, distributive justice, spirituality, and hospice, as well as a critique of rationalistic definitions of personhood. The last chapter is a new summary of practical solutions useful to family members and profes
 

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This book is essential reading for anyone working in the dementia care field. Post articulates a compelling challenge to what he calls our "hypercognitive culture" that tends to diminish if not ... Leer reseña completa

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Índice

Defining the Task
1
Partnership in Hope
20
3 Fairhill Guidelines on Ethics and the Care of People with Alzheimer Disease
44
4 Genetic Education for a TooHopeful Public
66
Enhancing the Wellbeing of Persons with Dementia
78
The Case against Artificial Nutrition and Hydration
96
7 An Argument against Assisted Suicide and Euthanasia in the Context of Progressive Dementia
110
8 Toward a New Ethics of Dementia Care
127
References
143
Index
157
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