Cargando…
Bioethical implications of end-of-life decision-making in patients with dementia: a tale of two societies
End-of-life decision-making in patients with dementia is a complex topic. Belgium and the Netherlands have been at the forefront of legislative advancement and progressive societal changes concerning the perspectives toward physician-assisted death (PAD). Careful consideration of clinical and social...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205770/ https://www.ncbi.nlm.nih.gov/pubmed/32335862 http://dx.doi.org/10.1007/s40592-020-00112-2 |
_version_ | 1783530301908058112 |
---|---|
author | Mondragón, Jaime D. Salame-Khouri, Latife Kraus-Weisman, Arnoldo S. De Deyn, Peter P. |
author_facet | Mondragón, Jaime D. Salame-Khouri, Latife Kraus-Weisman, Arnoldo S. De Deyn, Peter P. |
author_sort | Mondragón, Jaime D. |
collection | PubMed |
description | End-of-life decision-making in patients with dementia is a complex topic. Belgium and the Netherlands have been at the forefront of legislative advancement and progressive societal changes concerning the perspectives toward physician-assisted death (PAD). Careful consideration of clinical and social aspects is essential during the end-of-life decision-making process in patients with dementia. Geriatric assent provides the physician, the patient and his family the opportunity to end life with dignity. Unbearable suffering, decisional competence, and awareness of memory deficits are among the clinical considerations that physicians should incorporate during the end-of-life decision-making process. However, as other societies introduce legislature granting the right of PAD, new social determinants should be considered; Mexico City is an example. Current perspectives regarding advance euthanasia directives (AED) and PAD in patients with dementia are evolving. A new perspective that hinges on the role of the family and geriatric assent should help culturally heterogeneous societies in the transition of their public health care policies regarding end-of-life choices. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s40592-020-00112-2) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-7205770 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-72057702020-05-12 Bioethical implications of end-of-life decision-making in patients with dementia: a tale of two societies Mondragón, Jaime D. Salame-Khouri, Latife Kraus-Weisman, Arnoldo S. De Deyn, Peter P. Monash Bioeth Rev Original Article End-of-life decision-making in patients with dementia is a complex topic. Belgium and the Netherlands have been at the forefront of legislative advancement and progressive societal changes concerning the perspectives toward physician-assisted death (PAD). Careful consideration of clinical and social aspects is essential during the end-of-life decision-making process in patients with dementia. Geriatric assent provides the physician, the patient and his family the opportunity to end life with dignity. Unbearable suffering, decisional competence, and awareness of memory deficits are among the clinical considerations that physicians should incorporate during the end-of-life decision-making process. However, as other societies introduce legislature granting the right of PAD, new social determinants should be considered; Mexico City is an example. Current perspectives regarding advance euthanasia directives (AED) and PAD in patients with dementia are evolving. A new perspective that hinges on the role of the family and geriatric assent should help culturally heterogeneous societies in the transition of their public health care policies regarding end-of-life choices. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s40592-020-00112-2) contains supplementary material, which is available to authorized users. Springer International Publishing 2020-04-25 2020 /pmc/articles/PMC7205770/ /pubmed/32335862 http://dx.doi.org/10.1007/s40592-020-00112-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Original Article Mondragón, Jaime D. Salame-Khouri, Latife Kraus-Weisman, Arnoldo S. De Deyn, Peter P. Bioethical implications of end-of-life decision-making in patients with dementia: a tale of two societies |
title | Bioethical implications of end-of-life decision-making in patients with dementia: a tale of two societies |
title_full | Bioethical implications of end-of-life decision-making in patients with dementia: a tale of two societies |
title_fullStr | Bioethical implications of end-of-life decision-making in patients with dementia: a tale of two societies |
title_full_unstemmed | Bioethical implications of end-of-life decision-making in patients with dementia: a tale of two societies |
title_short | Bioethical implications of end-of-life decision-making in patients with dementia: a tale of two societies |
title_sort | bioethical implications of end-of-life decision-making in patients with dementia: a tale of two societies |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205770/ https://www.ncbi.nlm.nih.gov/pubmed/32335862 http://dx.doi.org/10.1007/s40592-020-00112-2 |
work_keys_str_mv | AT mondragonjaimed bioethicalimplicationsofendoflifedecisionmakinginpatientswithdementiaataleoftwosocieties AT salamekhourilatife bioethicalimplicationsofendoflifedecisionmakinginpatientswithdementiaataleoftwosocieties AT krausweismanarnoldos bioethicalimplicationsofendoflifedecisionmakinginpatientswithdementiaataleoftwosocieties AT dedeynpeterp bioethicalimplicationsofendoflifedecisionmakinginpatientswithdementiaataleoftwosocieties |