Literature DB >> 2581492

The nursing home resident with dementia. Clinical care, ethics, and policy implications.

N Rango.   

Abstract

How much treatment should be given elderly patients with dementing illness is controversial. Nursing home care should be based on palliation, rehabilitation, and the control of coexisting illness. Ethical standards are advanced from the principle that the life and well-being of the demented nursing home resident should be protected. The decision to forego medical treatment is justified only when the life of an affected person is burdened by severe, unrelieved suffering or by the absence of self-awareness and relational potential. Introducing this philosophy of care to institutions requires a greater societal commitment to nursing home care.

Entities:  

Keywords:  Death and Euthanasia; Mental Health Therapies; Professional Patient Relationship

Mesh:

Year:  1985        PMID: 2581492     DOI: 10.7326/0003-4819-102-6-835

Source DB:  PubMed          Journal:  Ann Intern Med        ISSN: 0003-4819            Impact factor:   25.391


  8 in total

Review 1.  Health care rationing in the aged: ethical and clinical perspectives.

Authors:  E G Howe; C J Lettieri
Journal:  Drugs Aging       Date:  1999-07       Impact factor: 3.923

2.  When should physicians forgo curative treatment of pneumonia in patients with dementia? Using a guideline for decision-making.

Authors:  J T van der Steen; T de Graas; M E Ooms; G van der Wal; M W Ribbe
Journal:  West J Med       Date:  2000-10

3.  Withholding artificial feeding from the severely demented: merciful or immoral? Contrasts between secular and Jewish perspectives.

Authors:  J Kunin
Journal:  J Med Ethics       Date:  2003-08       Impact factor: 2.903

4.  MRSA in The Netherlands: preventive measure raises a moral issue.

Authors:  D O E Gebhardt
Journal:  J Med Ethics       Date:  2003-08       Impact factor: 2.903

5.  The family physician and nursing-home care.

Authors:  J P Sloan
Journal:  Can Fam Physician       Date:  1989-03       Impact factor: 3.275

6.  The causes and frequency of acute hospitalization of patients with dementia in a long-term care facility.

Authors:  D A Zarian; S A Peter; S Lee; M Kleinfeld
Journal:  J Natl Med Assoc       Date:  1989-04       Impact factor: 1.798

7.  Decisions to treat or not to treat pneumonia in demented psychogeriatric nursing home patients: development of a guideline.

Authors:  J T van der Steen; M T Muller; M E Ooms; G van der Wal; M W Ribbe
Journal:  J Med Ethics       Date:  2000-04       Impact factor: 2.903

8.  Autonomy and paternalism in geriatric medicine. The Jewish ethical approach to issues of feeding terminally ill patients, and to cardiopulmonary resuscitation.

Authors:  A J Rosin; M Sonnenblick
Journal:  J Med Ethics       Date:  1998-02       Impact factor: 2.903

  8 in total

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