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American journal of Alzheimer's disease and other dementias最新文献

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Pain, dementia, and treatment 疼痛、痴呆和治疗
Pub Date : 2005-01-01 DOI: 10.1177/153331750502000101
C. Rowland
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引用次数: 0
2004 Cumulative Author Index 2004年累积作者索引
Pub Date : 2005-01-01 DOI: 10.1177/153331750502000107
R. Edward
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引用次数: 0
Book Review: Ethical Foundations of Palliative Care for Alzheimer Disease 书评:阿尔茨海默病姑息治疗的伦理基础
Pub Date : 2005-01-01 DOI: 10.1177/153331750502000102
D. Kuhn
During recent years the palliative care movement has rapidly extended its domain. Originated in the field of pain management for patients with terminal metastatic cancer, the model of palliative care has now also found application in the care for patients suffering from chronic diseases. To that end a new term was coined: that of non-cancer palliative care . In this book, a collection of contributions to a working conference in the Netherlands, a group of (Roman Catholic) physicians, moral philosophers, and nursing professionals explores the challenges of applying a palliative care policy to the field of care-giving in dementia. The starting point of their reflections is the observation that the traditional conception of bioethics, with its dominant orientation on autonomy and self-determination, is not easily compatible with the practice of caring for people with dementia. According to the authors, this situation can be remedied by appealing to the values of hospice philosophy and palliative care. The book is composed of six parts. A first one on the epidemiological, clinical, and societal aspects of the disease, which includes an interesting chapter on the relation between neuropathology and behavior in connection to issues such as competence and level of (in) dependence on care, is followed by an overview of palliative care as it is administered in Europe and the United States, with a fine chapter by Olde Rikkert (The Netherlands) and Rigaud (France) on hospital-based palliative care. Part three seeks to explore the philosophical and theological concerns central to Alzheimer disease, such as the questions of dignity, autonomy, and embodiment. In part four the more familiar clinical ethics issues are addressed, such as the dilemmas and pitfalls of decision making with regard to incompetent patients, end-of-life care for Alzheimer disease patients, the role of living wills, and the question of euthanasia. Part five deals with organizational ethics and allocation decisions whereas the final part explores the moral aspects of conducting scientific research in peoplewith dementia. One of the core chapters in this compilation is Ten Have’s contribution on the expanding scope of palliative care. Following Pellegrino, he differentiates between a philosophy in and a philosophy of palliative care. The former refers to the assistance ethicists can give to care givers in elucidating specific problems and in helping them to deal with moral dilemmas. The latter refers to the enrichment that the concepts and values of palliative care can provide to (a critical reflection on) bioethics. In this respect the author calls attention to the tendencywithin contemporary bioethics to neglect the human body: in its striving to secure the autonomy of the patient against medical paternalism, bioethics falls victim to the same dualistic anthropology that characterizes medicine. Palliative care and the hospice movement reject this dualism and focus on the essential embodi
在这里,读者当然想知道姑息治疗的价值如何有助于找到处理旧的决策困境的新方法,例如与生前遗嘱和个人身份有关的问题,但这些都是以相当抽象和超然的方式处理的。基塞尔呼吁社群主义哲学来反对预先指示程序在当代权利伦理中的中心地位。在她看来,把病人视为关系的一部分,与今天的无能之人与起草生前遗嘱的前有能力之人是否相同无关。然而,尽管人们可以同意她对以权利为基础的医学伦理的人类学假设的批评,但在实践中,当他们的亲人在痴呆症中表达了与他/她以前持有的价值观背道而驰的愿望和偏好时,身份的丧失往往正是家庭成员所经历的。在关于决策的章节中,Welie继续指出,生前遗嘱(和替代判断)侵犯了阿尔茨海默病患者的尊严。作为一种替代方案,他建议采取一种最佳利益的决策方法:生前遗嘱只有在与病人的新病情和当前需求相关的程度上才具有相关性;如果不是这样,最佳利益判断是可取的。许多伦理学家已经观察到,在与痴呆症相关的长期和逐渐衰退的背景下,预先指示的价值有限,这在本书中并不新鲜。然而,姑息治疗关注的是关系(即以病人和他的亲人为护理单位),读者本以为会有更深入的反思
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引用次数: 0
Book Review: Restorative Care Nursing for Older Adults: A Guide for All Care Settings 书评:老年人恢复性护理:所有护理设置指南
Pub Date : 2004-11-01 DOI: 10.1177/153331750401900603
M. Parker, R. E. Bergmark
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引用次数: 0
Changes and challenges 变化与挑战
Pub Date : 2004-11-01 DOI: 10.1177/153331750401900601
C. Rowland
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引用次数: 0
Book Review: Social Work and Health Care in an Aging Society: Education, Policy, Practice, and Research 书评:老龄化社会中的社会工作和卫生保健:教育、政策、实践和研究
Pub Date : 2004-09-01 DOI: 10.1177/153331750401900503
M. Parker
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引用次数: 0
Medication and nonmedication strategies 药物治疗和非药物治疗策略
Pub Date : 2004-09-01 DOI: 10.1177/153331750401900501
C. Rowland
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引用次数: 0
Book Review: Reflections on Caring for an Aging Parent 书评:关于照顾年迈父母的思考
Pub Date : 2004-07-01 DOI: 10.1177/153331750401900414
M. Parker
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引用次数: 0
Medications, genetics, and loss 药物,基因,和损失
Pub Date : 2004-07-01 DOI: 10.1177/153331750401900401
C. Rowland
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引用次数: 0
Book Review: Living with Grief: Alzheimer's Disease 书评:与悲伤一起生活:阿尔茨海默病
Pub Date : 2004-07-01 DOI: 10.1177/153331750401900415
D. Kuhn
This slender book is exactly what it advertises: a daughter’s guide to coping with the problems of caring for an aging parent. In this case, Lightbody uses unsent letters, journal entries, and highly personal reflections to talk about the long process of caring for her elderly mother with multiple disabilities. The book is intended to examine the impact of this kind of complex caregiving on the person, the family, and the community at large. This is an extremely personal book in which the author freely shares her complicated feelings of joy, anger, disappointment, apathy, sympathy, loss of hope, anger, and love during her caregiving career. The book is written in two parts. Part 1 is written in the form of a personal diary and deals with how Lightbody coped with the role reversal of becoming a “parent” to her own mother. Part 2, the central section, is a collection of unmailed letters to her mother that focus on such topics as her mother’s hearing problems, her blindness, her physical disabilities, her dementia, and her hallucinations. Each of these sections ends with a bulleted list describing ways of dealing with the various issues described. The letters also discuss ways of dealing with difficult people, address the specific financial and legal issues that arise, acknowledge the fact that there simply are no answers to some questions, and describe the many creative ways that Lightbody’s mother provoked guilt in her daughter. In the afterword, Lightbody points out that she wants her book to end on a hopeful, upbeat note. This is difficult, however, in that most of the letters and journal entries were written when the author was experiencing particularly tough spots in the relationship with her mother. A particularly useful feature of this book is the “Notes” section, listing the source of the quotes used throughout the book, and an “Index of Letter Topics,” which allows readers to zero in on a particular area of interest. Audrey Brown Lightbody is now retired in Claremont, California, from a lifetime of ecumenical and administrative ministries at both the local and national levels. Appropriate audiences for this book are clergy, nurses, and social workers seeking to work with elders and their families. Readers should be forewarned that this is not a research or fact-based book, but rather an intensely personal reflection on the frustrations of trying to care for someone in mental and physical decline. The book is well-written, but the content can make for difficult reading at times.
这本薄薄的书正如它所宣传的那样:一本女儿应对照顾年迈父母问题的指南。在这种情况下,Lightbody使用未发送的信件,日记条目和高度个人的反思来谈论照顾她患有多重残疾的年迈母亲的漫长过程。这本书旨在研究这种复杂的护理对个人,家庭和整个社区的影响。这是一本非常私人的书,作者在书中自由地分享了她在护理生涯中喜悦、愤怒、失望、冷漠、同情、失去希望、愤怒和爱的复杂感受。这本书分为两部分。第一部分是以个人日记的形式写的,讲述了Lightbody如何应对角色转换,成为自己母亲的“父母”。第二部分是中心部分,是她写给母亲的未邮寄信件的集合,这些信件集中在她母亲的听力问题、失明、身体残疾、痴呆和幻觉等主题上。每个部分都以一个项目符号列表结束,该列表描述了处理所描述的各种问题的方法。信中还讨论了与难相处的人打交道的方法,解决了出现的具体财务和法律问题,承认了一些问题根本没有答案的事实,并描述了莱特博迪的母亲激发女儿内疚感的许多创造性方法。在后记中,莱特博迪指出,她希望自己的书能以充满希望、乐观的基调结束。然而,这很困难,因为大多数信件和日记都是在作者与母亲关系特别困难的时候写的。这本书的一个特别有用的特点是“注释”部分,列出了整本书中使用的引用的来源,以及“信件主题索引”,它允许读者将注意力集中在感兴趣的特定领域。奥黛丽·布朗·莱特博迪(Audrey Brown Lightbody)在加州克莱蒙特(Claremont)退休,她一生都在地方和国家层面从事基督教和行政工作。适合这本书的读者是神职人员,护士和社会工作者寻求与老人和他们的家庭工作。读者应该事先注意,这不是一本研究或基于事实的书,而是对试图照顾一个身心衰退的人的挫败感的强烈个人反思。这本书写得很好,但内容有时会使人难以阅读。
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引用次数: 0
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American journal of Alzheimer's disease and other dementias
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