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

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First-ever international conference on prevention of dementia 首届预防痴呆症国际会议
Pub Date : 2005-05-01 DOI: 10.1177/153331750502000312
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引用次数: 0
The way forward 前进的道路
Pub Date : 2005-05-01 DOI: 10.1177/153331750502000301
C. Rowland
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引用次数: 0
Authors' response 作者的回应
Pub Date : 2005-05-01 DOI: 10.1177/153331750502000305
R. Rubey
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引用次数: 0
Mice and men 老鼠和人
Pub Date : 2005-03-01 DOI: 10.1177/153331750502000201
C. Rowland
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引用次数: 0
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
期刊
American journal of Alzheimer's disease and other dementias
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