Resumen

HUGHES, Julian C.. Ethical issues encountered in healthcare decision making involving people living with dementia and other progressive cognitive impairments. Med. ética [online]. 2020, vol.31, n.4, pp.925-954.  Epub 21-Ago-2023. ISSN 2594-2166.  https://doi.org/10.36105/mye.2020v31n4.05.

This paper discusses issues around decision making in dementia (and other progressive cognitive impairments). I shall, present five such issues, namely those around place of residence, forced care, covert medication (in connection with which I shall also mention truth telling), sexuality, food and drink, which includes some consideration of withholding and withdrawing treatment generally. Turning to think about how decision-making is dealt with in clinical practice, I shall subsequently discuss some conceptual topics: capacity (or competence), best interests, and supported decisionmaking. I shall finish with some comments about the importance of personhood in relation to the ethical issues that surround decision making in dementia.

Palabras llave : best interests; capacity; personhood; truth telling; supported decision making; medical ethics.

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