The moral challenge of alzheimer disease : ethical issues from diagnosis to dying

著者

    • Post, Stephen Garrard

書誌事項

The moral challenge of alzheimer disease : ethical issues from diagnosis to dying

Stephen G. Post

Johns Hopkins University Press, 2000

2nd ed

  • : pbk

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注記

Includes bibliographical references (p. 143-155) and index

内容説明・目次

巻冊次

ISBN 9780801864094

内容説明

Society today, writes Stephen Post, is "hypercognitive": it places inordinate emphasis on people's powers of rational thinking and memory. Thus, Alzheimer disease and other dementias, which over an extended period incrementally rob patients of exactly those functions, raise many dilemmas. How are we to view--and value--persons deprived of what some consider the most important human capacities? In the second edition of The Moral Challenge of Alzheimer Disease, Post updates his highly praised account of the major ethical issues relating to dementia care. With chapters organized to follow the progression from mild to severe and then terminal stages of dementia, Post discusses topics including the experience of dementia, family caregiving, genetic testing for Alzheimer disease, quality of life, and assisted suicide and euthanasia. New to this edition are sections dealing with end-of-life issues (especially artificial nutrition and hydration), the emerging cognitive-enhancing drugs, distributive justice, spirituality, and hospice, as well as a critique of rationalistic definitions of personhood. The last chapter is a new summary of practical solutions useful to family members and professionals. Praise for The Moral Challenge of Alzheimer Disease: "Health professionals who deal with dementia, as well as family members who care for relatives who become disabled, will find this book thoughtful, engaging, and provocative."--New England Journal of Medicine "The genuine concern and caring that permeates this well-researched, informative and moving book leads me to recommend it highly both to academic and general readers."-Heythrop Journal "This is a much needed and inspirational addition to the literature of Alzheimer's disease ...Ethics Committees will find it invaluable as will nursing home administrators, directors of nursing, and all who care for people no longer able to care for themselves."--Journal of Long-Term Care Administration "An intelligent and morally informed treatment of dementia in the aged."-- First Things "Full of nourishing food for thought ...The Moral Challenge of Alzheimer Disease presents the reader with a clear offering of concerns, ideas, and issues about the quality of life and quality of choice issues." --American Journal of Alzheimer's Disease "Stephen Post has produced an outstanding, potentially classic book. It is well written, clear, patiently argued, and broadly referenced. Readers can learn much about Alzheimer's disease from this book."--Health Affairs "With this second edition of The Moral Challenge of Alzheimer Disease, Post has enlarged upon his original work in a way to make it even more useful and current. The updated version now gives a highly readable strategy for dealing with end-of-life issues, such as artificial tube feeding and dydration. In his characteristically clear manner, Post equips us with the necessary facts and then cogently suggest how to proceed humanely and with absolute consideration of the person who should be at the center of concern."--Peter M. Jucovey, Perspectives in Biology and Medicine "In summary, then, Post proposes a new ethic in regard to terminal dementia care. The considerations proposed in this book offer a meaningful guide to both health care professionals and families in dealing with these special issues and advocate a natural death for these patients, freeing families from the sometimes enormous sense of guilt they encounter in making decisions about life extending interventions."--Baylor University Medical Center Proceedings "Post has provided a well-researched book with an outstanding bibliography that will be helpful to all caregivers as well as health care providers. The text provides information to guide readers before and during ethical and moral decision making and is very sensitive to the various emotions one endures when the diagnosis is AD."--Health Progress

目次

Preface Acknowledgments Chapter 1. The Moral Challenge of Alzheimer Disease: Defining the Task Chapter 2. The Family Caregiver: Partnership in Hope Chapter 3. Fairhill Guidelines on Ethics and the Care of People with Alzheimer Disease Chapter 4. Genetic Education for a Too-Hopeful Public Chapter 5. The Humane Goal: Enhancing the Well-Being of Persons with Dementia Chapter 6. Dying with Dignity: The Case Against Artificial Nutrition and Hydration Chapter 7. An Argument Against Assisted Suicide and Euthanasia in the Context of Progressive Dementia Chapter 8. Toward a New Ethics of Dementia Care References Index
巻冊次

: pbk ISBN 9780801864100

内容説明

Society today, writes Stephen Post, is "hypercognitive": it places inordinate emphasis on people's powers of rational thinking and memory. Thus, Alzheimer disease and other dementias, which over an extended period incrementally rob patients of exactly those functions, raise many dilemmas. How are we to view-and value-persons deprived of what some consider the most important human capacities? In the second edition of The Moral Challenge of Alzheimer Disease, Post updates his highly praised account of the major ethical issues relating to dementia care. With chapters organized to follow the progression from mild to severe and then terminal stages of dementia, Post discusses topics including the experience of dementia, family caregiving, genetic testing for Alzheimer disease, quality of life, and assisted suicide and euthanasia. New to this edition are sections dealing with end-of-life issues (especially artificial nutrition and hydration), the emerging cognitive-enhancing drugs, distributive justice, spirituality, and hospice, as well as a critique of rationalistic definitions of personhood. The last chapter is a new summary of practical solutions useful to family members and professionals.

目次

Preface Acknowledgments Chapter 1. The Moral Challenge of Alzheimer Disease: Defining the Task Chapter 2. The Family Caregiver: Partnership in Hope Chapter 3. Fairhill Guidelines on Ethics and the Care of People with Alzheimer Disease Chapter 4. Genetic Education for a Too-Hopeful Public Chapter 5. The Humane Goal: Enhancing the Well-Being of Persons with Dementia Chapter 6. Dying with Dignity: The Case Against Artificial Nutrition and Hydration Chapter 7. An Argument Against Assisted Suicide and Euthanasia in the Context of Progressive Dementia Chapter 8. Toward a New Ethics of Dementia Care References Index

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