Dementia and Aging: Ethics, Values, and Policy Choices

Overview

Several million Americans are afflicted with Alzheimer's disease or a related dementing disorder. For families, professional caregivers, policy makers, and the patients themselves, the challenges are immense and the economic costs are staggering. In Dementia and Aging Robert H. Binstock, Stephen G. Post, and Peter J. Whitehouse bring together experts in gerontology, geriatrics, psychiatry, neurology, nursing, ethics, philosophy, public policy, and law to examine the ethical, ...

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Overview

Several million Americans are afflicted with Alzheimer's disease or a related dementing disorder. For families, professional caregivers, policy makers, and the patients themselves, the challenges are immense and the economic costs are staggering. In Dementia and Aging Robert H. Binstock, Stephen G. Post, and Peter J. Whitehouse bring together experts in gerontology, geriatrics, psychiatry, neurology, nursing, ethics, philosophy, public policy, and law to examine the ethical, moral, and policy controversies surrounding dementia.

The authors first present background information on dementia and related ethical and policy issues. The remainder of the book is divided into three parts. Part One conveys the difficulties experienced by dementia patients and their caregivers. Part Two deals with ethical and moral issues involved in decisions regarding treatment and care, including the highly controversial subject of euthanasia. Part Three lays out societal choices regarding the allocation of resources for treatment, care, and research on dementia.

Johns Hopkins University Press

Difficulties of patients & caregivers; ethical/moral aspects of treatment/care; resource allocation

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Editorial Reviews

Gerontologist

Dementia and Aging will become a standard introduction to what Lewis Thomas called 'the disease of the century'... Gerontologists will benefit from reading [this] collection [dealing] with a multifaceted problem from diverse perspectives.

Annals of Internal Medicine

The diversity of thought and opinions represented in this book is its major strength. the contributing authors are..acknowledged experts in their respective fields; the chapters are well written and edited. Each section provides insights into an important aspect of Alzheimer disease.. Opposing views on euthanasia and alternative proposals for health care reform are fairly presented. the reader is left with a better understanding of the complex and evolving nature of decision-making required in the care of patients with Alzheimer disease.

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Product Details

  • ISBN-13: 9780801845451
  • Publisher: Johns Hopkins University Press
  • Publication date: 9/28/1992
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 208
  • Product dimensions: 5.88 (w) x 8.99 (h) x 0.58 (d)

Table of Contents

Foreword
Preface
List of Contributors
1 The Challenges of Dementia 1
I Biomedical, Experiential, and Caregiving Perspectives
2 Dementia: The Medical Perspective 21
3 The Experience of Being Demented 30
4 Seeing and Knowing Dementia 44
5 Human Dignity, Dementia, and the Moral Basis of Caregiving 55
II Treatment Decisions, Advance Directives, and Euthanasia
6 Autonomy Revisited: The Limits of Anticipatory Choices 71
7 A Critical View of Ethical Dilemmas in Dementia 86
8 Mercy Killing of Elderly People with Dementia: A Counter-proposal 101
9 Euthanasia in Alzheimer's Disease? 118
III Caring for People With Dementia: Justice and Public Policy
10 Dementia and Appropriate Care: Allocating Scarce Resources 141
11 The Politics of Developing Appropriate Care for Dementia 153
12 Alzheimer's Disease: Current Policy Initiatives 171
Index 181
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