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... concerning the provision of resources for the care of the elderly More specifically we are beginning to see a significant increase in the numbers with dementia requiring particularly intense levels of care How will we meet this challenge Is the care of the elderly primarily the responsibility of the state or...
... and we have recently seen The Commission for the Acceptability of Life Terminating Actions endorsing euthanasia for handicapped children head injury patients and those with dementia in the Netherlands 12 An obsession with cost-benefit analyses was a third feature of Nazi medical deliberation School children were given mathematics problems balancing the...
... KNMG and the Dutch Commission for the acceptability of life terminating Action have recommended that the active termination of the lives of patients suffering from dementia is morally acceptable under certain conditions Two earlier reports of the commission affirmed the acceptability of similar action for severely handicapped neonates and comatose patients...
... and research The management of congenital heart disease has improved greatly in part through having archived sets of heart-lungs for surgical review Our knowledge of dementia depends on having well catalogued brains for Alzheimer s not just the hopefully rare vCJD The parents of the children whose organs were kept reinforce...
... in cancer patients it is usually evident when someone is entering the last few days it is often more difficult to discern in patients with dementia and other non-malignant conditions If there is any doubt about whether a patient is imminently dying and these decisions should ideally be arrived at within...
... is spiritual What then is psychiatry Psychiatry is quite simply the diagnosis and management of mental disorder This covers a vast array of conditions from dementia and delirium to depression Because of the emphasis on physical medicine in medical training diagnoses like depression may sound rather vague and unscientific However with...
... accompanied by reasonable health albeit often with a chronic condition or two it is usually welcome But sometimes the later years herald a diagnosis like dementia where there is a heavy burden of care for years Worries about care costs are shared by families and governments alike perhaps more than cost...
... therapists carers and playmates But this will raise complex and troubling issues Is it appropriate to provide a simulated companion for an elderly person with dementia or a child with autistic spectrum disorder Behind these developments lies a conceptual and emotional blurring between the human person and the intelligent machine It...
... precedent How can we be sure that we have the diagnosis and prognosis right What if the patient s judgment is impaired by confusion depression dementia or a false sense of worthlessness His request may be because of symptoms which may well be reversible How do we know that the one...
... when they lack it and so would not be appropriately protected from the consequences of misguided actions Example 1 Sheila is an 86-year-old woman with dementia who is admitted to hospital after suffering a fall at home Because of her frailty and poor eyesight she is deemed to be at high...
