The application of advance directives and living will in persons with dementia

Detalhes bibliográficos
Autor(a) principal: Burlá,Cláudia
Data de Publicação: 2017
Outros Autores: Nunes,Rui Manuel Lopes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Geriatrics, Gerontology and Aging (Online)
Texto Completo: https://ggaging.com/details/446
Resumo: <p>The growth in world ageing is associated with an increase in life expectancy particularly in persons of more advanced ages, which expands the number of older persons with chronic-degenerative diseases, Alzheimer’s disease in particular. Such individuals require specialized treatment and care. They challenge medical practice because they present multidimensional health conditions, notably cognitive impairment, which irreversibly compromises their autonomy, one of the pillars of Bioethics. In this context, this study was conducted so that, in proceeding with the search of theories, we could reflect on the loss of autonomy of the person with dementia, considering Advance Directives as an instrument provinding protection and assurance that the person’s wishes will be complied with in the future. The methodology chosen was qualitative health research centered in a reflexive investigation, promoting a dialogue between biomedical facts and bioethical frameworks. For the review of literature, we examined to books and journals posted on PubMed and LILACS databases over the past 10 years. We have discussed the pertinence of Advance Directives as a successful construct of our civilization for prioritizing the autonomy of the individual and ensuring the full exercise of their rights as citizens. This instrument should be created by health older individuals prior to the development of cognitive impairment that may occur in keeping with demographic and epidemiological data. In the progressive course of dementia, even in its early stages, the recording of the person’s wishes about what they want or not for themselves in terms of treatment and care is not reliable. In the conclusion of our study, we propose that Geriatrics and Bioethics be connected, so that qualified practitioners could guide older people and their family in an in-depth reflection about health and disease, autonomy and impairment, so that they can make their wishes count in an uncertain future, when they may no longer be able to make this choice themselves.</p>
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spelling The application of advance directives and living will in persons with dementiaageing older people dementia Alzheimer’s Disease autonomy advance directives living will.<p>The growth in world ageing is associated with an increase in life expectancy particularly in persons of more advanced ages, which expands the number of older persons with chronic-degenerative diseases, Alzheimer’s disease in particular. Such individuals require specialized treatment and care. They challenge medical practice because they present multidimensional health conditions, notably cognitive impairment, which irreversibly compromises their autonomy, one of the pillars of Bioethics. In this context, this study was conducted so that, in proceeding with the search of theories, we could reflect on the loss of autonomy of the person with dementia, considering Advance Directives as an instrument provinding protection and assurance that the person’s wishes will be complied with in the future. The methodology chosen was qualitative health research centered in a reflexive investigation, promoting a dialogue between biomedical facts and bioethical frameworks. For the review of literature, we examined to books and journals posted on PubMed and LILACS databases over the past 10 years. We have discussed the pertinence of Advance Directives as a successful construct of our civilization for prioritizing the autonomy of the individual and ensuring the full exercise of their rights as citizens. This instrument should be created by health older individuals prior to the development of cognitive impairment that may occur in keeping with demographic and epidemiological data. In the progressive course of dementia, even in its early stages, the recording of the person’s wishes about what they want or not for themselves in terms of treatment and care is not reliable. In the conclusion of our study, we propose that Geriatrics and Bioethics be connected, so that qualified practitioners could guide older people and their family in an in-depth reflection about health and disease, autonomy and impairment, so that they can make their wishes count in an uncertain future, when they may no longer be able to make this choice themselves.</p>Sociedade Brasileira de Geriatria e Gerontologia2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttps://ggaging.com/details/446Geriatrics, Gerontology and Aging v.11 n.4 2017reponame:Geriatrics, Gerontology and Aging (Online)instname:Sociedade Brasileira de Geriatria e Gerontologiainstacron:SBGGinfo:eu-repo/semantics/openAccess Burlá,Cláudia Nunes,Rui Manuel Lopeseng2017-10-01T00:00:00Zoai:ggaging.com:446Revistahttp://sbgg.org.br/publicacoes-cientificas/revista-geriatria-gerontologia/ONGhttps://old.scielo.br/oai/scielo-oai.phpexecutiveditors@ggaging.com||nacional@sbgg.org.br2447-21232447-2115opendoar:2017-10-01T00:00Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologiafalse
dc.title.none.fl_str_mv The application of advance directives and living will in persons with dementia
title The application of advance directives and living will in persons with dementia
spellingShingle The application of advance directives and living will in persons with dementia
Burlá,Cláudia
ageing
older people
dementia
Alzheimer’s Disease
autonomy
advance directives
living will.
title_short The application of advance directives and living will in persons with dementia
title_full The application of advance directives and living will in persons with dementia
title_fullStr The application of advance directives and living will in persons with dementia
title_full_unstemmed The application of advance directives and living will in persons with dementia
title_sort The application of advance directives and living will in persons with dementia
author Burlá,Cláudia
author_facet Burlá,Cláudia
Nunes,Rui Manuel Lopes
author_role author
author2 Nunes,Rui Manuel Lopes
author2_role author
dc.contributor.author.fl_str_mv Burlá,Cláudia
Nunes,Rui Manuel Lopes
dc.subject.por.fl_str_mv ageing
older people
dementia
Alzheimer’s Disease
autonomy
advance directives
living will.
topic ageing
older people
dementia
Alzheimer’s Disease
autonomy
advance directives
living will.
description <p>The growth in world ageing is associated with an increase in life expectancy particularly in persons of more advanced ages, which expands the number of older persons with chronic-degenerative diseases, Alzheimer’s disease in particular. Such individuals require specialized treatment and care. They challenge medical practice because they present multidimensional health conditions, notably cognitive impairment, which irreversibly compromises their autonomy, one of the pillars of Bioethics. In this context, this study was conducted so that, in proceeding with the search of theories, we could reflect on the loss of autonomy of the person with dementia, considering Advance Directives as an instrument provinding protection and assurance that the person’s wishes will be complied with in the future. The methodology chosen was qualitative health research centered in a reflexive investigation, promoting a dialogue between biomedical facts and bioethical frameworks. For the review of literature, we examined to books and journals posted on PubMed and LILACS databases over the past 10 years. We have discussed the pertinence of Advance Directives as a successful construct of our civilization for prioritizing the autonomy of the individual and ensuring the full exercise of their rights as citizens. This instrument should be created by health older individuals prior to the development of cognitive impairment that may occur in keeping with demographic and epidemiological data. In the progressive course of dementia, even in its early stages, the recording of the person’s wishes about what they want or not for themselves in terms of treatment and care is not reliable. In the conclusion of our study, we propose that Geriatrics and Bioethics be connected, so that qualified practitioners could guide older people and their family in an in-depth reflection about health and disease, autonomy and impairment, so that they can make their wishes count in an uncertain future, when they may no longer be able to make this choice themselves.</p>
publishDate 2017
dc.date.none.fl_str_mv 2017-10-01
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dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Geriatria e Gerontologia
publisher.none.fl_str_mv Sociedade Brasileira de Geriatria e Gerontologia
dc.source.none.fl_str_mv Geriatrics, Gerontology and Aging v.11 n.4 2017
reponame:Geriatrics, Gerontology and Aging (Online)
instname:Sociedade Brasileira de Geriatria e Gerontologia
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