Ethical Issues in End of Life Treatments for Patients With Dementia
Causarano, R I
Defanti, C A
European journal of neurology : the official journal of the European Federation of Neurological Societies 2010 Jun 1; 17(6): 774-9
Dementia is a terminal disease, associated with great suffering and difficult decisions in the severe stage. The decision-making process is characterized by uncertainty because of lack of scientific evidence in treatments and by the need to reconcile conflicting points of view. In intercurrent diseases, aggressive interventions are used without consideration of its futility; in comparison with cancer, several consequences of physicians' attitude not to consider dementia as a terminal disease have been reported, especially concerning pain relief. Lack of evidence of artificial nutrition and hydration effectiveness makes advance care planning relevant.
Bioethics and Palliative Care in Neurology Study Group of Italian Society of Neurology
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Ethical Questions in the Treatment of Subjects With Dementia. Part I. Respecting Autonomy: Awareness, Competence and Behavioural Disorders Defanti, C.A.; Tiezzi, A.; Gasparini, M.; Gasperini, M.; Congedo, M.; Tiraboschi, P.; Tarquini, D.; Pucci, E.; Porteri, C.; Bonito, V.; Sacco, L.; Stefanini, S.; Borghi, L.; Colombi, L.; Marcello, N.; Zanetti, O.; Causarano, R.; Primavera, A. (2007-08)