Dementia and Aging: Ethics, Values, and Policy Choices

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Robert H. Binstock, Stephen G. Post, Peter J. Whitehouse
JHU Press, 1992 - 184 pages

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.

 

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Contents

The Challenges of Dementia
1
BIOMEDICAL EXPERIENTIAL AND CAREGIVING
10
The Medical Perspective
21
The Experience of Being Demented
30
Seeing and Knowing Dementia
44
Human Dignity Dementia and the Moral Basis of Caregiving
55
The Limits of Anticipatory Choices
71
A Counter
101
Euthanasia in Alzheimers Disease?
118
Allocating Scarce Resources
141
The Politics of Developing Appropriate Care for Dementia
153
Current Policy Initiatives
171
Index
181
Copyright

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About the author (1992)

Stephen G. Post is professor at the Center for Biomedical Ethics, School of Medicine, Case Western Reserve University.

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