New Perspective Challenges Prevalent Dementia Care Views
A new perspective on dementia care has been put forth, challenging the prevalent views in philosophical literature. The author argues for a shift in moral consideration, focusing on preferences expressed by patients even after the onset of the condition.
The received view in philosophical literature gives decisive moral weight to preferences expressed in advance directives, typically made at the onset of dementia. However, the author contends that this view is inadequate for real clinical practice. Dementia is seen as a cognitive transformative experience, leading patients in the moderate-late stage to express preferences different from those at the beginning of their condition.
Clinical practice favors considering these later-expressed preferences. The author encourages reducing confidence in the moral weight of advance directives for dementia patients, advocating for the legitimacy and moral weight of preference changes resulting from dementia.
The author's argument calls for a reassessment of how we approach dementia care. It emphasizes the importance of considering the evolving preferences of patients, even as their condition progresses. This perspective could significantly impact medical decision-making processes involving dementia patients.
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