Next Article in Journal
Response to Pulmonary Rehabilitation in Older People with Physical Frailty, Sarcopenia and Chronic Lung Disease
Previous Article in Journal / Special Issue
Challenges of Dementia Care in China
Article Menu

Export Article

Open AccessFeature PaperReview
Geriatrics 2017, 2(1), 8; doi:10.3390/geriatrics2010008

Managing Ethical Dilemmas in End-Stage Neurodegenerative Diseases

1
Department of Geriatric Medicine and Clinical Ethics Committee, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828, Singapore
2
Department of Geriatric Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433, Singapore
*
Author to whom correspondence should be addressed.
Academic Editor: Daniel Kam Yin CHAN
Received: 14 November 2016 / Revised: 5 January 2017 / Accepted: 16 January 2017 / Published: 20 January 2017
(This article belongs to the Special Issue The Challenges of Caring of Neurodegenerative Diseases)
View Full-Text   |   Download PDF [186 KB, uploaded 20 January 2017]

Abstract

Neurodegenerative diseases are chronic, progressive and incurable illnesses that ultimately lead to death. The patient deteriorates inexorably towards the terminal phase of the disease when he becomes mentally and physically incapacitated. This article discusses the many ethical and moral dilemmas faced by the clinician and family members as they care for patients with neurodegenerative illnesses approaching the end of life. Topics discussed will include steps on how to assess mental capacity and decision-making capability, advance care planning, withholding and/or withdrawing treatment, food refusal, the do-not-resuscitate order and euthanasia. An approach to ethical decision-making incorporating Jonsen’s 4-topic approach will also be discussed briefly. View Full-Text
Keywords: dementia; Parkinson’s; bioethics; advanced; end-of-life; Advance Care Planning; capacity; autonomy dementia; Parkinson’s; bioethics; advanced; end-of-life; Advance Care Planning; capacity; autonomy
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Low, J.A.; Ho, E. Managing Ethical Dilemmas in End-Stage Neurodegenerative Diseases. Geriatrics 2017, 2, 8.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Geriatrics EISSN 2308-3417 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top