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Geriatrics 2017, 2(1), 8;

Managing Ethical Dilemmas in End-Stage Neurodegenerative Diseases

Department of Geriatric Medicine and Clinical Ethics Committee, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828, Singapore
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)
Full-Text   |   PDF [186 KB, uploaded 20 January 2017]


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).

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

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