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Hastings Center Report

Volumn 24, Issue 4, 1994, Pages 6-12

The Incompetent Patient on the Slippery Slope

(2) Dresser, Rebecca a Whitehouse, Peter J a

a NONE

Author keywords

[No Author keywords available]

Indexed keywords

SUFFERING;

AGED; ARTICLE; BENEFICENCE; COMPETENCE; DEATH AND EUTHANASIA; DECISION MAKING; DEMENTIA; EVALUATION; FAMILY MEMBERS; HUMAN; HUMAN RIGHTS; LONG TERM CARE; MEDICAL ETHICS; MENTAL CAPACITY; MENTAL FUNCTION; MENTAL HEALTH THERAPIES; MORAL POLICY; PROFESSIONAL PATIENT RELATIONSHIP; PSYCHOLOGICAL ASPECT; QUALITY OF LIFE; RISKS AND BENEFITS; SOCIAL INTERACTION; SOCIOECONOMICS; STANDARD; STANDARDS; VALUES;

COMPETENCE; DEATH AND EUTHANASIA; EVALUATION; FAMILY MEMBERS; MENTAL HEALTH THERAPIES; MORAL POLICY; PROFESSIONAL PATIENT RELATIONSHIP; RISKS AND BENEFITS; SOCIAL INTERACTION; STANDARDS; SUFFERING; VALUES;

AGED; AGED, 80 AND OVER; BENEFICENCE; DECISION MAKING; DEMENTIA; ETHICS, MEDICAL; HUMAN; LIFE SUPPORT CARE; MENTAL COMPETENCY; MENTAL PROCESSES; PATIENT ADVOCACY; QUALITY OF LIFE; VALUE OF LIFE;

EID: 0028474095 PISSN: 00930334 EISSN: 1552146X Source Type: Journal
DOI: 10.2307/3562836 Document Type: Article

Times cited : (61)

References (37)

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- See also Mildred Solomon et al., “Decisions Near the End of Life: Professional Views on Life‐Sustaining Treatment,” American Journal of Public Health 83, no. 1 (1993): 14–23, reporting on a survey in which a substantial number of health professionals expressed concern about giving patients inappropriate, overly burdensome care
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3
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- These phrases are used in Alexander M. Capron, “Where Is the Sure Interpreter?
- and Patricia A. King, “The Authority of Families to Make Medical Decisions for Incompetent Patients after the Cruzan Decision,” Law, Medicine & Health Care 19, nos. 1–2 (1991): 76–79
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4
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5
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15
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16
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17
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18
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19
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- “The Experience of Being Demented,” in Dementia and Aging
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20
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21
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- Some examples include Jacques, Understanding Dementia, ; Steven R. Sabat and Rom Harré, “The Construction and Deconstruction of Self in Alzheimer's Disease,” Ageing and Society 12 (1992): 443–61; James Buchanan, Patient Encounters (Charlottesville: University of Virginia Press, 1989), pp, 35, 50

22
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- I've Lost a Kingdom: A Victim's Remarks on Alzheimer's Disease
- Foley, “The Experience of Being Demented,” pp. 33–36. Two insightful and haunting accounts by patients are Diana Friel McGowin, Living in the Labyrinth (New York: Delacourt Press, 1993); and Robert Davis, My Journey into Alzheimer's Disease (Wheaton, Ill.: Tyndale House, 1989)
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23
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- (Boston:, David R. Godine). For another account of dementia from the patient's point of view, see Evalynn Morgan Quisenberry, “What Are We Going to Do about Mother?” JAMA 263 (1990): 232.
- (1989) Out of Mind
- Bernlef, J.¹

24
- 84977718580
- “Nurses Taste What it's Like When You're Elderly and in the Hospital,” New York Times,. Owen Flanagan offers creative approaches to the task of understanding what it is like to be another subject of experience in Consciousness Reconsidered (Cambridge: MIT Press, 1992), pp.
- (1992) , pp. 103-107
- Malcolm¹

25
- 0022634807
- New Guidelines on Foregoing Life‐Sustaining Treatment in Incompetent Patients: An Anti‐Cruelty Policy
- See also Steinbock, Life before Birth, pp. 23–24, arguing that pain is “objectively bad.”
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- Susan¹ David²

26
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- Bernard¹ Laurie²

27
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- Joanne¹ Childress²

28
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- In a recent survey of patients in a community based teaching hospital, Timothy Quill found that restraints were used in 63 percent of chronically ill, elderly incomptent patients with nasogastric feeding tubes. Timothy Quill, “Utilization of Nasogastric Feeding Tubes in a Group of Chronically Ill, Elderly Patients in a Community Hospital
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29
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- “The Nursing Home Resident with Dementia,” p.
- Rango¹

30
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- “Treatment Decisions in the Mentally Impaired,” p.
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31
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- “The Nursing Home Resident with Dementia,” p.
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32
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- The Severely Demented, Minimally Functional Patient,” p. 941; Dan W. Brock, “Justice and the Severely Demented Elderly
- (1988) Journal of Medicine and Philosophy , vol.13 , Issue.1 , pp. 73-99
- Arras¹

33
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- “Litigating Life and Death,” p.
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34
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- Mercy Killing: Mercy for Whom?
- Diane E. Meier and Christine Cassel, “Nursing Home Placement and the Demented Patient,” Annals of Internal Medicine 104 (1986): 98–105. For an example of a dementia patient whose mental deterioration left her “carefree, always cheerful,” see Andrew Firlik, “Margo's Logo,” JAMA 265 (1991): 201
- (1991) JAMA , vol.265 , pp. 326
- Goodwin¹

35
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- “The Experience of Being Demented,” pp.
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36
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37
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- Life, Death, and Incompetent Patients: Conceptual Infirmities and Hidden Values in the Law
- at 397–99
- (1986) Arizona Law Review , vol.28 , Issue.3 , pp. 373-405
- Rebecca¹

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