New Perspective Challenges Traditional Dementia Care: Prioritize Post-Onset Preferences
A new perspective challenges the traditional approach to medical decision-making for dementia patients. The received view in philosophical literature prioritizes initial preferences stated in advance directives. However, a recent article argues that this approach is inadequate and out of touch with clinical practice. It suggests that the expressed preferences of dementia patients after disease onset should be given moral weight.
The author contends that dementia patients in the moderate-late stage may express different preferences than at the onset of their condition. This is supported by experts in geriatrics and clinical geriatrics, including chief geriatricians and multi-professional geriatric teams. These professionals emphasize the moral significance of considering post-onset preferences in medical decision-making.
The author argues that having dementia is a cognitive transformative experience, leading to legitimate preference changes. Therefore, the received view, which prioritizes initial preferences, is deemed inadequate. Instead, the author proposes that these preference changes should be given moral weight in medical decision-making. This perspective aligns with clinical practice, which favors considering post-onset preferences of dementia patients.
The article challenges the current philosophical view on advance directives for dementia patients. It argues for the moral significance of considering post-onset preferences, supported by experts in geriatrics and clinical geriatrics. This perspective aligns with clinical practice and recognizes the transformative nature of dementia on a patient's preferences.
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