{"id":4800,"date":"2022-12-19T20:19:55","date_gmt":"2022-12-19T19:19:55","guid":{"rendered":"https:\/\/humanizacjamedycyny.webprev.net\/?p=4800"},"modified":"2022-12-19T20:19:56","modified_gmt":"2022-12-19T19:19:56","slug":"of-meatballs-autonomy-and-human-dignity-neuroethics-and-the-boundaries-of-decision-making-among-persons-with-dementia-2018","status":"publish","type":"post","link":"https:\/\/www.humanizacjamedycyny.pl\/en\/4800\/of-meatballs-autonomy-and-human-dignity-neuroethics-and-the-boundaries-of-decision-making-among-persons-with-dementia-2018\/","title":{"rendered":"Of Meatballs, Autonomy, and Human Dignity: Neuroethics and the Boundaries of Decision Making Among Persons with Dementia (2018)"},"content":{"rendered":"<p>Autonomy is considered a basic principle of the doctor-patient relationship: in general, people have the right to be treated according to their informed preferences and wishes. However, there are situations related to cognitive disorders in which it is no longer clear whether the patient is actually able to understand his or her prior preferences. In such cases, trying to respect the patient's autonomy can become highly problematic. An interesting real-life case of an Alzheimer's patient - reported in the literature - provides an opportunity to discuss the complex interplay of factors at stake in such cases: in different circumstances, some ethical considerations become more relevant and others are unclear. Respect for human dignity should always be a moot point, but with the caveat that this may apply to different things in different situations and at different stages. In particular, attention should be paid to the value and limits of respecting previous autonomy as a way of respecting human dignity. This shows that realising human dignity in the borderline areas of cognitive and decision-making capacity requires an increasingly sophisticated understanding of what happens in the patient's brain and how and when illness impairs the patient's capacity.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.researchgate.net\/profile\/Patrick-Mcdonald-\">https:\/\/www.researchgate.net\/profile\/Patrick-Mcdonald-<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.researchgate.net\/profile\/Patrick-Mcdonald-5\/publication\/334618329_It_Is_Time_to_Expand_the_Scope_and_Reach_of_Neuroethics\/links\/5d36544592851cd0467e2be8\/It-Is-Time-to-Expand-the-Scope-and-Reach-of-Neuroethics.pdf\">5\/publication\/334618329_It_Is_Time_to_Expand_the_Scope_and_Reach_of_Neuroethics\/lin<\/a> <a href=\"https:\/\/www.researchgate.net\/profile\/Patrick-Mcdonald-5\/publication\/334618329_It_Is_Time_to_Expand_the_Scope_and_Reach_of_Neuroethics\/links\/5d36544592851cd0467e2be8\/It-Is-Time-to-Expand-the-Scope-and-Reach-of-Neuroethics.pdf\">ks\/5d36544592851cd0467e2be8\/It-Is-Time-to-Expand-the-Scope-and-Reach-of-<\/a><a href=\"https:\/\/www.researchgate.net\/profile\/Patrick-Mcdonald-5\/publication\/334618329_It_Is_Time_to_Expand_the_Scope_and_Reach_of_Neuroethics\/links\/5d36544592851cd0467e2be8\/It-Is-Time-to-Expand-the-Scope-and-Reach-of-Neuroethics.pdf\">Neuroethics.pdf<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Autonomia jest uwa\u017cana za podstawow\u0105 zasad\u0119 relacji lekarz &#8211; pacjent: og\u00f3lnie m\u00f3wi\u0105c, ludzie maj\u0105 prawo do leczenia zgodnie z ich \u015bwiadomymi preferencjami i \u017cyczeniami. S\u0105 jednak sytuacje zwi\u0105zane z zaburzeniami poznawczymi, w kt\u00f3rych nie jest ju\u017c jasne, czy pacjent rzeczywi\u015bcie jest w stanie zrozumie\u0107 swoje wcze\u015bniejsze preferencje. W takich przypadkach pr\u00f3ba poszanowania autonomii pacjenta mo\u017ce [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[34],"tags":[],"class_list":["post-4800","post","type-post","status-publish","format-standard","hentry","category-publikacje-zagraniczne"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Of Meatballs, Autonomy, and Human Dignity: Neuroethics and the Boundaries of Decision Making Among Persons with Dementia (2018) - Humanizacja medycyny<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanizacjamedycyny.pl\/en\/4800\/of-meatballs-autonomy-and-human-dignity-neuroethics-and-the-boundaries-of-decision-making-among-persons-with-dementia-2018\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Of Meatballs, Autonomy, and Human Dignity: Neuroethics and the Boundaries of Decision Making Among Persons with Dementia (2018) - Humanizacja medycyny\" \/>\n<meta property=\"og:description\" content=\"Autonomia jest uwa\u017cana za podstawow\u0105 zasad\u0119 relacji lekarz &#8211; pacjent: og\u00f3lnie m\u00f3wi\u0105c, ludzie maj\u0105 prawo do leczenia zgodnie z ich \u015bwiadomymi preferencjami i \u017cyczeniami. S\u0105 jednak sytuacje zwi\u0105zane z zaburzeniami poznawczymi, w kt\u00f3rych nie jest ju\u017c jasne, czy pacjent rzeczywi\u015bcie jest w stanie zrozumie\u0107 swoje wcze\u015bniejsze preferencje. 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