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This book is a result of the workers life-time of working, teaching, researching and thinking about ethical issues, in particular connection with dementia. The well-established and respected author will provide a comprehensive review of the ethical issues that arise in connection with dementia, looking at ethical theories and approaches in detail, relating these to the real-life experience of living with or caring for someone with dementia. It will draw upon both the relevant research literature and clinical experience, making use of numerous vignettes to bring together theory and practice. The book will be written in a style that should be accessible to the average intelligent lay reader, whilst also being of great use for post-graduate level students, researchers and practitioners alike. The ethical approaches recommended by the text will be firmly based in a framework of virtue theory, with an emphasis on narrative and the importance of relationships and good quality communication. The work will encourage the reader to reconsider the ethics in dementia care with the use of the innovative idea of patterns of practice developed by the author. introduced the notion of âpatterns of practiceâ as being relevant to ethical thinking. Hughes first discussed the idea of âpatterns of practiceâ in a paper at a conference organized by the Journal of Ethics in Mental Health in 2006 entitled âPatterns of practice: a useful notion in medical ethics?â; the paper was published in the journal in the same year. In Reconsidering Ethics in Dementia Care Hughes intends to use this idea as a unifying approach to ethical issues in dementia. The notion suggests that ethical decision-making is âsimplyâ a matter of patterns of practice, but that practice must be subjected to the demands of internal and external coherence. The thinking and ideas behind this practice will be explained fully and in a more digestible form. In short, Hughes seeks to provide a comprehensive account of thought and practice in relation to ethical issues that arise in the context of dementia care. Unlike many books on ethics, which simply present different approaches and theories, this book will also seek to show how ethical thinking can be put into practice and prove relevant to day-to-day experience. Julian C. Hughes was a consultant in old age psychiatry. Having trained in both philosophy and medicine, he was appointed professor of philosophy of ageing at Newcastle University and subsequently professor of old age psychiatry at the University of Bristol. He was deputy chair of the Nuffield Council on Bioethics.Â
From its long coastline, with cliffs and islands that bustle with breeding seabirds in the summer, to its open moorland that hold some of the most southerly Curlews and Black Grouse, Wales packs a lot of birds into a small area. It is significant for its populations of Chough, Hawfinch and Pied Flycatcher, and its Manx Shearwaters are of global importance. And it has played an important role in the study of migration, as Skokholm was the first bird observatory in Britain. It is almost 30 years since the first avifauna was published for all of Wales and much has changed. Knowledge of the status of many species has increased thanks to improved monitoring and a greater number of birdwatchers, and we have a better understanding of how humans have affected Wales' birds, particularly the twin challenges of land-use and climate change. The Birds of Wales synthesises the new information and sets it in context of each species' history in Wales. It tells the stories of all the birds that have been recorded here, whether common or rare, and looks forward, anticipating what may occur in the coming decades. It will have an essential place on the bookshelf of everyone with an interest in birds in Wales and should be on the desk or in the rucksack of everyone who influences what happens to the nation's land and seas. It is a once-in-a-generation state of Wales' birds.
Sportive care can be thought of as an extension of palliative care
so that the person with dementia receives good quality, holistic
care that makes no distinctions between the dichotomies of care and
cure from the time of diagnosis until, and beyond, death. It
recognizes the need for an inter-disciplinary approach for
continuity of care. Supportive care in dementia must, therefore, be
broad in its scope and application.
Dementia is an illness that raises important questions about our own attitudes to illness and aging. It also raises very important issues beyond the bounds of dementia to do with how we think of ourselves as people - fundamental questions about personal identity. Is the person with dementia the same person he or she was before? Is the individual with dementia a person at all? In a striking way, dementia seems to threaten the very existence of the self. This book brings together philosophers and practitioners to explore the conceptual issues that arise in connection with this increasingly common illness. Drawing on a variety of philosophers such as Descartes, Locke, Hume, Wittgenstein, the authors explore the nature of personal identity in dementia. They also show how the lives and selfhood of people with dementia can be enhanced by attention to their psychosocial and spiritual environment. Throughout, the book conveys a strong ethical message, arguing in favour of treating people with dementia with all the dignity they deserve as human beings. The book covers a range of topics, stretching from talk of basic biology to talk of a spiritual understanding of people with dementia. Accessibly written by leading figures in psychiatry and philosophy, the book presents a unique and long overdue examination of an illness that features in so many of our lives.
The innovative Newcastle Challenging Behaviour Model for dementia care has recently been updated, leading to new advances in the field. This revised second edition guide to assessment and treatment of behaviours that challenge associated with dementia includes these latest developments along with new sections on what have traditionally been considered controversial topics. The new chapters cover issues including: - End of life care - Use of therapeutic dolls - Lies and deception - Physical restraint during personal care - Racism towards care staff With a particular emphasis on non-pharmacological approaches, this book details the range of behaviours common in individuals with dementia, along with the most effective assessment and treatment techniques for health care professionals.
Dementia is an illness that raises important questions about our
own attitudes to illness and aging. It also raises very important
issues beyond the bounds of dementia to do with how we think of
ourselves as people--fundamental questions about personal identity.
Is the person with dementia the same person he or she was before?
Is the individual with dementia a person at all? In a striking way,
dementia seems to threaten the very existence of the self.
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