What Makes a Better Life for People Facing Dementia? Toward Dementia-Friendly Health and Social Policy, Medical Care, and Community Support in the United States

IF 2.3 3区 哲学 Q1 ETHICS
Barak Gaster, Emily A. Largent
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引用次数: 0

Abstract

Taking steps to build a more dementia-friendly society is essential for addressing the needs of people experiencing dementia. Initiatives that improve the quality of life for those living with dementia are needed to lessen controllable factors that can negatively influence how people envision a future trajectory of dementia for themselves. Programs that provide better funding and better coordination for care support would lessen caregiver burden and make it more possible to imagine more people being able to live what they might consider a “good life” with dementia. Specific proposals, such as payment for dementia care managers and new systems to support high-quality, symptom-based palliative care beyond the hospice benefit of only six months, would improve and reframe how many people in the United States experience a dementia illness. Such changes should be incorporated into discussions about improving and respecting preferences in the later stages of dementia.

怎样才能让痴呆症患者过上更好的生活?在美国实现对痴呆症友好的健康和社会政策、医疗保健和社区支持
采取措施建设一个对痴呆症患者更友好的社会,对于满足痴呆症患者的需求至关重要。需要采取提高痴呆症患者生活质量的措施,以减少可能对人们如何设想自己未来的痴呆症轨迹产生负面影响的可控因素。为护理支持提供更多资金和更好协调的计划将减轻护理者的负担,并使人们更有可能想象更多的痴呆症患者能够过上他们认为的 "美好生活"。一些具体的建议,例如为痴呆症护理经理支付费用,以及建立新的系统来支持高质量的、基于症状的姑息治疗,而不是仅有六个月的临终关怀福利,这些都将改善和重塑美国许多人的痴呆症生活。在讨论如何改善和尊重痴呆症晚期患者的偏好时,应考虑到这些变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hastings Center Report
Hastings Center Report 医学-卫生保健
CiteScore
3.50
自引率
3.00%
发文量
99
审稿时长
6-12 weeks
期刊介绍: The Hastings Center Report explores ethical, legal, and social issues in medicine, health care, public health, and the life sciences. Six issues per year offer articles, essays, case studies of bioethical problems, columns on law and policy, caregivers’ stories, peer-reviewed scholarly articles, and book reviews. Authors come from an assortment of professions and academic disciplines and express a range of perspectives and political opinions. The Report’s readership includes physicians, nurses, scholars, administrators, social workers, health lawyers, and others.
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