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Cognitive fluctuations as a challenge for the assessment of decision-making capacity in patients with dementia


Trachsel, Manuel; Hermann, Helena; Biller-Andorno, Nikola (2015). Cognitive fluctuations as a challenge for the assessment of decision-making capacity in patients with dementia. American Journal of Alzheimer's Disease and Other Dementias, 30(4):360-363.

Abstract

Decision-making capacity (DMC) is an indispensable prerequisite for medical treatment choices, including consent to treatment, treatment discontinuation, and refusal of treatment. In patients with dementia, DMC is often affected. A particular challenge in assessing DMC are cognitive fluctuations that may lead to a fluctuation in DMC as well. Cognitive fluctuations are a diagnostic core feature of dementia with Lewy bodies and occur in Parkinson's and Alzheimer's diseases. In this article, these challenges are discussed and suggestions for assessing the DMC of patients with dementia with cognitive fluctuations are presented.

Abstract

Decision-making capacity (DMC) is an indispensable prerequisite for medical treatment choices, including consent to treatment, treatment discontinuation, and refusal of treatment. In patients with dementia, DMC is often affected. A particular challenge in assessing DMC are cognitive fluctuations that may lead to a fluctuation in DMC as well. Cognitive fluctuations are a diagnostic core feature of dementia with Lewy bodies and occur in Parkinson's and Alzheimer's diseases. In this article, these challenges are discussed and suggestions for assessing the DMC of patients with dementia with cognitive fluctuations are presented.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Biomedical Ethics and History of Medicine
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Alzheimer’s disease; Parkinson’s disease; autonomy; cognitive fluctuations; decision-making capacity; dementia with Lewy bodies
Language:English
Date:2015
Deposited On:05 Dec 2014 11:20
Last Modified:01 Sep 2017 16:17
Publisher:Sage Publications Ltd.
ISSN:1533-3175
Publisher DOI:https://doi.org/10.1177/1533317514539377
PubMed ID:24946784

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