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[Autonomy and dementia]
1Faculté de Science économiques, sociales et de gestion, FUNDP, Namur, Belgique. nathalie.rigaux@fundp.ac.be
Summary
Autonomy in dementia care can be preserved longer by focusing on relational support rather than solely on internal cognitive abilities. This approach emphasizes external conditions and social support systems.
Area of Science:
- Philosophy of Medicine
- Gerontology
- Bioethics
Context:
- Autonomy is a central value in healthcare, but its definition varies.
- Dementia significantly challenges traditional notions of autonomy.
- Existing medico-social literature offers differing perspectives on autonomy.
Purpose:
- To critically examine the concept of autonomy in the context of dementia care.
- To explore which definition of autonomy best supports its preservation throughout the dementia process.
- To analyze the philosophical and medico-social literature on autonomy.
Summary:
- Autonomy is conceptualized through two poles: canonical (internal competence) and relational (external conditions).
- The canonical view, focusing on rationality and memory, rapidly excludes individuals with dementia.
- The relational view considers social, institutional, and policy factors, enabling longer preservation of autonomy by viewing others as resources.
Impact:
- Shifts the focus from individual deficits to supportive environments for maintaining autonomy in dementia.
- Advocates for a more inclusive and sustainable approach to autonomy in care.
- Enhances the quality of life and agency for individuals with dementia by leveraging social support.
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