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Demencia, directivas anticipadas y voliciones de segundo orden

¹York University, Toronto, Ontario, Canada.

|January 19, 2026

Resumen

Las directivas anticipadas de un yo pre-demencia generalmente deben guiar la atención sobre los deseos conflictivos posteriores a la demencia, especialmente cuando se pierde la capacidad de autorreflexión. Esto defiende los valores previos en la atención de la demencia.

Sus antecedentes:

Las directivas anticipadas son cruciales para la autonomía del paciente.
La demencia plantea desafíos para respetar la autonomía del paciente debido a la evolución de las preferencias.
Se debate la base filosófica para priorizar los deseos pasados frente a los presentes en caso de capacidad disminuida.

Conclusiones:

Mantener las directivas anticipadas del yo pre-demencia respeta los valores y compromisos duraderos.
Este enfoque ofrece una forma principista de manejar los deseos contradictorios en la atención de la demencia.
La capacidad de voliciones de segundo orden es central para determinar la autoridad de las preferencias actuales en la planificación anticipada de la atención.

Palabras clave:

Enfermedad de Alzheimer directivas anticipadas demencia yo actual voliciones de segundo orden yo anterior

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