相关实验视频
Updated: Jan 20, 2026

09:17
Using Retinal Imaging to Study Dementia
Published on: November 6, 2017
22.2K
概括
痴呆前自我提前指示通常应该指导护理对矛盾的痴呆后愿望,特别是当自我反思能力丧失时. 这维护了痴呆症护理的优先价值观.
科学领域:
- 生物伦理学生物伦理学
- 思想的哲学 思想的哲学
- 神经伦理学是一种神经伦理学.
背景情况:
- 提前指示对于患者的自主性至关重要.
- 由于偏好不断变化,痴呆症给尊重患者自主权带来了挑战.
- 讨论了优先考虑过去与现在的愿望在减弱能力的哲学基础.
研究的目的:
- 探索当痴呆症患者表达相互矛盾的愿望时,预先指示的权威.
- 应用哈里·法兰克福的二次意志理论来解决痴呆前和痴呆后自我之间的冲突.
- 建立一个框架,在对痴呆症患者的终身护理决策中优先考虑患者的偏好.
主要方法:
- 哲学分析使用哈利·法兰克福的第二阶段意志的概念.
- 论证性推理来权衡"当时的自我"与"现在的自我"的偏好.
- 案例分析侧重于痴呆症影响意志判断能力的情景.
主要成果:
- 痴呆前自我的偏好 ("当时的自我") 通常应该优先于痴呆后自我 ("现在的自我").
- 当"现在的自我"缺乏第二阶级意志的能力时,这种优先级特别重要.
- 能够有意义地否定先前的价值观是评估当前偏好权力的关键因素.
结论:
- 坚持从痴呆前的预先指示自尊持久的价值观和承诺.
- 这种方法提供了一种原则性的方法来管理痴呆症护理中的相互矛盾的愿望.
- 对二次选择的能力是确定当前偏好在预先护理规划中的权威的关键.
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