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  1. Dignity in people with dementia: A concept analysis.Yuchen Zhang, Jennifer H. Lingler, Catherine M. Bender & Jennifer B. Seaman - 2024 - Nursing Ethics 31 (7):1220-1232.
    Background: Dignity, an abstract and complex concept, is an essential part of humanity and an underlying guiding principle in healthcare. Previous literature indicates dignity is compromised in people with dementia (PwD), but those PwD maintain the capacity to live with dignity with appropriate external support. Alzheimer’s disease and related dementias (ADRDs) lead to progressive functional decline and increased vulnerability and dependence, leading to heightened risks of PwD receiving inappropriate or insufficient care that diminishes dignity. Considering the increased disease prevalence and (...)
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  • Personal dignity in people with early-stage dementia: A longitudinal study.Helena Kisvetrová, Milena Bretšnajdrová, Božena Jurašková & Kateřina Langová - 2024 - Nursing Ethics 31 (7):1258-1270.
    Background A psychosocial problem faced by people with early-stage dementia (PwESD) is the perception of threats to personal dignity. Insights into its dynamics are important for understanding how it changes as dementia advances and to develop suitable interventions. However, longitudinal studies on this change in PwESD are lacking. Aims To determine how perceptions of dignity and selected clinical and social factors change over 1 year in home-dwelling PwESD and the predictors associated with changes in perceptions of dignity over 1 year. (...)
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  • Rethinking the Precedent Autonomy, Current Minimal Autonomy, and Current Well-Being in Medical Decisions for Persons with Dementia.Yuanyuan Huang, Yali Cong & Zhifeng Wang - 2022 - Journal of Bioethical Inquiry 19 (1):163-175.
    As patient autonomy expands, a highly controversial issue has emerged. Should the advance directives of refusing life-saving treatments or requesting euthanasia of persons with dementia who express changed minds or are often in a happy state be fulfilled? There are two autonomy-related positions. The mainstream position in philosophical discussions supports the priority of ADs based on precedent autonomy. Buchanan and Brock, and Dworkin represent this view. The other position supports the priority of PWDs’ current wishes based on minimal autonomy represented (...)
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  • Dignity in relationships and existence in nursing homes’ cultures.Arne Rehnsfeldt, Åshild Slettebø, Vibeke Lohne, Berit Sæteren, Lillemor Lindwall, Anne Kari Tolo Heggestad, Maj-Britt Råholm, Bente Høy, Synnøve Caspari & Dagfinn Nåden - 2022 - Nursing Ethics 29 (7-8):1761-1772.
    Introduction: Expressions of dignity as a clinical phenomenon in nursing homes as expressed by caregivers were investigated. A coherence could be detected between the concepts and phenomena of existence and dignity in relationships and caring culture as a context. A caring culture is interpreted by caregivers as the meaning-making of what is accepted or not in the ward culture. Background: The rationale for the connection between existence and dignity in relationships and caring culture is that suffering is a part of (...)
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  • Is deception defensible in dementia care? A care ethics perspective.Yuanyuan Huang, Hui Liu & Yali Cong - 2022 - Nursing Ethics 29 (7-8):1589-1599.
    Deception is common in dementia care, although its moral legitimacy is questionable. This paper conceptually clarifies when does dementia care involve deception and argues that care ethics is an appropriate ethical framework to guide dementia care compared with the mainstream ethical theories that emphasize abilities. From a perspective of care ethics, this paper claims that morally defensible deception is context-specific, embodied as a caring process that needs to be identified through instant, creative and interactive care procedures. According to this argument, (...)
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  • Test of Dignity Model in patient with heart failure.Hossein Bagheri, Farideh Yaghmaei, Tahereh Ashktorab & Farid Zayeri - forthcoming - Nursing Ethics:096973301665879.
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  • An exploratory study of dignity in dementia care.Ya Chi Huang, Ruoh Lih Lei, Ruo Wan Lei & Faizal Ibrahim - 2020 - Nursing Ethics 27 (2):433-445.
    Background: Generally, a person with dementia may be unable to make decisions by themselves and professionals may decide what is best for them. Unfortunately, in most cases, professionals assist a person with dementia to make decisions without clear explanation or consent. Whether a person with dementia possesses dignity in routine care is an important issue. Research objectives: The purpose of this study was to explore the lived experience of the healthcare professionals in providing dignified dementia care in Taiwan. Research design: (...)
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  • The meaning of dignity for older adults: A meta-synthesis.Anne Clancy, Nina Simonsen, Johanne Lind, Anne Liveng & Aud Johannessen - 2021 - Nursing Ethics 28 (6):878-894.
    Dignified care is a central issue in the nursing care of older adults. Nurses are expected to treat older adults with dignity, and older adults wish to be treated in a dignified manner. Researchers have recommended investigating the concept of dignity based on specific contexts and population groups. This meta-synthesis study aims to explore the understandings of dignity from the perspective of older adults in the Nordic countries. Synthesising findings from qualitative studies on older adults’ experiences of dignity has provided (...)
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  • Trust-building interventions to home-dwelling persons with dementia who resist care.Åshild Gjellestad, Trine Oksholm, Herdis Alvsvåg & Frøydis Bruvik - 2023 - Nursing Ethics 30 (7-8):975-989.
    Background: Providing care for a home-dwelling person with dementia who resists care is an ethical and practical complex and challenging task. Faced with a growing number of persons with dementia, the healthcare professional’s understanding of how to best care for and prevent unnecessary use of coercion with persons with dementia is of key importance. Research aim: The aim of this study was to explore the use of trust-building interventions in home-dwelling persons with dementia resisting care, as described by health professionals (...)
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  • A Principle-Based Approach to Visual Identification Systems for Hospitalized People with Dementia.T. V. Brigden, C. Mitchell, K. Kuberska & A. Hall - 2024 - Journal of Bioethical Inquiry 21 (2):331-344.
    A large proportion of hospital inpatients are affected by cognitive impairment, posing challenges in the provision of their care in busy, fast-paced acute wards. Signs and symbols, known as visual identifiers, are employed in many U.K. hospitals with the intention of helping healthcare professionals identify and respond to the needs of these patients. Although widely considered useful, these tools are used inconsistently, have not been subject to full evaluation, and attract criticism for acting as a shorthand for a routinized response. (...)
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