Too Soon or Too Late: Rethinking the Significance of Six Months When Dementia Is a Primary Diagnosis.
Hastings Cent Rep
; 54 Suppl 1: S29-S32, 2024 Jan.
Article
en En
| MEDLINE
| ID: mdl-38382036
ABSTRACT
Cultural narratives shape how we think about the world, including how we decide when the end of life begins. Hospice care has become an integral part of the end-of-life care in the United States, but as it has grown, its policies and practices have also imposed cultural narratives, like those associated with the "six-month rule" that the majority of the end of life takes place in the final six months of life. This idea is embedded in policies for a range of care practices and reimbursement processes, even though six months is not always a meaningful marker. In the case of people living with advanced dementia, six months is both too early in the trajectory to facilitate conversations and too late in the trajectory to ensure decision-making capacity. This essay encourages scholars and policy-makers to consider how cultural narratives may limit what they think is possible in care for people living with dementia.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Cuidado Terminal
/
Demencia
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Hastings Cent Rep
Año:
2024
Tipo del documento:
Article