Table 3 The nine ethical issues the CARE intervention address
| Â | Target Groups | ||
|---|---|---|---|
People living with dementia living at home and family carers | Family and professional carers | Professional carers | |
Ethical issues | How to engage with a person who is unwilling to recognize that he or she has dementia | How to coordinate care responsibilities between family and professional carers | How to prioritize the needs among residents at nursing homes |
This may involve a conflict between respecting the self-determination of the person with dementia and promoting her best interest | This may involve a conflict between respecting the autonomy of the family carer and the autonomy of the professional carer | This may involve a conflict between promoting the best interest of the person with dementia and allocating resources justly | |
How to communicate with surroundings, e.g. friends and relatives, about having dementia if the person with dementia fears stigmatization | How to respect the privacy of people living with dementia when family and professional carers communicate | How to balance the need to sometimes use manipulation in the care of a person with dementia with respecting his or her dignity | |
This may involve a conflict between respecting the self-determination of the person with dementia and promoting her best interest | This may involve a conflict between respecting the self-determination of the person with dementia and promoting her best interest | This may involve a conflict between respecting the self-determination of the person with dementia and promoting her best interest | |
How to talk about future ethical issues, like future power of attorney, transition to nursing home etc., likely to come | How for family and professional carers to balance the needs of the person with dementia with the needs of other residents at the nursing home | How to respect the privacy of residents at nursing homes while at the same time providing optimal care | |
This may involve a conflict between the principles of not doing harm (non-maleficence) and promoting the best interest of the person with dementia | This may involve a conflict between promoting the best interest of the person with dementia and allocating resources justly | This may involve a conflict between respecting the self-determination of the person with dementia and promoting her best interest. | |