A cross cultural review of the ethical issues in dementia care in Kerala, India and The Netherlands
dc.contributor.author | Sowmini, C. V. | en_US |
dc.contributor.author | De Vries, Raymond G. | en_US |
dc.date.accessioned | 2009-04-09T14:41:22Z | |
dc.date.available | 2010-06-02T14:34:28Z | en_US |
dc.date.issued | 2009-04 | en_US |
dc.identifier.citation | Sowmini, C. V.; De Vries, Raymond (2009). "A cross cultural review of the ethical issues in dementia care in Kerala, India and The Netherlands." International Journal of Geriatric Psychiatry 24(4): 329-334. <http://hdl.handle.net/2027.42/62040> | en_US |
dc.identifier.issn | 0885-6230 | en_US |
dc.identifier.issn | 1099-1166 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/62040 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18814200&dopt=citation | en_US |
dc.description.abstract | Background The paper explores the diverse ethical issues in the care of persons with dementia, in the Netherlands and Kerala, India. These cross-cultural data are used to suggest newer ways for addressing the ethical issues in a mutually enhancing manner. Methods A thorough review of the literature focusing on ethical aspects of the care for persons with dementia. Results The medical paradigm is dominant in the Netherlands and awareness of dementia as an organic brain disease is low in Kerala. Institutionalized care is more common in the Netherlands and home-based care is the norm in Kerala. Institutional care is costly, whereas home-based care is stressful for caregivers. The advanced directive plays an influential role in the Netherlands, but this mechanism is yet to evolve in Kerala. The legal and social setting of the Netherlands has a strong influence on physician decision-making concerning end of life issues. In Kerala, discussion of these matters is nearly unknown. Conclusion Limited awareness of dementia in Kerala should be addressed in public forums, which can then be used to garner governmental support. The predominantly institutional model of care-giving in the Netherlands and home-based care-giving in Kerala, each have their strengths; policy makers in both societies can usefully apply the values and merits inherent in both models. A culturally appropriate implementation of the advanced directive will have beneficial medical, social, and economic impacts in Kerala. The remarkable disparity between the Netherlands and Kerala in dealing with end-of-life issues will allow more philosophically and socially informed ways of addressing the ethical questions that arise in those situations. Copyright © 2008 John Wiley & Sons, Ltd. | en_US |
dc.format.extent | 73412 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | John Wiley & Sons, Ltd. | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Neuroscience, Neurology and Psychiatry | en_US |
dc.title | A cross cultural review of the ethical issues in dementia care in Kerala, India and The Netherlands | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Gay/Lesbian/Bisexual/Transgender Studies | en_US |
dc.subject.hlbsecondlevel | Geriatrics | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbsecondlevel | Judaic Studies | en_US |
dc.subject.hlbsecondlevel | Pharmacy and Pharmacology | en_US |
dc.subject.hlbsecondlevel | Psychiatry | en_US |
dc.subject.hlbsecondlevel | Social Work | en_US |
dc.subject.hlbsecondlevel | Women's and Gender Studies | en_US |
dc.subject.hlbtoplevel | Humanities | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Bioethics Program, University of Michigan, School of Medicine, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationother | Medical Research Officer, HRRC/ICMR, Department of Obstetrics and Gynaecology Medical College, Trivandrum, Kerala, India ; GRA 126, Gowreesapattom, Pattom Palace PO, Trivandrum, 695004, Kerala, India. | en_US |
dc.identifier.pmid | 18814200 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/62040/1/2127_ftp.pdf | |
dc.identifier.doi | 10.1002/gps.2127 | en_US |
dc.identifier.source | International Journal of Geriatric Psychiatry | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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