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Psychosocial and legal aspects of oncological treatment in patients with cognitive impairment

机译:认知障碍患者肿瘤治疗的社会心理和法律方面

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摘要

With society getting older and affected by many diseases, more and more people suffer from severe cognitive disorders. As practice shows, the legal situations of such people is often problematic. This is due to a number of factors, such as short time since the deterioration of patient's condition, initial symptoms ignored, social prejudice towards the idea of incapacitation or taking decisions for a patient, complicated procedures and, sometimes, insufficient knowledge of legal regulations. Cognitive disorders also occur in patients treated for cancer. To be effective, oncological treatment needs to be started as early as possible. This, however, does not meet the criteria of sudden threat to life. The present article relates to both the psychosocial and legal aspects of care of people suffering from intense disorders of memory, attention, problem solving, executive functions, and other. Surely, physicians know how to handle patients with the above dysfunctions. However, legal procedures aimed to protect patients’ rights are often unclear and time consuming. In practice, this often amounts to a dilemma whether to treat or follow the applicable law. Certainly, solutions in this regard should be clearer and better adapted to the needs arising from specific treatment needs of particular groups of patients.
机译:随着社会的老龄化和许多疾病的影响,越来越多的人患有严重的认知障碍。正如实践所示,这类人的法律状况通常是有问题的。这是由于许多因素造成的,例如患者病情恶化以来的时间很短,最初的症状被忽略,社会对患者无能为力或对患者做出决定的偏见,程序复杂以及有时对法律法规的了解不足。在接受癌症治疗的患者中也会发生认知障碍。为了有效,必须尽早开始肿瘤治疗。但是,这不符合对生命的突然威胁的标准。本文涉及到对患有严重记忆力,注意力,问题解决能力,执行功能等严重障碍的人们的护理的社会心理和法律方面。当然,医生知道如何处理上述功能障碍的患者。但是,旨在保护患者权利的法律程序通常不明确且耗时。在实践中,这通常导致在对待或遵守适用法律方面的困境。当然,在这方面的解决方案应该更清晰,更好地适应特定患者群体的特定治疗需求所产生的需求。

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