open access

Vol 19, No 3 (2014)
Published online: 2014-05-01
Submitted: 2013-04-17
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Psychosocial and legal aspects of oncological treatment in patients with cognitive impairment

Maria Kuśnierkiewicz, Justyna Kędziora, Joanna Jaroszyk-Pawlukiewicz, Monika Nowak-Jaroszyk
DOI: 10.1016/j.rpor.2013.09.012
·
Rep Pract Oncol Radiother 2014;19(3):157-164.

open access

Vol 19, No 3 (2014)
Published online: 2014-05-01
Submitted: 2013-04-17

Abstract

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.

Abstract

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.

Get Citation

Keywords

Cognitive impairment; Oncological diseases; Informed consent for treatment; Legal regulations

About this article
Title

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

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 19, No 3 (2014)

Pages

157-164

Published online

2014-05-01

DOI

10.1016/j.rpor.2013.09.012

Bibliographic record

Rep Pract Oncol Radiother 2014;19(3):157-164.

Keywords

Cognitive impairment
Oncological diseases
Informed consent for treatment
Legal regulations

Authors

Maria Kuśnierkiewicz
Justyna Kędziora
Joanna Jaroszyk-Pawlukiewicz
Monika Nowak-Jaroszyk

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