The State of Dementia
The state of dementia is an outcome of various diseases that a human body faces. Alzheimer’s can be contributed as the main supplier of the disease. Dementia for the patient of an Alzheimer can be the severest in nature. It has the power to create complete inertness in the faculty of decision making. This is the state where a person becomes completely dependent on a caretaker for even day-to-day tasks (Dowling, 2009).
In general when we read infographics and other promotional materials connected to dementia then mostly they refer to this type of dementia. This is irreversible dementia in most of the cases.
However, dementia also have another side attached to it, sometimes the state of dementia can make a presence because of an aftermath of vitamin deficiency or thyroid problems (Ferri, 2013). Medical science is familiar with many such dementias that are reversible in nature. The second type of dementia leaves a huge impact on the psychological, financial, social and career life of a person. In the present case study, we are picking up the case of these reversible patients and checking out the guidelines of the ethical treatment that these patients deserve from the social circles and employers (Scharre, 2016).
Can we increase the diameter of bioethics and bring them to the workplace culture?
In the last 25 years, a lot of work has been done in the direction of developing bio-ethics connected to the rehabilitation of the people in the mainstream society after a psychological disease like dementia, the presence of suicidal tendencies and depression etc. The time has come when we need to increase the sphere of these bio-ethics to the working culture and instruct employers to come up with some policies where they can support the rehabilitation of the patients suffering from reversible dementia (Jinglong, 2016).
The case of James Choubey
James Choubey is working with a multinational bank. He was diagnosed with dementia known as hidden dementia caused by the vitamin deficiency. The impacts of this dementia were severe in his decision making. After a therapy based on the lines of nurturing ups the weak system, he finally started gaining back to normalcy. The same therapy also demands a cognitive rehabilitation at the new or the old environment.
This is the area where social circles and immediate work groups can act as therapy curator by sharing some additional responsibilities of this person. James is lucky, he is working in a small group, his colleagues and friends supported him well on a day to day basis. His success story of rehabilitation helped us in confirming some principles connected to the bio-ethics, workplace ethics and cognitive rehabilitation of an individual (Harding, 2017).
Clare, L. (2017). Rehabilitation for people living with dementia: A practical framework of positive support. PLOS,In the current article, she first listed down all the nonphonological interventions that can support a person like James in his workplace. She defined the roles of the co-workers in understanding the psychology of these persons. She came up with terms like ” Rehabilitation focused services” the addition of word services also added a social service touch to this therapy(Clare, 2017).
She also advocated some rehabilitation models connected to the process of rehabilitation.
She also moved one step ahead of the current legislation when she tossed up this new term that says ” Right to rehabilitate.” This right to rehabilitate mechanism makes it a complete document for us where all the necessary aspects of the problem are touched upon well ( Clare, 2017).
- The right to rehabilitate a patient suffering from hidden cognitive dementia gives us an idea that employers should chalk down a different working regime for such subjects.
- Supervisors should come up with a new task breakdown list where such subjects should be given assistance on each state of the cure.
- Supervisors should prepare a progress report of such subjects and share it with the medical authorities and the authorities taking care of the bioethics. In return, the authorities should check and balance the acts of the supervisor in a tolerant fashion because hidden cognitive dementia is a rarest of the rare condition (Dawn Forman, 2017)
Advantages
- Optimizations of the certain functions for such patients can also be an answer. A checklist can be prepared.
- The attitude of help and service should be inducted into the colleagues for offering a support in the execution of the rehabilitation model (Brijnath, 2014)
Disadvantages of this ethical framework
- The dependence on non-phonological solutions can disrupt the process of cure quite considerably. The colleagues are playing a different role in this particular case, it is not something that they do on a regular basis. It can become a burden to them (Gill Bailey, 2013)
- Another thought process also says that a standardized rehabilitation plan should be developed and it should be added in the main course of the treatment. In the case of James, it met with success but not every place can be this attentive and pro-active.
- The employees working in difficult responsibility matrixes can treat it as a burden and it can reflect on their working behaviors.
- The impact of one of the ethical model worked in the present case
- In the case of James, the task of responsibility sharing and assistance worked big time because his colleagues treated him as a new employee or a new kid on the blocks. We can compare this process of the rehabilitation with the recruitment of a new employee (McNamara, 2012).
- We chose an employee based on his suitability for the task, we assume that his educational and working profile will help him in procuring the tasks. We assume that his educational and working profile makes him the “suitable best choice” for the job. In the case of James, dementia was working on two diverse spheres. First, it was slowing down the cognitive responses. Second, it was playing badly with his decision-making capabilities. However, his education and experience were in place. New employees often feel such problems and seniors help them out. While applying the model of the rehabilitation the colleague of James followed the same principle and meet with success.
- Implementation for the Practice
- If we try to put it in the form of a thesis then we can say that “in the case of hidden cognitive dementia, treatment of the subject as a new employee in the same organization can be termed as an evidence-based practice for the future treatments of such subjects.
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Conclusion
- A practical implementation of the bioethics can change the life of the patients that are suffering from dementia. The current example gives us two morals. First, an awareness campaign can be launched where reversible dementia should be presented as any other disease. The second scenario says that dementia patients can be treated successfully with the help of external measures and innovative interventions quite effectively.
- Brijnath, B. (2014). Unforgotten: Love and the Culture of Dementia Care in India. New York City: Berghahn Books.
- Clare, L. (2017). Rehabilitation for people living with dementia: A practical framework of positive support. PLOS,
- Dawn Forman, D. P. (2017). Care for a person with Dementia. Cambridge: Cambridge University Press.
- Dowling, J. R. (2009). Keeping Busy: A Handbook of Activities for Persons with Dementia. Baltimore: JHU Press.
- Edwards, A. J. (2013). Dementia. New York: Springer.
- Emre, M. (2010). Cognitive Impairment and Dementia in Parkinson’s Disease. Oxford: Oxford University Press.
- Ferri, F. F. (2013). Ferri’s Clinical Advisor 2014 E-Book: 5 Books in 1. New York: Elsevier Health Sciences.
- Gill Bailey, H. S. (2013). Personalisation and Dementia: A Guide for Person-Centred Practice. London: Jessica Kingsley Publishers.
- Harding, R. (2017). Duties to Care: Dementia, Relationality, and Law. Cambridge: Cambridge University Press.
- Jinglong, W. (2016). Early Detection and Rehabilitation Technologies for Dementia. Hershey: IGI Global.
- McNamara, P. (2012). Dementia, Volume 2. California : ABC CLIO .
- Scharre, D. (2016). Long-Term Management of Dementia. New York: CRC Press.
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