Ethical and Practical Challenges of the Communication and Behavioral Manifestations of Primary Progressive Aphasia.

Ethical and Practical Challenges of the Communication and Behavioral Manifestations of Primary Progressive Aphasia. Semin Speech Lang. 2020 Jun;41(3):249-256 Authors: Tippett DC, Hillis AE Abstract The communication and behavioral manifestations of primary progressive aphasia (PPA) present ethical and practical challenges for individuals with this clinical syndrome as well as for individuals who are involved closely in their care. In this article, cases representing all three PPA variants (logopenic variant, nonfluent agrammatic, semantic variant) are presented to illustrate commonly encountered situations in which self-determination is at risk in decisions about housing, driving, social interactions, finances, and treatment interventions. Potential approaches, including patient/family education, implementation of safeguards, redirection to meaningful activities, and protections against vulnerability in treatment decisions, are described to preserve autonomy in patients with this neurodegenerative clinical syndrome. PMID: 32585709 [PubMed - as supplied by publisher]
Source: Seminars in Speech and Language - Category: Speech-Language Pathology Authors: Tags: Semin Speech Lang Source Type: research