Too Soon or Too Late
Rethinking the Significance of Six Months When Dementia Is a Primary Diagnosis
Bibliographic Data
| ID | 20335553 |
|---|---|
| Authors | C L Cain (0000-0002-5149-3592), Timothy E Quill |
| Year | 2024 |
| Volume | 54 |
| Issue | S1 |
| Pages | S29-S32 |
| Publication date | 2024-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The Hastings Center Report (JOURNAL) |
| Journal identifiers | ISSN: 0093-0334 • E-ISSN: 1552-146X |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1002/hast.1552 |
| PMID | 38382036 |
| OpenAlex | W4392007618 |
| Language | EN |
| Citations received | 3 |
| References cited | 8 |
Cultural narratives shape how we think about the world, including how we decide when the end of life begins. Hospice care has become an integral part of the end‐of‐life care in the United States, but as it has grown, its policies and practices have also imposed cultural narratives, like those associated with the “six‐month rule” that the majority of the end of life takes place in the final six months of life. This idea is embedded in policies for a range of care practices and reimbursement processes, even though six months is not always a meaningful marker. In the case of people living with advanced dementia, six months is both too early in the trajectory to facilitate conversations and too late in the trajectory to ensure decision‐making capacity. This essay encourages scholars and policy‐makers to consider how cultural narratives may limit what they think is possible in care for people living with dementia
Dementia · Disease · Primary (astronomy) · Health Systems, Economic Evaluations, Quality of Life · History · Internal Medicine · Medicine · Psychology · Pediatrics
| Unique citing works | 3 |
|---|---|
| Citations per year | 1.5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |