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Ethico-Political aspects of clinical judgment in opportunistic screening for cognitive impairment

Arendtian and aristotelian perspectives

Bibliographic Data

ID21702556
AuthorsMartin Gunnarson (0000-0001-6989-3212, Södertörn University), Kristin Zeiler (0000-0002-2862-3731, Linköping University)
Year2022
Volume25
Issue3
Pages495-507
Publication date2022-09-01
Open AccessYes
TypeARTICLE
VenueMedicine Health Care and Philosophy (JOURNAL)
Journal identifiersISSN: 1386-7423 • E-ISSN: 1572-8633
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s11019-022-10095-y
PMID35687216
OpenAlexW4281752844
LanguageEN
References cited33

This article examines a population-based opportunistic screening practice for cognitive impairment that takes place at a hospital in Sweden. At the hospital, there is a routine in place that stipulates that all patients over the age of 65 who are admitted to the ward will be offered testing for cognitive impairment, unless they have been tested within the last six months or have been diagnosed with any form of cognitive impairment. However, our analysis shows that this routine is not universally and mechanically applied. Rather, the health care professionals have developed and use an ethico-political judgment, concerning, for example, whom to test, when to offer the tests, and how to explain and perform them. This article explores the role and practice of this form of judgment, emphasising its political and ethical nature. The analysis is based on qualitative interviews with professionals and patients, and draws on the theories of Aristotle and Hannah Arendt

Alternative medicine · Cognition · Cognitive impairment · Epistemology · Health care · Medical law · Pathology · Philosophy of biology · Philosophy of medicine · Philosophy of science · Political science · Politics · Psychiatry · Qualitative research · Social science · Sociology · Ethics in Clinical Research · Law · Medicine · Mental Health and Psychiatry · Palliative Care and End-of-Life Issues · Philosophy · Psychology

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Highly citedNo

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