Sunday, September 21, 2008

Dementia - Patients or Family Suffers?

In Singapore, "one in 20 Singaporeans may suffer from dementia at the age of 65"^. In percentage wise, it's 5%. If we have a class of 40 students, 2 classmates would lose their memories after 65. If we have a school of 1600 students, 80 students would forget their peers at 65. That translates to 2 classes of people. What a high percentage!

Imagine yourself losing your precious childhood memories. What would it feel like? Painful, neutral or peaceful? At current scientific progress, we don't really have the answers to this question. But one thing is certain, and that is people around Dementia patients suffer.

It hit me hard when my Grandma couldn't recognise me. As my guardian for more than a decade, I thought I would be the last of all things to be forgotten. It took me quite a long period to get over it and I finally did. I realised, to a certain extent, it could be a positive outcome for Grandma to forget the bad (inevitably the good) memories and be in a peaceful state of mind.

Mr. Lee Kuan Yew, in his eulogy to the late S. Rajaratnam, mentioned that "A few years ago he began to lose his memory. When I visited him in 1998, he did not recognise me."^^ He dropped tears for the second time on television.

Nevertheless, showing care and Love for dementia patients is still very important. They didn't want to lose their memories. They have given us the best memories. And the best we can do is to make them feel positive about themselves. A recent comment by an influential medical ethics expert completely made my heart boil.

I strongly condemn Baroness Warnock's point of view!

Baroness Warnock: Dementia sufferers may have a 'duty to die'
By Martin Beckford Social Affairs Correspondent
Telegraph.co.uk

The veteran Government adviser said pensioners in mental decline are "wasting people's lives" because of the care they require and should be allowed to opt for euthanasia even if they are not in pain.

She insisted there was "nothing wrong" with people being helped to die for the sake of their loved ones or society.

The 84-year-old added that she hoped people will soon be "licensed to put others down" if they are unable to look after themselves.

Her comments in a magazine interview have been condemned as "immoral" and "barbaric", but also sparked fears that they may find wider support because of her influence on ethical matters.

Lady Warnock, a former headmistress who went on to become Britain's leading moral philosopher, chaired a landmark Government committee in the 1980s that established the law on fertility treatment and embryo research.

A prominent supporter of euthanasia, she has previously suggested that pensioners who do not want to become a burden on their carers should be helped to die.

Last year the Mental Capacity Act came into effect that gives legal force to "living wills", so patients can appoint an "attorney" to tell doctors when their hospital food and water should be removed.

But in her latest interview, given to the Church of Scotland's magazine Life and Work, Lady Warnock goes further by claiming that dementia sufferers should consider ending their lives through euthanasia because of the strain they put on their families and public services.

Recent figures show there are 700,000 people with degenerative diseases such as Alzheimer's in Britain. By 2026 experts predict there will be one million dementia sufferers in the country, costing the NHS an estimated £35billion a year.

Lady Warnock said: "If you're demented, you're wasting people's lives – your family's lives – and you're wasting the resources of the National Health Service.

"I'm absolutely, fully in agreement with the argument that if pain is insufferable, then someone should be given help to die, but I feel there's a wider argument that if somebody absolutely, desperately wants to die because they're a burden to their family, or the state, then I think they too should be allowed to die.

"Actually I've just written an article called 'A Duty to Die?' for a Norwegian periodical. I wrote it really suggesting that there's nothing wrong with feeling you ought to do so for the sake of others as well as yourself."

She went on: "If you've an advance directive, appointing someone else to act on your behalf, if you become incapacitated, then I think there is a hope that your advocate may say that you would not wish to live in this condition so please try to help her die.

"I think that's the way the future will go, putting it rather brutally, you'd be licensing people to put others down."

Her comments were criticised last night by MPs, charities and campaigners.

Neil Hunt, the chief executive of the Alzheimer's Society, said: "I am shocked and amazed that Baroness Warnock could disregard the value of the lives of people with dementia so callously.

"With the right care, a person can have good quality of life very late in to dementia. To suggest that people with dementia shouldn't be entitled to that quality of life or that they should feel that they have some sort of duty to kill themselves is nothing short of barbaric."

Nadine Dorries, the Conservative MP for Mid-Bedfordshire, said: "I believe it is extremely irresponsible and unnerving for someone in Baroness Warnock's position to put forward arguments in favour of euthanasia for those who suffer from dementia and other neurological illnesses.

"Because of her previous experiences and well-known standing on contentious moral issues, Baroness Warnock automatically gives moral authority to what are entirely immoral view points."

Phyllis Bowman, executive director of the campaign group Right to Life, added: "It sends a message to dementia sufferers that certain people think they don't count, and that they are a burden on their families. It's a pretty uncivilised society where that is the primary consideration. I worry that she will sway people who would like to get rid of the elderly."

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