ABSTRACT

In this chapter, the authors provide an overview of the ethical dimensions of care at home for a person with a dementia from the literature in this field. It presents common ethical issues that are relevant to life at home. The chapter suggests that the approach taken and the reasons for it are discussed with the person with a dementia and that the longer-term aim is explicitly recorded. It then focuses on Nuffield ethical framework and the ethics of care to consider how to guide good practice with people with a dementia. The authors identified that practitioners do not feel able to grasp these complexities in the current way that they practice, and this suggests that alternatives are needed. As so many of the ethical issues that arise in dementia are linked to how people with a dementia may be facilitated to influence how care progresses, the authors focus on the ways in which participation can be supported.