Alzheimer’s Dementia Dilemmas in Clinical Research

The National Institute on Aging (NIA) has historically been concerned with the protection of human subjects. In July 1977, the NIA sponsored a meeting to update and supplement guide­ lines for protecting those participating in Federal research pro­ jects. Although the basic guidelines had been in ef...

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Bibliographic Details
Main Authors: Melnick, Vijaya L., Dubler, Nancy N. (Author)
Format: eBook
Language:English
Published: Totowa, NJ Humana 1985, 1985
Edition:1st ed. 1985
Series:Contemporary Issues in Biomedicine, Ethics, and Society
Subjects:
Online Access:
Collection: Springer Book Archives -2004 - Collection details see MPG.ReNa
Table of Contents:
  • 1 Legal and Science Background
  • Current Frontiers in Research on Alzheimer’s Disease
  • Current Regulations for the Protection of Human Subjects
  • Clinical Symptoms Accompanying Progressive Cognitive Decline and Alzheimer’s Disease: Relationship to “Denial” and Ability to Give Informed Consent
  • The Physician-Researcher: Role Conflicts
  • 2 Personal Perspectives
  • Impact of Alzheimers Disease and the Role of the Patient’s Family
  • Advocacy for Persons with Senile Dementia
  • Ethical Issues in the Care of the Patient Involved in Alzheimer’s Disease Research
  • 3 Historical, Legal, and Ethical Background
  • Research Objectives and the Social Structuring of the Research Enterprise: An Historical and Ethical Perspective
  • Research on Senile Dementia of the Alzheimer’s Type: Ethical Issues Involving Informed Consent
  • An Alternative Approach to Informed Consent in Research with Vulnerable Patients
  • Technical Aspects of Obtaining Informed Consent from Persons with Senile Dementia of the Alzheimer’s Type
  • 4 Institutional Issues
  • The Need for Alternatives to Informed Consent by Older Patients: Psychological and Physical Aspects of the Institutionalized Elderly
  • Legal Issues in Research on Institutionalized Demented Patients
  • Issues of Equity in the Selection of Subjects for Experimental Research on Senile Dementia of the Alzheimers Type
  • 5 Competency to Give Consent
  • Competency to Consent to Research
  • Assuring Adequate Consent: Special Considerations in Patients of Uncertain Competence
  • Assessment of Competence to Give Informed Consent
  • 6 Proxy and Derived Consent
  • Autonomy and Proxy Consent
  • Derived Consent, Proxy Consent: Legal Issues
  • Clinical Research in Senile Dementia of the Alzheimer’s Type: Suggested Guidelines Addressing the Ethical and LegalIssues