scholarly journals 1293 The additional burden of cognitive impairment in children with constipation and faecal incontinence

Author(s):  
Caitlin McLaughlin ◽  
Stewart Cleeve ◽  
Eleni Athanasakos
2019 ◽  
pp. 220-247
Author(s):  
Eva Feder Kittay

This chapter analyzes the Ashley treatment (AT), named for a case where the parents of a six-year-old girl with severe cognitive impairment and global developmental deficits elected to have her undergo a procedure that involved growth attenuation (GA), along with removal of her breast buds, uterus and appendix. Acknowledging that AT is intended as care, Kittay argues that AT nevertheless fails to be ethical because it does not foster flourishing in critical ways. Kittay identifies four questionable presuppositions undergirding the arguments condoning AT: instrumentalization of the body; conflating apparent impairments with corresponding limitations to intellectual comprehension and emotional experience; positing severe cognitive disability and nonambulation as sufficient justification for these treatments even though they do nothing to cure or mitigate those conditions; and the notion that AT solves the problems of care of people with these conditions. Rather than pursue AT to handle the additional burden of care presented by nonabulating people with severe cognitive disability, we need social transformations that support the needs of severely disabled individuals and those who care for them.


2000 ◽  
Vol 6 (7) ◽  
pp. 821-825 ◽  
Author(s):  
ELIZABETH LERITZ ◽  
JASON BRANDT ◽  
MELISSA MINOR ◽  
FRANCES REIS-JENSEN ◽  
MICHELLE PETRI

2017 ◽  
Vol 2 (2) ◽  
pp. 110-116
Author(s):  
Valarie B. Fleming ◽  
Joyce L. Harris

Across the breadth of acquired neurogenic communication disorders, mild cognitive impairment (MCI) may go undetected, underreported, and untreated. In addition to stigma and distrust of healthcare systems, other barriers contribute to decreased identification, healthcare access, and service utilization for Hispanic and African American adults with MCI. Speech-language pathologists (SLPs) have significant roles in prevention, education, management, and support of older adults, the population must susceptible to MCI.


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