Ethico-Political aspects of clinical judgment in opportunistic screening for cognitive impairment: Arendtian and aristotelian perspectives

Author:

Gunnarson MartinORCID,Zeiler KristinORCID

Abstract

AbstractThis 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.

Funder

Vetenskapsrådet

Södertörn University

Publisher

Springer Science and Business Media LLC

Subject

Health Policy,Education,Health (social science)

Reference49 articles.

1. Arendt, Hannah. 1971. The Life of the Mind. San Diego: Harcour, Inc.

2. Arendt, Hannah. 1992. Lectures on Kant’s Political Philosophy. Chicago: The University of Chicago Press.

3. Arendt, Hannah. 1998. The Human Condition. Chicago: The University of Chicago Press.

4. Arendt, Hannah. 2003. Responsibility and Judgment. New York: Schocken Books.

5. Arendt, Hannah. 2006. Between Past and Future. New York: Penguin Books.

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