Memory During the Presumed Vegetative State: Implications for Patient Quality of Life

A growing number of studies show that a significant proportion of patients, who meet the clinical criteria for the diagnosis of the vegetative state (VS), demonstrate evidence of covert awareness through successful performance of neuroimaging tasks. Despite these important advances, the day-to-day l...

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VerfasserInnen: Taylor, Nicola (Verfasst von) ; Graham, Mackenzie (Verfasst von) ; Delargy, Mark (Verfasst von) ; Naci, Lorina (Verfasst von)
Medienart: Elektronisch Aufsatz
Sprache:Englisch
Verfügbarkeit prüfen: HBZ Gateway
Fernleihe:Fernleihe für die Fachinformationsdienste
Veröffentlicht: 2020
In: Cambridge quarterly of healthcare ethics
Jahr: 2020, Band: 29, Heft: 4, Seiten: 501-510
weitere Schlagwörter:B disorders of consciousness
B Memory
B covert awareness
B standard of care
B preserved cognition
B Recovery
B Quality of life
B vegetative state
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Zusammenfassung:A growing number of studies show that a significant proportion of patients, who meet the clinical criteria for the diagnosis of the vegetative state (VS), demonstrate evidence of covert awareness through successful performance of neuroimaging tasks. Despite these important advances, the day-to-day life experiences of any such patient remain unknown. This presents a major challenge for optimizing the patient’s standard of care and quality of life (QoL). We describe a patient who, following emergence from a state of complete behavioral unresponsiveness and a clinical diagnosis of VS, reported rich memories of his experience during this time. This case demonstrates the potential for a sophisticated mental life enabled by preserved memory in a proportion of patients who, similarly, are thought to be unconscious. Therefore, it presents an important opportunity to examine the implications for patient QoL and standard of care, both during the period of presumed unconsciousness and after recovery.
ISSN:1469-2147
Enthält:Enthalten in: Cambridge quarterly of healthcare ethics
Persistent identifiers:DOI: 10.1017/S0963180120000274