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Discussion

Is this ethical?

Hypothetical situation:

A 90+ year old woman with advanced dementia and cancer wants to nap during day. However, POA insists she does not sleep and be engaged entire day. Would you consider not allowing her to nap unethical?

Featured Replies

No one ever better try to stop me from taking a nap!

  • Author

No, this isn't homework. I'm not a student. I personally feel it's wrong to refuse to allow someone to nap, especially someone in the state of health. I was hoping to hear reasoning from someone who feels otherwise because I just don't understand how this could be enforced. Does a POA have authority to request that even!?

Power of Attorney only covers legal and money stuff.

legal Guardian controls health.

two different legal documents.

how are you supposed to keep them awake? Takzer?

  • Author

Kept awake through activities. But the client has very limited interests and attention span due to cognitive impairment. It's very difficult to keep her awake by continously introducing new activities and redirecting her repeated requests to nap

Geez. Let her nap if you can without getting in trouble. Seems like a kindness to me although her family doesn't agree obviously.

Is this a private duty patient? Are you a caregiver or licensed?

  • Author

Psw. Not private duty

What's the reason for not wanting her to have a nap? Does she have difficulty sleeping at night if she naps during the day?

  • Experts
Power of Attorney only covers legal and money stuff.

legal Guardian controls health.

two different legal documents.

how are you supposed to keep them awake? Takzer?

(In the US, there is such a thing as a durable power of attorney for healthcare, and it's much more common than actual guardianship.)

Is it because of that typical dementia day/night reversal? Like if she sleeps during the day she won't sleep at night? I've seen that sometimes. Behaviour and mood change and it's just a mess. Is that what's going on for this lady?

Depends on how many naps. I think one is okay. But if too long/frequent, they'd stay up at night and could develop sleeping disorders.

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