20.500.12556/RUL-182356 Etični izzivi ohranjanja avtonomije oseb z demenco diplomsko delo Ethical challenges in preserving autonomy of individuals with dementia diploma work Uvod: Demenca predstavlja enega največjih izzivov sodobnega zdravstvenega in socialnega varstva, saj progresivno poslabšanje kognitivnih funkcij vpliva na sposobnost posameznika za samostojno življenje in odločanje. Pri oskrbi oseb z demenco se zato pogosto pojavljajo etični izzivi, povezani z ohranjanjem njihove avtonomije. Namen: Namen diplomskega dela je na osnovi pregleda literature opredeliti etične izzive pri ohranjanju avtonomije oseb z demenco. Poseben poudarek je namenjen preučevanju ravnovesja med spoštovanjem njihovega samoodločanja, zagotavljanjem dobrobiti ter vlogo svojcev in zdravstvenih delavcev pri njihovi oskrbi. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom znanstvene in strokovne literature. Iskanje literature je potekalo od aprila do avgusta 2025 v podatkovnih bazah Medline/PubMed, CINAHL Ultimate, Scopus, ScienceDirect in Web of Science ter preko bibliografskih sistemov COBISS.SI in DiKUL. Dodatne vire smo poiskali s pomočjo spletnega iskalnika Google Učenjak. V analizo je bilo vključenih 12 znanstvenih člankov. Rezultati: Rezultati pregleda literature so pokazali, da se ohranjanje avtonomije oseb z demenco v zdravstveni negi uresničuje predvsem z vključevanjem posameznika v odločanje o lastni oskrbi ter s spoštovanjem njegovih pravic, dostojanstva in preostalih zmožnosti. Pri ohranjanju avtonomije ima pomembno vlogo učinkovita komunikacija, na osebo usmerjena oskrba ter sodelovanje svojcev in zdravstvenih delavcev. Hkrati ostaja več etičnih izzivov, predvsem pri presoji sposobnosti odločanja oseb z demenco ter pri usklajevanju njihovega samoodločanja z zagotavljanjem varnosti in dobrobiti. Razprava in zaključek: Ohranjanje avtonomije oseb z demenco zahteva prilagojen in individualiziran pristop, ki omogoča vključevanje posameznika v odločanje v skladu z njegovimi preostalimi zmožnostmi. To v praksi zdravstvene nege zahteva premišljeno in etično utemeljeno odločanje, pri katerem se uravnotežita spoštovanje samoodločanja posameznika ter zagotavljanje njegove varnosti in dobrobiti. Takšen pristop omogoča celostnejšo in spoštljivo obravnavo oseb z demenco ter prispeva k ohranjanju njihovega dostojanstva. Introduction: Dementia represents one of the greatest challenges of modern health and social care, as the progressive deterioration of cognitive function affects an individual's ability to live and make decisions independently. In the care of people with dementia, ethical challenges often arise related to preserving their autonomy. Purpose: The aim of the thesis is to identify ethical challenges in preserving the autonomy of people with dementia based on a review of the literature. Special emphasis is placed on examining the balance between respecting their self-determination, ensuring their well-being, and the role of family members and healthcare professionals in their care. Methods: A descriptive research method based on a review of scientific and professional literature was used. The literature search was conducted from April to August 2025 in the databases Medline/PubMed, CINAHL Ultimate, Scopus, ScienceDirect, and Web of Science, as well as through the bibliographic systems COBISS.SI and DiKUL. Additional sources were identified using the web search engine Google Scholar. A total of 12 scientific articles were included in the analysis. Results: The results of the literature review showed that preserving the autonomy of people with dementia in nursing care is primarily achieved by involving the individual in decision-making about their own care and by respecting their rights, dignity, and remaining abilities. Effective communication, person-centered care, and cooperation between family members and healthcare professionals play an important role in maintaining autonomy. At the same time, several ethical challenges, particularly in assessing the decision-making capacity of people with dementia and in balancing their self-determination with ensuring safety and well-being. Discussion and Conclusion: Preserving the autonomy of people with dementia requires an adapted and individualized approach that enables the individual to participate in decision-making in accordance with their remaining abilities. In nursing practice, this requires thoughtful and ethically grounded decision-making that balances respect for the individual's self-determination with ensuring their safety and well-being. Such an approach enables more holistic and respectful care for people with dementia and contributes to preserving their dignity. diplomska dela zdravstvena nega demenca avtonomija etični izzivi dostojanstvo diploma theses nursing care dementia autonomy ethical challenges dignity true false false I. Sovec Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-05-08 07:45:38 2026-05-08 07:45:56 2026-05-09 04:44:14 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana 37 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 159647 277454083 58979.pdf 58979.pdf 1 DCEEA627CF1B2CA15AF4216F1EA5F475 3093276e8167d893a668e66132f9af74365ce4acd06e1a786b703059c869130f e4131f15-4aa0-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=233522 Zdravstvena fakulteta 0 0 0