Here’s an interesting story from The Telegraph: Psychiatrists and nurses admit lying to dementia patients.
Truth-telling is one of the ethical pillars of modern healthcare. Telling patients the truth is generally seen as a key part of treating them with respect. Lying to them is a form of manipulation that is usually incompatible with respecting patient autonomy.
Are patients with demential an exception? Certainly it’s hard to make a case for a blanket exception, given the enormous variation in cognitive capacities and emotional states that can fall under the general heading of “dementia.” It may well be that there are a limited number of particular circumstances with particular patients in which lying is justified. But nurses should never be complacent or come to think that lying is part of standard care.