Questions regarding the Alzheimer's patient

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meha...@aol.com

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Jul 19, 2006, 6:41:13 PM7/19/06
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As the median age increases, the incidence of Alzheimer's and dementia
has increased rapidly. Many new halachic questions have arisen from
this phenomenom, which need to be discussed by the poskim of our time.
Here are a few which I think are of immediate concern.

1. A minyan includes several elderly people of visibly diminished
mental acuity, they are confused but still have some awareness that
they are in a synagogue and a tefilah is to be said. Can we include
these people in the count to make up a quorum of ten? How confused do
they have to be to be disqualified? Does it make a difference whether
they have been formally diagnosed with Alzheimers or just seem very
forgetful and confused?

2. A person who has early stage Alzheimers may be very forgetful but
not unaware of what is going on. He has eaten a meat meal a few minutes
ago, but has completely forgotten about it and asks you to make him a
cup of coffee and adds "Remember I like plenty of milk and sugar, the
regular milk not the low fat!" Can you oblige him and bring it to him
or is it "lifnei iveir." Does it make a difference if he has eaten beef
or chicken (chicken eaten together with milk is only a derabanon,
therefore avoiding dairy afterwards is an extra harchakah on a
derabanon)?

3. A patient with Alzheimers walked out of shul with his his tallis
beitel in his hand on a Shabbos morning, completely forgetting that it
is Shabbos. There is an Eruv in the area, but he is from a community
that does not accept the Eruv, now that I meet him in the street do I
have an obligation to remind him that it is Shabbos?

I will, bli neder post some of the relevant teshuvos etc. soon.
Rabbi Avrohom Marmorstein
group moderator for medicalhalacha@googlegroups

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