Abstract
In this article different approaches are distinguished in order to solve the question of what has to be done if a demented patient behaves in a manner which is found to be inconsistent with his previously expressed wishes. Positions vary, from implementing the advance directive to not implementing the advance directive. The article defends a compromise position by holding that the exact circumstances of each case should be weighed against each other to determine the outcome and to provide an answer to the research question.
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