Voluntary Choice Research Articles

Perspective of Midwives in Turkey Regarding Sexual Health Literacy and Sexual Healthcare Services.

This study aimed to examine the factors associated with the level of sexual health literacy of midwives and their views on sexual healthcare. This is a descriptive and correlational study. A total of 324 midwives with at least 1 year of professional experience and at least a bachelor's degree participated in the study. Data were collected with the "Midwife Information Form" and "Sexual Health Literacy Scale." The professional work experience, marital status, and education related to sexual health did not affect the sexual health literacy of midwives. Age, educational status, and voluntary choice of the profession willingly affected sexual health literacy. The sexual health literacy of midwives who hold positive views on sexuality and sexual healthcare services is higher. The midwives' perspectives on sexual health, their level of knowledge, and the sexual health education they receive impact the quality of care they provide. Sexual and reproductive health should be emphasized within the scope of midwifery education.

Not-so-speedy delivery: Should retailers use discounts or donations to incentivize consumers to choose delayed delivery?

Many retailers feel the pressure to provide increasingly speedy delivery, but the realities of speedy delivery logistics are costly, complicated, and uncertain. In response, retailers have been using discounts to nudge consumers’ voluntary choice of a slower delivery option, but with tepid results. The current research argues that a better incentive exists. Data from six studies demonstrate that changing from a discount (the retailer giving the consumer a $1 reward/coupon) to a donation (the retailer donating $1 to a charity) incentive significantly increases the voluntary choice of delayed delivery. Importantly, the data shows that exchange equity drives this effect. However, two boundary conditions are identified: 1) the retailer communicating a reason for the delayed delivery and 2) the type of product being purchased by the consumer. In sum, the current research provides actionable insights for retailers that offer a delayed delivery option to consumers during checkout and speaks to the current debate about consumers’ desire for speedy delivery.

Evaluating Personalized Add-On Ayurveda Therapy in Oxygen-Dependent Diabetic COVID-19 Patients: A 60-Day Study of Symptoms, Inflammation, and Radiological Changes.

Background Effective management of both acute and post-acute sequelae of SARS-CoV-2 is essential, particularly for type 2 diabetes mellitus (T2DM) patients, who are at increased risk of severe pro-inflammatory responses and complications. Persistent symptoms and residual lung and cardiovascular damage in post-coronavirus disease (COVID-19) individuals highlight the need for comprehensive long-term treatment strategies. Conventional treatments, including Remdesivir and glucocorticoids, have limitations, suggesting that further investigation into Ayurvedic therapies could be beneficial, though controlled trials are currently limited. Objectives Evaluate the effectiveness and safety of Ayurveda with the standard of care (SOC) versus SOC in improving symptoms, moderating immune responses (interleukin-6 (IL-6), C-reactive protein (CRP), neutrophil-lymphocyte ratio (NLR), and radiological outcomes in oxygen-dependent, high-risk, non-vaccinated type 2 diabetes COVID-19 patients over 60 days, and thus addressing their heightened vulnerability to severe infections. Methods A controlled trial with 50 diabetic COVID-19 patients, aged 18-80, with an NLR of >= 4, primarily on Remdesivir, was assigned to Group 1 (Add-on Ayurveda+SOC, n=30) or Group 2 (SOC, n=20) based on their voluntary choice with follow-up on days 14, 28, and 60. Parametric outcomes in group analysis were assessed with robust regression and non-parametric outcomes with Cochran-Mantel-Haenszel, log-rank test, and chi-square tests at 95% confidence interval (CI). Results Group 1 exhibited statistically significant improvements in fever, cough, diarrhea, as well as NLR, IL-6, and CRP by 14 days, and in anosmia, loss of taste, shortness of breath, general weakness, and headache by 60 days. Though the sample size is small, notable improvements can be seen in troponin levels in Group 1 at 28 and 60 days. High-resolution computer tomography COVID-19 reporting and data system (HRCT CO-RADS) scores improved more slowly in Group 2 than in Group 1. Survival rates were 96.4% for Group 1 and 90% for Group 2. Numbers were too small for reliable comparisons at 60 days. Conclusion The add-on Ayurveda group showed a better symptomatic response, and faster normalization in inflammatory markers, including IL-6 and NLR by 14 days, and cardiac markers by 28 days. Minimal clinical and no laboratory adverse events were observed. This study supports the need for a randomized, double-blind trial.

“No fish – no fishermen”: staying as a voluntary choice despite environmental risks

ABSTRACT While climate change may amplify global mobility patterns, most affected individuals voluntarily stay in their locales. This research studies the multiple forms of voluntary non-migration amidst socio-environmental challenges, focusing on the traditional fishermen community in southwestern Bangladesh. Through 25 in-depth interviews and two focus group discussions, the research uncovers that despite socio-environmental obstacles, such as the loss of the primary source of livelihood – the river, a substantial number of fishermen are determined to stay in the locality voluntarily. The households who voluntarily stay face livelihood challenges that coexist with their vulnerabilities. The fishermen employ diverse livelihood strategies to cope with the adversities and strive to maintain their livelihoods in situ. This study emphasises that voluntary non-migration could serve as both an adaptation strategy in vulnerable locales and an outcome of livelihood decisions, highlighting its fluid and dynamic nature. The implications of these findings are relevant for future research and policy formulation in promoting local adaptation and supporting the population choosing to remain in place in the face of environmental challenges.

The moral accounting of debts: productivity, deservingness and the consensual creation of Chapter XIII bankruptcy

Abstract Chapter XIII’s wage-earner payment plans are now the default form of personal bankruptcy in the USA. During the Great Depression, it was created as a voluntary choice and enacted with unanimous legislative support. Absent conflict between creditors and labor and social reformers, legislators agreed that Chapter XIII was for the benefit of both honorable insolvents and their fair creditors. How did wage-earner payment plans emerge out of a consensual legislative process? Employing a computational abductive approach on a wide range of legislative, media and bankruptcy records, I show that Chapter XIII’s creation was facilitated by a ‘moral accounting’ that, based on their race and gender identities, positively evaluated most White men bankruptcy petitioners as ‘deserving’, even as it recognized occupational variations in their economic ‘productivity’. This study highlights how racial discourses of ‘deservingness’ are central to the construction of credit markets as part of America’s submerged welfare state.

The influence of reward and loss outcomes after free- and forced-tasks on voluntary task choice

In four experiments, we investigated the impact of outcomes and processing mode (free versus forced) on subsequent voluntary task-switching behavior. Participants freely chose between two tasks or were forced to perform one, and the feedback they received randomly varied after correct performance (reward or no-reward; loss or no-loss). In general, we reasoned that the most recently applied task goal is usually the most valued one, leading people to prefer task repetitions over switches. However, the task values might be additionally biased by previous outcomes and the previous processing mode. Indeed, negatively reinforcing tasks with no-reward or losses generally resulted in more subsequent switches. Additionally, participants demonstrated a stronger attachment to free- compared to forced-tasks, as indicated by more switches when the previous task was forced, suggesting that people generally value free over forced-choice task goals. Moreover, the reward manipulation had a greater influence on switching behavior following free- compared to forced-tasks in Exp. 1 and Exp. 3, suggesting a stronger emphasis on evaluating rewarding outcomes associated with free-task choices. However, this inflationary effect on task choice seemed to be limited to reward and situations where task choice and performance more strongly overlap. Specifically, there was no evidence that switching behavior was differentially influenced after free-and forced-task as a function of losses (Exp. 2) or reward when task choice and task performance were separated (Exp. 4). Overall, the results provide new insights into how the valuation of task goals based on choice freedom and outcome feedback can influence voluntary task choices.

Nursing students' work readiness and its influencing factors before participating in a nurse residency program: a multicenter cross-sectional study.

Studies have shown that work readiness is closely related to nurses' role adaptation, career development, and patient safety. However, we know little about the nursing students' work readiness and its influencing factors before participating in a nurse residency program, and whether factors have changed from before. (1) To investigate the work readiness of nursing students ready to engage in a nurse residency program; (2) to identify the factors affecting the nursing students' work readiness and the associations between emotional intelligence and work readiness; and (3) to discuss the changes of factors affecting nursing students' work readiness. An online, multicenter cross-sectional study. 878 nursing students from eight tertiary hospitals in Chongqing, China were recruited. The online investigation used the General Information Questionnaire, the Nursing Students' Work Readiness Scale, and the Emotional Intelligence scale. The data were analyzed using IBM SPSS V23.0. 768 valid questionnaires were included in this study. The nurses obtained a work readiness score of 277.08 ± 44.39 and an emotional intelligence score of 89.57 ± 13.89. Univariate analysis revealed that the following factors affected work readiness: age, sex, family support for becoming a nurse, voluntary choice of nursing major, previous experience as a student cadre, scholarship recipient status, willingness to engage in nursing work during the COVID-19 pandemic and confidence in clinical nursing practice. Frequent incidents of violence, poor salary for nurses for the nurse residency program, and low social acceptance were the top three reasons for decreased confidence in clinical nursing among nursing students. Furthermore, multiple linear regression analysis indicated that age, voluntary choice of nursing major, student leadership experience, confidence in clinical nursing work, self-emotion, and emotional application significantly influenced nurses' work readiness. Clinical instructors and administrators should dynamically assess nurses' work readiness, prioritize individuals aged ≤23, who have chosen the nursing profession involuntarily, lack prior experience as student cadres, and exhibit low confidence in clinical nursing work. This focus will enhance their emotional self-management skills and ability to apply emotions effectively, improving their work readiness and training efficacy.

An outside individual option increases optimism and facilitates collaboration when groups form flexibly

Voluntary participation is a central yet understudied aspect of collaboration. Here, we model collaboration as people’s voluntary choices between joining an uncertain public goods provisioning in groups and pursuing a less profitable but certain individual option. First, we find that voluntariness in collaboration increases the likelihood of group success via two pathways, both contributing to form more optimistic groups: pessimistic defectors are filtered out from groups, and some individuals update their beliefs to become cooperative. Second, we reconcile these findings with existing literature that highlights the detrimental effects of an individual option. We argue that the impact of an outside individual option on collaboration depends on the “externality” of loners — the influence that those leaving the group still exert on group endeavors. Theoretically and experimentally, we show that if collaboration allows for flexible group formation, the negative externality of loners remains limited, and the presence of an individual option robustly aids collaborative success.

Pension security in Ukraine: current trends and directions of development

The article aims to substantiate the directions for reforming and developing the pension system in Ukraine. To achieve the goal, the following research methods were used: methods of analysis and synthesis; abstract logical method; methods of theoretical generalization − formulating definitions of the concepts "pension security", "accumulated pension", etc.; systemic approach − changes and problems in the indicators of the pension system and the development of measures to solve them. As a result of the research, the concept of pension security and the pension system as a process of securement financial support in the form of pensions to a specific category of unemployed citizens, which is aimed at reducing the level of poverty due to its positive impact on such social risks as old age, disability and loss of working capacity, is defined as a set of legal, organizational, financial and economic institutions and norms, as well as professional organizational structures aimed at reducing the level of poverty by positively influencing such social risks as disability and loss of working capacity. The main problems of the pension system of Ukraine at the current stage are substantiated, namely the rapid deterioration of the ratio between the working age and the retirement age due to the drop in the birth rate and the increase in emigration, a permanent deficit of pension funds due to budget imbalance; low level of pensions; underdevelopment of non-state pension security; decrease in the number of payers due to economic instability, military events and other factors; significant lack of public awareness of pension provision; lack of trust in state financial programs and reforms. The main direction of the reform of the pension system has been determined − the introduction of non-state pension security, based on the principles of voluntary choice of the type of pension security and the creation of conditions for non-state pension security at the legislative level, as well as taking into account the risks associated with non-state pension security, such as the risk of investment losses, the instability of the financial market and the possibility of abuse by pension funds. Additional areas of pension development have been identified: increasing the efficiency of the system of tax collection and control over their payment to ensure stable financing of the Pension Fund; support for programs and initiatives aimed at increasing financial literacy among the population, which will contribute to more effective management of personal finances and retirement planning; introducing mechanisms to encourage additional voluntary contributions to the pension fund, such as tax benefits or special support programs for those who actively plan their financial future; development of social programs and services for pensioners aimed at improving their quality of life, access to medical care, cultural and educational events; strengthening mechanisms for controlling the Pension Fund's expenses and effective use of its resources to meet the needs of pensioners as much as possible; open and transparent control over the activities of pension funds and the functioning of the pension system. The scientific novelty of the study consists in substantiating the set of measures for the development and reform of the pension system of Ukraine, which involves the development of non-state pension schemes. The practical significance of the work is that the research results can be used at the level of individual organizations and industries and at the level of individual regions of Ukraine. Prospects for further research are the substantiation of the toolkit for the practical implementation of non-state pension funds. Keywords: pension security, accumulative pension security, pension system, non-state pension security, corporate pension fund

Benefits of free language choice in bilingual individuals with aphasia

ABSTRACT Background Forced switching between languages poses demands on control abilities, which may be difficult to meet for bilinguals with aphasia. Freely choosing languages has been shown to increase naming efficiency in healthy bilinguals, and lexical accessibility was found to be a predictor for language choice. The overlap between bilingual language switching and other types of switching is yet unclear. Aims This study aimed to examine the benefits of free language choice for bilinguals with aphasia and to investigate the overlap of between- and within-language switching abilities. Methods & Procedures Seventeen bilinguals with aphasia completed a questionnaire and four web-based picture naming tasks: single-language naming in the first and second language separately; voluntary switching between languages; cued and predictable switching between languages; cued and predictable switching between phrase types in the first language. Accuracy and naming latencies were analysed using (generalised) linear mixed-effects models. Outcomes & Results The results showed higher accuracy and faster naming for the voluntary switching condition compared to single-language naming and cued switching. Both voluntary and cued language switching yielded switch costs, and voluntary switch costs were larger. Ease of lexical access was a reliable predictor for voluntary language choice. We obtained no statistical evidence for differences or associations between switch costs in between- and within-language switching. Conclusions Several results point to benefits of voluntary language switching for bilinguals with aphasia. Freely mixing languages improved naming accuracy and speed, and ease of lexical access affected language choice. There was no statistical evidence for overlap of between- and within-language switching abilities. This study highlights the benefits of free language choice for bilinguals with aphasia.

Management of an international company: Directions and principles of corporate social policy

Aim. To identify the main directions and peculiarities of formation, development of modern corporate social policy (CSP) of leading international companies.Objectives. To characterize the priority directions and principles of CSR on management of an international company; to define the principles of corporate social responsibility of an international organization.Methods. The authors used empirical and analytical methods of research, analyzed the effective- ness of CSR, the level of development of intra-company labor relations on the example of the activities of Apple.Results. The social policy of an international firm is an important component of its business strategy, which allows it to strengthen its reputation and increase competitiveness in the global market. Intra-firm labor relations are one of the important elements of the social policy of the company of leading international corporations. They strive to create conditions for the maximum development of employees’ potential, providing them with equal opportunities and fair remuneration for labor.Conclusions. CSR initiatives have evolved today from a voluntary choice of individual companies into comprehensive strategies, mandatory rules at regional, national and international levels. Many international companies prefer to go beyond legal requirements and incorporate the idea of “doing good” into their business development models.

THE IMPACT OF EMOTIONAL CONTAGION IN NURSES ON MISSED NURSING CARE: A CROSS-SECTIONAL STUDY

Nurses encounter various situations in their work that can affect their emotional status, and they can contagion these emotions to others. These emotions experienced by nurses can influence nursing care. The study used a cross-sectional, descriptive, and correlational design to explore the impact of emotional contagion among nurses on unmissed nursing care. The research was conducted with 304 volunteer nurses through an online survey. Data were collected using a survey form consisting of a Demographic Information Form, Emotional Contagion Scale, and Missed Nursing Care Needs Scale. The data were analyzed by the researchers. The study revealed that nurses had a moderate level of emotional contagion. Differences in emotional contagion levels were found based on gender, age, educational level, type of institution, marital status, working hours, institutional experience, unit of work, and voluntary choice of job (p < 0.05). Additionally, the study showed that the level of missed nursing care among nurses was low. "Communication" was identified as the most significant factor causing missed nursing care. The level of missed nursing care varied according to gender, age, educational status, type of institution, professional and institutional experience, marital status, working hours, unit of work, and duration of employment (p < 0.05). Emotional contagion had a negative impact on the need for missed nursing care (β = -0.150, t = -2.636, R2 = 0.022, p < 0.05), its causes (β = -0.193, t = -3.411, R2 = 0.037, p < 0.05), especially workforce resources (β = -0.249, t = -4.470, R2 = 0.062, p < 0.05), and material resources (β = -0.271, t = -4.898, R2 = 0.074, p < 0.05). To reduce the level of missed nursing care, fostering positive emotions among nurses and promoting their transmission can be utilized as a strategy.

Reformulation of processed foods: Mixed effects on salt and saturated fatty acids intake in France

AbstractEncouraging the food industry to reformulate their products is a possible public intervention to improve diet quality. In this paper, we assess the impact of food reformulation on per capita salt and saturated fatty acids (SFAs) intake, in France, for four product categories, namely, potato chips, fresh pizzas, frozen pizzas, and frozen meals, taking into account the changes in products' nutritional quality and consumer choices. Nutrient intake is calculated by matching data on food purchases and nutritional data, collected at the same date. An algorithm is run to disentangle the specific effect of food reformulation. We find that food reformulation, which is based on voluntary individual firm choices or voluntary industry‐wide agreement in our case studies, contributes to decrease SFAs and salt intake in seven out of eight cases. However, the magnitude of the impact is moderate, except in the case of potato chips for which a much stronger impact is observed. Product renewal has an ambiguous effect, depending on the nutrient considered. By contrast, changes in consumer behavior increase the intake of SFAs and salt in all cases. Finally, food reformulation generally benefits all consumers equally, regardless of income or age. For food categories with consumption disparities, product reformulation can reduce heterogeneity in nutrient intake across socioeconomic groups, provided that recipes are greatly and widely improved [EconLit Citations: D12, D22, I1].

Gender effects in dictator game giving under voluntary choice of the recipient’s gender: Women favour female recipients

Allowing for free choice of the recipient’s gender in a dictator game (N=357), women give more frequently to their own gender (70.3% vs 9.4%) while men do not prefer a specific recipient’s gender (33.3% vs 27.8%). Conditional on a positive transfer being made, the average amount of transfers to each gender does not vary between genders, though. Once a charity recipient is added to the possible choices, overall transfers increase and gender differences in average giving mostly vanish, as the charity becomes the primary recipient for all participants. The literature on cognitive dissonance (the feeling of distress once we act against our internalised values) emphasises the importance of voluntary choice for dissonance effects to take hold. Accordingly, we interpret our results as hinting at an important detail regarding the ongoing gender debate about altruistic giving: primary differences may not be found in the amount of transfers made but in the choice of the beneficiary’s gender.

Task performance errors and rewards affect voluntary task choices.

Humans are remarkably flexible in adapting their behavior to current demands. It has been suggested that the decision which of multiple tasks to perform is based on a variety of factors pertaining to the rewards associated with each task as well as task performance (e.g., error rates associated with each task and/or error commission on the previous trial). However, further empirical investigation is needed to examine whether task performance still influences task choices if task choices are rewarded but task performance is not. Accordingly, we exposed participants to a novel reward-varying voluntary task switching paradigm where the reward for the performed task gradually decreased while the reward associated for the alternative task was unchanged. Importantly, we rewarded participants' task choices before participants performed the task to investigate the effect of rewards independent from task performance. We examined the effect of (i) reward, (ii) error rates associated with each of the two tasks, and (iii) error commission in the previous trial on voluntary task choices. As expected, we found that participants' task selection was influenced by reward differences between task choices. In addition, error rates associated with a task also influenced task selection, with participants requiring larger reward differences to switch to a task associated with relatively higher error rates, compared to switching to a task with relatively lower error rates. However, errors in n - 1 did not influence participants' probability to switch to the alternative task. These findings contribute to an ongoing discussion on the influence of task performance on task selection.

Effectiveness of an evidence-based swallowing facilitation strategy for patients undergoing radiotherapy for head and neck cancer: a study protocol for a randomised controlled trial

IntroductionDysphagia emerges as a frequent, persistent and enduring aftermath in individuals undergoing radiotherapy for head and neck cancer (HNC). Timely intervention becomes imperative to ameliorate prolonged dysphagia and curtail related...

The MAP (Me-As-a-Process) coaching model: a framework for coaching women's identity work in voluntary career transitions.

Dealing with change and the resulting process of transition is challenging. In today's workplace, where change and innovation are increasingly a fact of life, too many transitions end in failure, at a high cost to both people and organizations. Interest in the identity work integral to career transition has grown rapidly in recent years and it is now recognized that career transition is more than simply a change in status, salary and role description. It involves social, relational and personal shifts, conscious and unconscious processes, and identity work-agentic, holistic engagement in the shaping and sustaining of who we become. Evidence suggests that specifically addressing identity work in coaching leaders, teams and groups significantly increases the success rate of transitions. And yet topics around identity and identity work are given little prominence in coaching education, leaving many coaches unaware of these basic constructs. This paper presents a new coaching framework, the MAP (Me-As-a-Process) coaching model, to support coaches and their clients as they embark on the process of identity work in voluntary career choices and transitions. It draws on research from my qualitative doctoral study (2021) which identified four stages in the process of women's identity work in voluntary career change and choice. It synthesizes academic theory, evidence from coaching practice, and findings from 53 women who had recently experienced career choice or change.

КОРПОРАТИВНА СОЦІАЛЬНА ВІДПОВІДАЛЬНІСТЬ ЯК СКЛАДОВА СУЧАСНИХ БІЗНЕС-МОДЕЛЕЙ КОМПАНІЙ

The author considers various approaches to the definition of the concept of "corporate social responsibility" and forms the author's vision, namely: corporate social responsibility is considered to be a comprehensive approach to doing business, which is a voluntary conscious choice aimed at harmonizing and satisfying the interests of all stakeholders, and is aimed at ensuring sustainable development of the company and its environment. Stakeholder groups that may be relevant to corporate social responsibility activities are identified. The concept of "business model" has also been improved by taking into account the aspects of sustainable development: a business model is a certain holistic system that combines many elements that, in their interconnection, determine the necessary directions of the company's functioning, which create value, obtain financial results and consolidate market positions, which does not violate and ensures the sustainable development of the company and its environment. The author analyzes in detail all the components of the business model framework in order to find a connection with corporate social responsibility. It is determined that corporate social responsibility is integrated into all areas of business functioning, including corporate strategy ESG is not a part of a specific component of the business model, but is a holistic strategy that determines the directions of development for various aspects of the business model components and provides tools for their improvement and enrichment.

Родные языки в системе образования в этнических федерациях: сравнительный анализ

The initial and main thesis of the article is that the teaching and learning of native languages in ethnic federations differs in specifics in comparison with other federations and unitary states. Comparing the experience of a number of ethnic federations in the field of education seems relevant for all multinational and multilingual states. The article consists of three parts. The first one deals with the problem of the division of powers in the management of teaching of native languages in the education system between the federal center and subjects of a federation. There is a difference in the implementation of these powers in multinational ethnic federations with a dominant national language and federations where there is no single official national language, and the sphere of education, including teaching of native languages, falls within the competence of the subjects of a federation. The author argues that the most optimal model of the division of powers in the field of language policy in the education system consists in consolidation of the basic provisions and principles at the federal level and transfer of issues of operational management of education and the functioning of educational institutions to the regional level, taking into account the elements of autonomy of the subjects of a certain federation. The second part discusses the problem of the voluntary choice of language in the education process or the non-alternative legislative designation of the language of teaching and learning. Generalization of the experience of a number of ethnic federations leads to the conclusion that in these states teaching of both national official language and official language of a subject of a federation, as well as the native language, as a rule, is not established on the basis of a free choice of parents or students, but is in fact mandatory. The third part is devoted to comparing the experience of both ethnic multinational and bi-ethnic federations in the face of conflict-causing factors that hinder the study of native languages. Rarely do ethnic federations avoid disputes over the use of dominant and non-dominant languages in teaching and learning, and there has been a number of extremely contradictory or even conflict situations. One of the reasons is that it is not always possible to develop an optimal model of the distribution of powers between the federal center and subjects of a federation in the system of education in the field of language policy, while all countries possess institutional mechanisms that can prevent the existing contradictions from escalating into conflicts on ethno-linguistic grounds. In conclusion, the author attempts to identify common features that characterize the teaching and learning of native languages in ethnic federations.

Choice in the Context of Dementia: Emerging Issues for Health Care Practice in Aging Societies.

This introduction to the special report "Facing Dementia: Clarifying End-of-Life Choices, Supporting Better Lives" explains why focused attention to dementia is needed in bioethics and in health care practice in a range of settings. It explains how this strongly age-associated condition shapes individual lives over years, revealing inequities in how dementia care is financed. The introduction explains the structure of the report, which consists of five essays, a consolidated set of recommendations from these essays, bibliographies, and other resources. The first essay is a landscape review written for health care professionals to support discussion, debate, and deliberation within professional societies and networks concerning a patient's voluntary choice to hasten their own death in the context of a dementia diagnosis. The landscape review is followed by three essays that suggest how several familiar concepts within care for persons with serious illness should be rethought to better support advance care planning, physician-patient conversations, and access to community-based palliative care and hospice when a person is facing dementia. The final essay presents a bold, practical argument for supporting better lives for people facing dementia, and for dementia caregivers, through primary care, the usual source of care for people with dementia.