Population aging among the world will bring up an exponential increasing of dementia in the next 40 years. This will create more demands in medical care areas. And this will defeated psychiatrists with bioethical issues: capacity to obtain agreement for treatment, participation in research studies, dealing with own economy, institutionalization, and manager of behavioral symptoms. Guidelines delineating probable issues or ethical problems will be defined. The theoretical framework will be defi- ned concerning bioethical issues involved in the different stages of cognitive impairment.
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