Ethical Dimensions of Geriatric Care

Ethical Dimensions of Geriatric Care PDF

Author: S.F. Spicker

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 340

ISBN-13: 9400933916

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There is both a timeliness and a transcendent 'rightness' in the fact that scholars, clinicians, and health professionals are beginning to examine the ethics-based components of decision making in health care of the elderly. Ethics - as the discipline concerned with right or wrong conduct and moral duty - pervades hospital rooms, nursing home corridors, physicians' offices, and the halls of Congress as decisions are made that concern the allocation of health-related services to individuals and groups in need. In particular, care of older persons recently has received dispropor tionate attention in discussions of ethics and clinical care. Age alone, of course, should not generate special focus on ill individuals about whom concerns arise based on value conflicts tacitly involved in the delivery of health care. Having said that age is not the principal criterion for attention to ethics-based concerns in health care, it must be acknowl edged that old people have a high prevalence of conditions that provoke interest and put them in harm's way if value conflicts are not identified and seriously addressed. Issues that concern autonomy, the allocation of scarce resources, inter-generational competition and conflict, the withholding of treat ment in treatable disease, and substitute and proxy decision making for the cognitively impaired all have special relevance for older persons.

Ethical Dimensions of Geriatric Care

Ethical Dimensions of Geriatric Care PDF

Author: S.F. Spicker

Publisher: Springer

Published: 1987-10-31

Total Pages: 336

ISBN-13: 9781556080272

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There is both a timeliness and a transcendent 'rightness' in the fact that scholars, clinicians, and health professionals are beginning to examine the ethics-based components of decision making in health care of the elderly. Ethics - as the discipline concerned with right or wrong conduct and moral duty - pervades hospital rooms, nursing home corridors, physicians' offices, and the halls of Congress as decisions are made that concern the allocation of health-related services to individuals and groups in need. In particular, care of older persons recently has received dispropor tionate attention in discussions of ethics and clinical care. Age alone, of course, should not generate special focus on ill individuals about whom concerns arise based on value conflicts tacitly involved in the delivery of health care. Having said that age is not the principal criterion for attention to ethics-based concerns in health care, it must be acknowl edged that old people have a high prevalence of conditions that provoke interest and put them in harm's way if value conflicts are not identified and seriously addressed. Issues that concern autonomy, the allocation of scarce resources, inter-generational competition and conflict, the withholding of treat ment in treatable disease, and substitute and proxy decision making for the cognitively impaired all have special relevance for older persons.

Ethical Considerations and Challenges in Geriatrics

Ethical Considerations and Challenges in Geriatrics PDF

Author: Angela Georgia Catic

Publisher: Springer

Published: 2017-01-31

Total Pages: 172

ISBN-13: 3319440845

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This book is designed to present an overview of common geriatrics ethical issues that arise during patient care and research activities. Each chapter includes a case example and practical learning pearls that are useful in day-to-day patient care. Coverage includes a brief overview of geriatric epidemiology, highlighting the high rates of dementia, use of surrogate decisions makers at the end-of-life, relocation from home to long-term care facilities, and low health literacy in the geriatrics population. Sections are devoted to issues around capacity, surrogate decision making, end-of-life care, hemodialysis in the elderly, and futility as well as challenges presented by independence questions, such as dementia care, driving, feeding, and intimacy in nursing homes. The text also addresses questions around recognizing, reporting, and treating elder abuse and self-neglect, ethics related to research and technology in the geriatric population, and the use of e-mail, Facebook, and open notes. Written by experts in the field, Ethical Considerations and Challenges in Geriatrics is a valuable tool for trainees at a variety of levels including medical students, residents, and fellows. In addition, it provides practical guidance and a useful reference for practicing geriatricians, primary care physicians, geriatric nurses, social workers, nursing home workers, hospice care employees, and all medical health professionals working with the elderly.

Long-term Care Decisions

Long-term Care Decisions PDF

Author: Laurence B. McCullough

Publisher:

Published: 1995

Total Pages: 272

ISBN-13:

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Physical, mental, or social changes in the life of an elderly person may result in a loss of self-sufficiency. Deciding how to compensate for changes-a process that often involves family members, tends, or health professionals-frequently leads to consideration of long-term care. Most of the existing literature on ethics and decision making, however, focuses on acute care and does not necessarily-apply to issues involved in choosing long-term care.

Ethics and the Elderly

Ethics and the Elderly PDF

Author: Mark R. Wicclair

Publisher: Oxford University Press, USA

Published: 1993

Total Pages: 280

ISBN-13:

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With the increasing growth of the elderly population, geriatric care is becoming eminently important not only to medical professionals but also to all those involved in caring for the elderly including social workers, nursing home staff, and relatives. This timely work confronts in a clear and systematic manner the many ethical issues concerning care for elderly persons. For instance, what is sound ethical decision-making in relation to life-sustaining medical treatment for elderly patients? At a time when aging of the population is increasing the demand for health care, is age-rationing a justified means of cost control? How can investigators satisfy ethical requirements in relation to medical or social-scientific research with elderly subjects, and what special precautions are needed when elderly persons are ill, demented, dependent on social services, and/or institutionalized? What are the responsibilities of adult children toward frail elderly parents? How can professionals and relatives determine whether paternalism toward an elderly person is ethically justified? In an accessible way, this book explains the ethical and conceptual issues at stake. Several key examples are presented and each chapter ends with an extensive case study and analysis. Ethics and the Elderly will be a valuable resource for all those involved in geriatric care and to many in the field of bioethics.

Aging between Participation and Simulation

Aging between Participation and Simulation PDF

Author: Joschka Haltaufderheide

Publisher: Walter de Gruyter GmbH & Co KG

Published: 2020-04-06

Total Pages: 215

ISBN-13: 311067758X

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With increasing urgency, decisions about the digitalized future of healthcare and implementations of new assistive technologies are becoming focal points of societal and scientific debates and addresses large audiences. Decisions require a careful weighing of risks and benefits and contextualizing in-depth ethical analysis with robust empirical data. However, up to now, research on social assistive technologies is mostly dispersed over different academic fields and disciplines. A comprehensive overview on discussions regarding values at stake and ethical assessment of recent developments especially in healthcare is largely missing. This publication initiates an interdisciplinary discourse on ethical, legal and social implications of socially assistive technologies in healthcare. Contributions include perspectives from nursing science, social sciences, philosophy, medical ethics, economics and law to present an – to our knowledge – first and comprehensive overview on different aspects of the use and implementation of socially assistive technologies from an ethical perspective. It combines practically relevant insights and examples from current research and development with ethical analysis to uncover exemplary moral tipping points between promotion of participation or well-being and risks and damages to these values. Healthcare professionals involved in implementation of smart technologies as well as scholars from the field of humanities, nursing and medicine, interested in the discussions on ethics and technology in healthcare, will benefit from this new contribution. The publication is part of the international DigitAs conference "Aging between Participation and Simulation – Ethical Dimensions of Socially Assistive Technologies" held at the Institute of Medical Ethics and History of Medicine (Ruhr University Bochum) from 4 February to 8 February 2019. Within this framework, twelve young scholars were invited to discuss their contributions with renowned experts in the field. The Institute of Medical Ethics and History of Medicine is one of the leading institutes in empirically informed ethical analysis in healthcare and medicine and is a member of the European Association of Centres of Medical Ethics (EACME).

Geriatric Mental Health Ethics

Geriatric Mental Health Ethics PDF

Author: Shane S. Bush, PhD, ABPP, ABN

Publisher: Springer Publishing Company

Published: 2008-09-30

Total Pages: 197

ISBN-13: 082610326X

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"The book's genuine value is that it provides the reader with a solid foundation in ethical competence. The ten-step ethical decision-making model described is a clear, structured roadmap to aid in the resolution of common ethical problemsÖ.A welcome resource to all geriatric mental health students, practitioners, and educators." -- From the Afterword by Frank A. Cervo, MD, Long Island State Veterans Home, Stony Brook University School of Medicine Detailed case studies will guide practitioners through Bush's "Four A's" of ethical decision-making: Anticipating and preparing for ethical issues commonly encountered in specific contexts Avoiding ethical misconduct Addressing ethical challenges with specific strategies and goals Aspiring to even higher standards of ethical decision making and practice Making informed, ethical decisions and choosing the right course of action with elderly patients can prove difficult for mental health practitioners. This is especially true when patients suffer from Alzheimer's disease or other disorders that impair their own decision-making abilities. When confronting dilemmas concerning privacy, informed consent, and patient autonomy, use of an ethical decision-making model is essential. In this book, Bush not only presents this practical, 10-step model, but through a diverse collection of case studies, also demonstrates how it can be implemented across numerous therapeutic settings. Nursing, social work, counseling, and psychiatry are only four of the many settings discussed. In essence, the author offers a truly unique, interdisciplinary approach to ethical decision-making in geriatric mental health care.

Elder Abuse and Its Prevention

Elder Abuse and Its Prevention PDF

Author: National Research Council

Publisher: National Academies Press

Published: 2014-03-18

Total Pages: 228

ISBN-13: 0309293545

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Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine's Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings. Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder maltreatment every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults aged 65 and older continues to grow, the implications of elder maltreatment for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem. Elder Abuse and Its Prevention discusses the prevalence and characteristics of elder abuse around the world, risk factors for abuse and potential adverse health outcomes, and contextually specific factors, such as culture and the role of the community.

Pathy's Principles and Practice of Geriatric Medicine

Pathy's Principles and Practice of Geriatric Medicine PDF

Author: Alan J. Sinclair

Publisher: John Wiley & Sons

Published: 2012-03-13

Total Pages: 3453

ISBN-13: 1119954142

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This new edition of the comprehensive and renowned textbook Principles and Practice of Geriatric Medicine offers a fully revised and updated review of geriatric medicine. It covers the full spectrum of the subject, features 41 new chapters, and provides up-to-date, evidence-based, and practical information about the varied medical problems of ageing citizens. The three editors, from UK, USA and France, have ensured that updated chapters provide a global perspective of geriatric medicine, as well as reflect the changes in treatment options and medical conditions which have emerged since publication of the 4th edition in 2006. The book includes expanded sections on acute stroke, dementia, cardiovascular disease, and respiratory diseases, and features a new section on end-of-life care. In the tradition of previous editions, this all-encompassing text continues to be a must-have text for all clinicians who deal with older people, particularly geriatric medical specialists, gerontologists, researchers, and general practitioners. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store. Praise for the 4th edition: "...an excellent reference for learners at all clinical and preclinical levels and a useful contribution to the geriatric medical literature." —Journal of the American Medical Association, November 2006 5th edition selected for 2012 Edition of Doody's Core TitlesTM