Subtle Ethical Dilemmas in Geriatric Management and Clinical Research
van Dijk, Y.
Journal of Medical Ethics 2005 June; 31(6): 355-359
Routine management of geriatric problems often raises ethical problems, particularly regarding autonomy of the old person. The carers or children may be unaware of the sensitivity of role reversal in dealing with the financial affairs; the need for a residential carer may compromise the old person's privacy. Attending a day centre confers much benefit, but one must understand the old person's resistance to change in the proposal of a new daily regimen. Similarly his or her autonomy must be the priority in planning for admittance to an old age home, and not the assumption that the family knows best. A common dilemma is the assessment of an old person's competency in decision making, either about management of his affairs, or regarding consent to treatment, or participation in research. Because cognitive capacity is not always identical with competency, meaningful tools have recently been developed in which the emphasis is on the specific situation to be investigated.
Showing items related by title, author, creator and subject.
Autonomy and Paternalism in Geriatric Medicine. the Jewish Ethical Approach to Issues of Feeding Terminally Ill Patients, and to Cardiopulmonary Resuscitation Rosin, Arnold J.; Sonnenblick, Moshe (1998-02)Respecting and encouraging autonomy in the elderly is basic to the practice of geriatrics. In this paper, we examine the practice of cardiopulmonary resuscitation (CPR) and "artificial" feeding in a geriatric unit in a ...
Autonomy and Paternalism in Geriatric Medicine. the Jewish Ethical Approach to Issues of Feeding Terminally Ill Patients, and to Cardiopulmonary Resuscitation Rosin, Arnold J.; Sonnenblick, Moshe (1998-02)
Protecting Research Participants Review of Institutional Review Boards: Management and Function, Edited by R.J. Amdur and E.A. Bankert; Institutional Review Board: Member Handbook, by R. Amdur; Study Guide for Institutional Review Board: Management and Function, by S. Kornetsky, A. Davis, and R.J. Amdur; Principles of Clinical Research, Edited by I. Di Giovanna and G. Hayes; Informed Consent in Medical Research, Edited by L. Doyal and J.S. Tobias; the Complete Guide to Informed Consent in Clinical Trials, Edited by T. Hartnett; Tuskegee's Truths: Rethinking the Tuskegee Syphilis Study, Edited by S.M. Reverby; European Neonatal Research: Consent, Ethics Committees and Law, Edited by S. Mason and C. Megone; the Ethics of Medical Research on Humans, by C. Foster; Ethical Issues in Biomedical Publication, Edited by A. Hudson Jones and F. McLellan; Fraud and Misconduct in Biomedical Research (3rd Edition), Edited by S. Lock, F. Wells, and M. Farthing; Biomedical Research Ethics: Updating International Guidel Nicholson, Richard (2002-11)