TITLE

Ethical Issues in Geriatrics: A Guide for Clinicians

AUTHOR(S)
Mueller, Paul S.; Hook, C. Christopher; Fleming, Kevin C.
PUB. DATE
April 2004
SOURCE
Mayo Clinic Proceedings;Apr2004, Vol. 79 Issue 4, p554
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Because of demographic trends, it is reasonable to expect that clinicians will care for an increasing number of elderly persons with challenging medical and psychosocial problems. These problems and issues, in turn, may lead to daunting ethical dilemmas. Therefore, clinicians should be familiar with ethical dilemmas commonly encountered when caring for elderly patients. We review some of these dilemmas, including ensuring informed consent and confidentiality, determining decision-making capacity, promoting advance care planning and the use of advance directives, surrogate decision making, withdrawing and withholding interventions, using cardiopulmonary resuscitation and do-not-resuscitate orders, responding to requests for interventions, allocating health care resources, and recommending nursing home care. Ethical dilemmas may arise because of poor patient-clinician communication; therefore, we provide practical tips for effective communication. Nevertheless, even in the best circumstances, ethical dilemmas occur. We describe a case-based approach to ethical dilemmas used by the Mayo Clinic Ethics Consultation Service, which begins with a review of the medical indications, patient preferences, quality of life, and contextual features of a given case. This approach enables clinicians to identify and analyze the relevant facts of a case, define the ethical problem, and suggest a solution.
ACCESSION #
12736816

 

Related Articles

  • Meeting ethical challenges in acute nursing care as narrated by registered nurses. Sørlie, Venke; Kihlgren, Annica; Kihlgren, Mona // Nursing Ethics;Mar2005, Vol. 12 Issue 2, p133 

    Five registered nurses were interviewed as part of a comprehensive investigation by five researchers into the narratives of five enrolled nurses (study 1, published in Nursing Ethics 2004), five registered nurses (study 2) and 10 patients (study 3) describing their experiences in an acute care...

  • Caring for colleagues. A. I. C. // British Columbia Medical Journal;Jul/Aug2013, Vol. 55 Issue 6, p269 

    The author reflects on the challenge faced by physicians who are caring for a colleague. She describes the difficult situation her classmate was into when he cared for a member of her family. She cites several challenges faced by physicians when delivering medical care. She also mentions the...

  • EXPERT TESTIMONY. Blumenreich, Gene A. // AANA Journal;Jun2004, Vol. 72 Issue 3, p173 

    In the past few months there has been a lot of interest in a case decided by the Illinois Supreme Court in which the court held that a physician could not testify to the standard of care for a registered nurse. Professionals set their own standard of care and when courts and juries need to know...

  • What doctors and managers can learn from each other. Smith, Richard // BMJ: British Medical Journal (International Edition);3/22/2003, Vol. 326 Issue 7390, p610 

    Discusses the possibilities for doctors and managers to learn from each other. Consideration of how both groups regard medical ethics; Suggestion that doctors and managers are risk takers and intellectuals; Improvements in the quality and safety of health care; How doctors are uncomfortable...

  • Moral decisions are never easy. Cohen, Harold E. // Drug Topics;8/23/2004, Vol. 148 Issue 16, p18 

    Healthcare professionals have had to deal with the ethical issues related to morals and religious beliefs since the beginning of medical care. The laws passed over the years, especially those dealing with privacy, ultimately addressed many of them. But there still remain many that are...

  • Jewish Medical Ethics for the Student and Practitioner. Rosner, Fred // B'Or Ha'Torah;2009, Vol. 19, p43 

    The article focuses on the field of Jewish medical ethics. According to the author, Jewish medical ethics is a matter of topics and issues facing medical practitioners in Israel, including the observance of Sabbath. Moreover, several Jewish ethical and legal questions facing the practicing...

  • Are medical ethicists out of touch? Practitioner attitudes in the US and UK towards decisions at the end of life. Dickenson, Donna L. // Journal of Medical Ethics;Aug2000, Vol. 26 Issue 4, p254 

    Objectives--To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effect Design, subjects and setting-A 138-item attitudinal...

  • PROFESSIONAL ETHICS IN HEALTH SYSTEM AND PRIMARY HEALTH CARE. Kazemi, Abdolhassan; Kazemi, Mostafa; Fayzollahi, Najat; Atallo, Sadyar; Far, Mohammad Masodi // Jundishapur Journal of Microbiology;2013 Special Edition, p82 

    Traditionally, in professional ethics field, medical ethics has in the past well thought-out the rights of health care staffs and their framework. Previous medical ethics codes (1847 version) of the American Medical Association's (AMA) Code integrated sections on the obligations of patients and...

  • Ethical Issues in Surgical Innovation. Miller, Megan; Siegler, Mark; Angelos, Peter // World Journal of Surgery;Jul2014, Vol. 38 Issue 7, p1638 

    Innovation is responsible for most advances in the field of surgery. Innovative approaches to solving clinical problems have significantly decreased morbidity and mortality for many surgical procedures, and have led to improved patient outcomes. While innovation is motivated by the surgeon's...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics