Ethics in Community-Based Elder Care


Book Description

Caring for elders outside of institutions is the fastest growing sector of US health care. Building on their research study at the Park Ridge Center, editors Holstein and Mitzen, together with a team of experts, examine the complexities involved in developing an ethics for community-based long-term care. They also challenge policymakers to make home care a more viable option for older people in need. Chapters address many of the ethical and practical problems that arise in the care of older people with physical and mental disabilities--including how to allocate scarce funds, how to keep good caregivers, how to balance concerns of autonomy, risk and safety, and worker stress. The volume is an excellent resource for practitioners, policymakers, and students.




Ethics and the Elderly


Book Description

In this study of gerontological ethics and long-term care, Moses offers a history of the ethics of caregiving, an analysis of the present situation vis-a-vis contemporary society and Christian perspectives, and models for future care that incorporate an ethical responsibility to care. At this historical moment where an aging population, advances in medical care, and the rising costs of such care across the board have made ethics of health care a pressing national question, Ethics and the Elderly offers timely and useful reflections for ethicists, pastoral care givers, and medical providers. Academically sound and written at an accessible level, it will be a valuable text for courses in medical ethics and Catholic moral theology, and will also appeal to non-academic audiences dealing with the growing field of eldercare. (Publisher).







Ethics and the Elderly


Book Description

In this study of gerontological ethics and long-term care, Moses offers a history of the ethics of caregiving, an analysis of the present situation vis-a-vis contemporary society and Christian perspectives, and models for future care that incorporate an ethical responsibility to care. At this historical moment where an aging population, advances in medical care, and the rising costs of such care across the board have made ethics of health care a pressing national question, Ethics and the Elderly offers timely and useful reflections for ethicists, pastoral care givers, and medical providers. Academically sound and written at an accessible level, it will be a valuable text for courses in medical ethics and Catholic moral theology, and will also appeal to non-academic audiences dealing with the growing field of eldercare. (Publisher).




Care of the Aged


Book Description

The growing population of elderly and infirm has given rise to serious questions about their proper care and treatment. What responsibility does society have to its aging citizens? What duties, if any, do grown children owe their parents? What should be done with severely demented patients? When is a person 'elderly'. Among the issues discussed in Care of the Aged are disrespecting our elders, ethical dilemmas in community-based care, duties to aging parents, a feminist ethics of care, and the ethic of pain management in older people.




Elder Mistreatment


Book Description

In this guidebook, authors from various disciplines distinguish conflicts in ethical issues among elder abuse victims, precipitators, and professional care providers and propose ways to address these differences. Elder Mistreatment: Ethical Issues, Dilemmas, and Decisions identifies key differences and similarities in professional ethical protocols and shows how differences may be addressed to achieve consensus in ethical decisionmaking. For some time now, helping professionals involved with cases of elder abuse have recognized the need to begin a dialogue on applying ethical principles to practice. The subject of ethics, while always a part of services, has been difficult to articulate in practice because its roots come from principles of belief rather than objective, absolute criteria. For this reason, professionals have erred on the side of practice methods rather than the deeper issues of values protocols for clients and professionals. Elder Mistreatment raises the question of how to identify ethical values and their starting points among all parties in the elder abuse situation, determine whether dilemmas may arise with competing values, and initiate moves toward consensus. Professionals from the fields of medicine, social work, law, religion, and ethics review three cases of mistreatment, identify the ethical values, issues, and dilemmas as they relate to both the client/patient and their particular profession. In this way, the reader can compare the similarities and differences among professional starting points. The final chapter in this book, written by a medical ethicist, describes how members from different professions working as a multidisciplinary team might be able to integrate differing perceptions of the dilemmas into greater consensus in the process of ethical decisionmaking in cases of elder mistreatment. Throughout the case studies and chapters, these topics are covered in depth: communicative ethics autonomy beneficence non-maleficence justice community-based multidisciplinary care legal competence clinical competence Readers at all levels in the following fields will benefit from this guidebook: social workers, physicians, nurses, allied health professionals, psychologists, therapists, psychiatrists, clergy, lawyers, paralegals, and ethicists.




Ethical Dimensions of Geriatric Care


Book Description

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 and Legal Issues in Home Health and Long-term Care


Book Description

This evidence-based text is designed to help the undergraduate nursing student in a critical care rotation and for nurses new to critical care. Each clinical chapter has application to the AACN Synergy Model, identifying and matching patient characteristics and nurse competencies, leading to optimal patient outcomes.




Ethics, Law, and Aging Review, Volume 10


Book Description

Although the topic of decision making capacity and older persons has been discussed in the literature, there still is much to be learned about it theoretically and practically. Experts continue to disagree about which standards are important for assessing decision making capacity. Questions such as: ìWhen should a capacity assessment be done on an older person and by whom?î are covered by the editors. Topics included in this volume are the application of an original framework for ethical decision making in long term care; an elder's capacity to decide to remain living alone in the community; the quest for helpful standardized instruments for evaluating decision making capacity; and end-of-life liability issues.




Ethics, Law, and Aging Review, Volume 11


Book Description

We are now engaged in a movement that de-emphasizes the reliance on institutional forms of long-term care for disabled persons needing ongoing daily living assistance and converges on the use of non-institutional service providers abnd residential settings. In this latest edition of Ethics, Law and Aging Review , Kapp and ten expert contributors help us examine the forces and potential for changeing the long-term care industry (both positively and negatively) and address this paradigm shift from the inpersonal, public psychiatric institutions of the 1960s and 1970s to the present-day assisted living environments that have been fueled by economic, social, polictical, and legal forces. Most important ly, this volume identifies obstaclesto change and enlighten service providers, advocates, and key policy makers to the pitfalls that can largely interfere with positive outcomes as a result of long-term care deinstitutionalization. Topics explored include: Community-based alternatives for older adults with serious mental illness Failing consumer-directed alternatives to nursing homes Ethics of Medicare privatization