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Author: Publisher: Springer Publishing Company ISBN: 9780826103260 Category : Psychology Languages : en Pages : 200
Book Description
"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.
Author: Publisher: Springer Publishing Company ISBN: 9780826103260 Category : Psychology Languages : en Pages : 200
Book Description
"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.
Author: Meera Balasubramaniam Publisher: Springer ISBN: 3030151727 Category : Medical Languages : en Pages : 246
Book Description
The process of aging is frequently associated with changes in the physical and mental functioning of older adults, challenging their autonomy and rendering them vulnerable to exploitation. Certain illnesses that are more common in older adults can affect their capacity to function independently. These include the capacity to make medical decisions, live independently, manage finances, to name a few. Healthcare professionals, especially psychiatrists are often entrusted with the responsibility of assessing an older adult’s capacity to perform one or more functions. This makes it imperative for them to be cognizant of these issues, understand the need for these evaluations, and be able to conduct them in a comprehensive manner. Another way of protecting an older person’s rights and facilitating a life based on their own decisions even after they lose decision making capacity is Advanced Health Care Planning (AHCP). Health care professionals are required to initiate a discussion about AHCP with their patients and their families and review it periodically. Lastly, the older adults incarcerated in prisons is a group that is growing in numbers. They have unique needs at the intersection of the geriatric and forensic services, but are often marginalized by both services. The combination of poor quality of life and increasing costs makes the care of older adults in the criminal justice system makes this topic an important public health concern. There is a pressing need for better training of prison staff in issues of geriatric psychiatry. Assessment of criminal responsibility and competence to stand trial in aging offenders are other complex but under-studied issues. This proposed book will provide a comprehensive view of ethical, medicolegal, and forensic issues that will be useful in clinical practice. There will be three sub-sections, each focusing on ethical, medicolegal and forensic issues respectively. The first section will focus on ethical issues. Its first chapters will provide an overview of the how age and the process of aging influence decision-making and introduce unique ethical dimensions to clinical care. This will be followed by a discussion of the concepts of informed consent and capacity evaluation. The next chapters will focus on common scenarios that arise in the care of elderly patients and offer a practical approach to understanding and managing them. These will include assessments of the capacity to make medical decisions, the capacity to live independently, manage finances, drive a vehicle, have sexual relations etc. A chapter on ethical issues specific to dementia will outline issues related to diagnostic disclosure and genetic testing. Research ethics issues in geriatric psychiatry will also be outlined. The next section of the book will focus on surrogate decision making in an older adult who has been deemed to lack the capacity to serve one or more functions independently. The first chapters in this sub-section will focus on patient directed advance health care planning tools, namely, living will and power of attorney. This will be followed by an overview of default surrogate making. Guardianship will subsequently be covered. A separate chapter will cover the issue of elder abuse and discuss an approach to assessing it. The last section of the book will cover forensic issues in geriatric psychiatry. The first chapter will discuss aging older adults in the criminal justice system from an epidemiological perspective. The growing numbers of incarcerated older adults, their illness burden, the challenges in the diagnosis and management of neurocognitive disorders in the prison setting will be elucidated. The following chapter will discuss competence to stand trial with reference to elderly offenders. This will be followed by a discussion of the concepts of medical reprieve, compassionate release as well as model programs and policies currently in the works for older incarcerated adults.
Author: Marshall B. Kapp, JD, MPH, FCLM Publisher: Springer Publishing Company ISBN: 9780826116536 Category : Law Languages : en Pages : 136
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
Author: Marshall B. Kapp, JD, MPH, FCLM Publisher: Springer Publishing Company ISBN: 0826116361 Category : Law Languages : en Pages : 184
Book Description
Perplexing ethical questions emerge when conducting research involving older adult participants. Fundamental ethical concerns often grappled with include the ability to obtain truly voluntary and competent informed consent, the proper role of surrogate decision making in the research context, and the equitable selection of research subjects. This volume brings to the forefront a discussion of how to encourage essential research specifically designed to benefit older persons while protecting the legal and ethical rights of actual and potential older research participants. Highly qualified and diverse contributors analyze and explain some of the most salient and legal conundrums implicated in the design, conduct, interpretation, and application of research protocols that touch on these problems of aging and the aged.
Author: Robert E. McCue Publisher: Springer ISBN: 3319326724 Category : Medical Languages : en Pages : 229
Book Description
This book provides a comprehensive view of rational suicide in the elderly, a group that has nearly twice the rate of suicide when chronically ill than any other demographic. Its frame of reference does not endorse a single point-of-view about the legitimacy of rational suicide, which is evolving across societies with little guidance for geriatric mental health professionals. Instead, it serves as a resource for both those clinicians who agree that older people may rationally commit suicide and those who believe that this wish may require further assessment and treatment. The first chapters of the book provides an overview of rational suicide in the elderly, examining it through history and across cultures also addressing the special case of baby boomers. This book takes an ethical and philosophical look at whether suicide can truly be rational and whether the nearness of death in late-life adults means that suicide should be considered differently than in younger adults. Clinical criteria for rational suicide in the elderly are proposed in this book for the first time, as well as a guidelines for the psychosocial profile of an older adult who wants to commit rational suicide. Unlike any other book, this text examines the existential, psychological, and psychodynamic perspectives. A chapter on terminal mental illness and a consideration of suicide in that context and proposed interventions even without a diagnosable mental illness also plays a vital role in this book as these are key issues in within the question of suicide among the elderly. This book is the first to consider all preventative measures, including the spiritual as well as the psychotherapeutic, and pharmacologic. A commentary on modern society, aging, and rational suicide that ties all of these elements together, making this the ultimate guide for addressing suicide among the elderly. Rational Suicide in the Elderly is an excellent resource for all medical professionals with potentially suicidal patients, including geriatricians, geriatric and general psychiatrists, geriatric nurses, social workers, and public health officials.
Author: Nathan Hantke Publisher: Academic Press ISBN: 0128004932 Category : Psychology Languages : en Pages : 513
Book Description
The Handbook of Mental Health and Aging, Third Edition provides a foundational background for practitioners and researchers to understand mental health care in older adults as presented by leading experts in the field. Wherever possible, chapters integrate research into clinical practice. The book opens with conceptual factors, such as the epidemiology of mental health disorders in aging and cultural factors that impact mental health. The book transitions into neurobiological-based topics such as biomarkers, age-related structural changes in the brain, and current models of accelerated aging in mental health. Clinical topics include dementia, neuropsychology, psychotherapy, psychopharmacology, mood disorders, anxiety, schizophrenia, sleep disorders, and substance abuse. The book closes with current and future trends in geriatric mental health, including the brain functional connectome, repetitive transcranial magnetic stimulation (rTMS), technology-based interventions, and treatment innovations. Identifies factors influencing mental health in older adults Includes biological, sociological, and psychological factors Reviews epidemiology of different mental health disorders Supplies separate chapters on grief, schizophrenia, mood, anxiety, and sleep disorders Discusses biomarkers and genetics of mental health and aging Provides assessment and treatment approaches
Author: Meera Balasubramaniam Publisher: ISBN: 9783030151737 Category : Family medicine Languages : en Pages : 246
Book Description
This book offers a comprehensive view of ethical, medicolegal, and forensic issues common to aging psychiatric patients. Written by experts in the field, this volume includes assessments of each patient's capacity to make decisions, live independently, manage finances, drive a vehicle, have sexual relations, and a wide array of other topics in the context of ethics and the law. The text also discusses guardianship and care for patients who are no longer fit to handle their own care and the ethical dilemmas associated with these challenges. Finally, the text covers aging adults in the criminal justice system from an epidemiological perspective-a problem that is steadily increasing in many nations, including the United States. Psychiatric Ethics in Late-Life Patients is an excellent resource for all physicians navigating legal and ethical scenarios involving aging patients, including general, geriatric, and forensic psychiatrists, geriatricians, primary care providers, geriatric nurses, social workers, public health officials, and all others.
Author: Angela Georgia Catic Publisher: Springer ISBN: 3319440845 Category : Medical Languages : en Pages : 172
Book Description
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.
Author: Shane S. Bush Publisher: American Psychological Association (APA) ISBN: 9781433826269 Category : Medical Languages : en Pages : 0
Book Description
Working with an older adults can present a unique array of ethical issues, such as balancing respect for client autonomy with beneficence. This book presents a decision-making framework and clinical vignettes to help clinicians navigate such complex quandaries.
Author: 
Author: 
Author: Meera Balasubramaniam
Author: Marshall B. Kapp, JD, MPH, FCLM
Author: Marshall B. Kapp, JD, MPH, FCLM
Author: Robert E. McCue
Author: Nathan Hantke
Author: Meera Balasubramaniam
Author: Barbara Stanley
Author: Angela Georgia Catic
Author: Shane S. Bush