Ethical Considerations and Challenges in Geriatrics

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.

Written by experts in their field Each chapter includes brief case studies Discusses emerging trends and ethical challenges

Autorentext
Angela Georgia Catic, MD, Assistant Professor of Medicine, Section of Geriatrics, Baylor College of Medicine, Director Baylor College of Medicine Geriatric Medicine Fellowship Program, Staff Physician, Michael E. DeBakey VA Medical Center

Inhalt

Geriatric Epidemiology.- Evaluating Capacity for Safe and Independent Living among Vulnerable Older Adults.- Surrogate decision making and advance care planning.- End of Life Care of Older Adults.- Special Considerations in Older Surgical Patients.- Ethical Issues of Renal Replacement Therapy in the Elderly.- Ethical Considerations for the Driver with Dementia.- Medical Futility.- Feeding Issues in Advanced Dementia.- Intimacy in the Long-Term Care Setting.- Elder Abuse and Neglect.- Hospital and Physician Rating Web Sites: Ethical Challenges without Context.- Considerations and Challenges in Information and Communication Technology.- Ethical Issues in Geriatric Research.