Surrogate Decision-Making and Advance Care Planning
Legal hierarchy of surrogate decision-makers (in order of priority): 1. The appointed guardian of the patient, if any 2. The appointed durable power of attorney for health care, if any…
Ethical Issues of Renal Replacement Therapy in the Elderly
Fig. 6.1 Kaplan-Meier Curve comparing patients (with ischemic heart disease or ≥2 comorbidities) choosing dialysis option versus conservative management (Source: Murtagh et al. [15]; Murtagh FE, Marsh JE, Donohoe P,…
Ethical Considerations for the Driver with Dementia
Fig. 7.1 Algorithm for determining driving decision-making for an older person with dementia. Adapted from Bloedow and Adler [35]. Boxes indicate key components and sequence of decision points in the…
Ethical Issues in Geriatric Research
Use good clinical acumen when evaluating new drug therapy for older adults when this population is not representative of the study sample If engaging in clinical research, adequately justify exclusion…
Considerations and Challenges in Information and Communication Technology
Principle Definition Autonomy and respect for the individual A person’s ability to preserve decision-making and exert independence Consent and assent A person’s ability to give permission while understanding the trade-offs…
Hospital and Physician Rating Websites: Ethical Challenges Without Context
The utility and reliability of hospital and practitioner rating systems is currently limited due to the use of various, often unclear criteria It is important to be aware that some…
Medical Futility
Continuous, open communication is key to building trust and preventing conflict Providers should seek to understand each patient’s life outside the context of illness including understanding their values, hopes, and…
Geriatric Epidemiology
© Springer International Publishing Switzerland 2017Angela Georgia Catic (ed.)Ethical Considerations and Challenges in Geriatrics10.1007/978-3-319-44084-2_1 1. Geriatric Epidemiology Angela G. Catic1 (1) Department of Internal Medicine, Section of Geriatrics, Baylor College of Medicine and Michael E. DeBakey…
Feeding Issues in Advanced Dementia
Feeding issues occur in 90 % of individuals with advanced dementia and is typically the last activity of daily living (ADL) lost prior to death Enteral feeding in elders with…
Elder Abuse and Neglect
The main duties of medical providers are to protect the interests of vulnerable elderly patients by Knowing the statistics, morbidity, mortality, and red flags of elder abuse, neglect, financial exploitation,…
