Geriatric Mental Health Ethics

Author : Anonim
Publisher : Springer Publishing Company
Page : 200 pages
File Size : 46,8 Mb
Release : 2008-09-30
Category : Psychology
ISBN : 082610326X

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Geriatric Mental Health Ethics by Anonim Pdf

"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,Aarti Gupta,Rajesh R. Tampi
Publisher : Springer
Page : 246 pages
File Size : 52,8 Mb
Release : 2019-06-27
Category : Medical
ISBN : 9783030151720

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Psychiatric Ethics in Late-Life Patients by Meera Balasubramaniam,Aarti Gupta,Rajesh R. Tampi Pdf

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 : Allen R. Dyer,Brandon A. Kohrt,Philip J. Candilis
Publisher : Springer Nature
Page : 402 pages
File Size : 54,6 Mb
Release : 2021-05-22
Category : Medical
ISBN : 9783030662967

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Global Mental Health Ethics by Allen R. Dyer,Brandon A. Kohrt,Philip J. Candilis Pdf

This volume addresses gaps in the existing literature of global mental health by focusing on the ethical considerations that are implicit in discussions of health policy. In line with trends in clinical education around the world today, this text is explicitly designed to draw out the principles and values by which programs can be designed and policy decisions enacted. It presents an ethical lens for understanding right and wrong in conditions of scarcity and crisis, and the common controversies that lead to conflict. Additionally, a focus on the mental health response in “post-conflict” settings, provides guidance for real-world matters facing clinicians and humanitarian workers today. Global Mental Health Ethics fills a crucial gap for students in psychiatry, psychology, addictions, public health, geriatric medicine, social work, nursing, humanitarian response, and other disciplines.

Author : Marshall B. Kapp, JD, MPH, FCLM
Publisher : Springer Publishing Company
Page : 136 pages
File Size : 43,6 Mb
Release : 2005-09-01
Category : Law
ISBN : 0826116531

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Ethics, Law, and Aging Review, Volume 11 by Marshall B. Kapp, JD, MPH, FCLM Pdf

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 : Meera Balasubramaniam,Aarti Gupta,Rajesh R. Tampi
Publisher : Unknown
Page : 246 pages
File Size : 52,5 Mb
Release : 2019
Category : Family medicine
ISBN : 3030151735

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Psychiatric Ethics in Late-Life Patients by Meera Balasubramaniam,Aarti Gupta,Rajesh R. Tampi Pdf

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 : Barbara Stanley
Publisher : Unknown
Page : 124 pages
File Size : 49,9 Mb
Release : 1985
Category : Law
ISBN : UOM:39015009566871

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Geriatric Psychiatry by Barbara Stanley Pdf

Author : Angela Georgia Catic
Publisher : Springer
Page : 172 pages
File Size : 46,9 Mb
Release : 2017-01-31
Category : Medical
ISBN : 9783319440842

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Ethical Considerations and Challenges in Geriatrics by Angela Georgia Catic Pdf

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 : Marshall B. Kapp, JD, MPH, FCLM
Publisher : Springer Publishing Company
Page : 184 pages
File Size : 48,5 Mb
Release : 2002-07-31
Category : Law
ISBN : 9780826116369

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Ethics, Law, And Aging Review, Volume 8 by Marshall B. Kapp, JD, MPH, FCLM Pdf

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 : Ana Hategan,James A. Bourgeois,Calvin H. Hirsch,Caroline Giroux
Publisher : Springer
Page : 735 pages
File Size : 44,5 Mb
Release : 2018-04-03
Category : Medical
ISBN : 9783319675558

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Geriatric Psychiatry by Ana Hategan,James A. Bourgeois,Calvin H. Hirsch,Caroline Giroux Pdf

This textbook presents real-world cases and discussions that introduce the various mental health syndromes found in the aging population before delving into the core concepts covered by geriatric psychiatry curricula. The text follows each case study with the vital information necessary for physicians in training, including key features of each disorder and its presentation, practical guidelines for diagnosis and treatment, clinical pearls, and other devices that are essential to students of geriatric psychiatry. With the latest DSM-5 guidelines and with rich learning tools that include key points, review questions, tables, and illustrations, this text is the only resource that is specifically designed to train both American and Canadian candidates for specialty and subspecialty certification or recertification in geriatric psychiatry. It will also appeal to audiences worldwide as a state-of-the-art resource for credentialing and/or practice guidance. The text meets the needs of the future head on with its straightforward coverage of the most frequently encountered challenges, including neuropsychiatric syndromes, psychopharmacology, eldercare and the law, substance misuse, mental health following a physical condition, medical psychiatry, and palliative care. Written by experts in the field, Geriatric Psychiatry: A Case-Based Textbook is the ultimate resource for graduate and undergraduate medical students and certificate candidates providing mental health care for aging adults, including psychiatrists, psychologists, geriatricians, primary care and family practice doctors, neurologists, social workers, nurses, and others.

Author : Julian Hughes
Publisher : McGraw-Hill Education (UK)
Page : 312 pages
File Size : 54,8 Mb
Release : 2023-05-30
Category : Medical
ISBN : 9780335251018

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Dementia and Ethics Reconsidered by Julian Hughes Pdf

“In this masterful book, Julian Hughes makes a convincing case that many acts in clinical and care practice are ethical matters. Hughes takes us gently through a jungle of philosophical ideas and explores a series of ethical issues in dementia care, such as diagnosis, covert medication and end of life care. His humanity shines through as he favours a values-based approach to care, and concludes by declaring (in the spirit of Tom Kitwood) that the person must be placed first in order to do what is right and good for people living with dementia. A must-have volume for practitioners, social scientists and enlightened general readers.” Tom Dening, Professor of Dementia Research, School of Medicine, University of Nottingham, UK “This book is totally brilliant. The outstanding author Dr. Julian Hughes must now be considered the foremost ethicist of his generation when it comes to caring for individuals with dementia … This is now the book that everyone who cares about dementia and ethics must read, discuss, and implement. It is a huge contribution.” Stephen G. Post PhD, Director, Center for Medical Humanities, Compassionate Care & Bioethics Stony Brook University School of Medicine, USA “This book should be an essential read for all of us who support and navigate the ethical issues relating to people with dementia and their families.” Paul Edwards, Director of Clinical Services, Dementia UK Ethical issues are involved in every decision that is made in connection with someone living with dementia – from decisions about care and treatment to decisions about research and funding. This book encourages the reader to reconsider ethics in dementia care with the use of ‘patterns of practice’, an innovative idea developed by the author. The book highlights the importance of understanding the person’s narrative, of good communication, high quality care, and expert interpretation of the meaning of situations for people living with dementia. This book: • Reviews ethical theories and approaches in connection with dementia care • Considers issues such as such as stigma, quality of life, personhood, and citizenship in relation to dementia • Looks at issues relevant to research ethics • Presents case vignettes to highlight a complete spectrum of ethical issues that arise in dementia care • Is accessibly written for multiple audiences – from people living with dementia to practitioners Dementia and Ethics Reconsidered is a comprehensive account of thought and practice in relation to ethical issues that arise in the context of dementia care, which seeks to show how ethical thinking can be put into practice and prove relevant to day-to-day experience. The Reconsidering Dementia Series is an interdisciplinary series published by Open University Press that covers contemporary issues to challenge and engage readers in thinking deeply about the topic. The dementia fi eld has developed rapidly in its scope and practice over the past ten years and books in this series will unpack not only what this means for the student, academic and practitioner, but also for all those affected by dementia. Series Editors: Dr Keith Oliver and Professor Dawn Brooker MBE. Julian C. Hughes was a consultant in old age psychiatry. Having trained in both philosophy and medicine, he was appointed honorary professor of philosophy of ageing at Newcastle University, UK and subsequently professor of old age psychiatry at the University of Bristol, UK. He was deputy chair of the Nuffield Council on Bioethics, UK.

Author : Shane S. Bush,Rebecca S. Allen,Victor Molinari
Publisher : American Psychological Association (APA)
Page : 0 pages
File Size : 52,8 Mb
Release : 2016-12
Category : Medical
ISBN : 1433826267

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Ethical Practice in Geropsychology by Shane S. Bush,Rebecca S. Allen,Victor Molinari Pdf

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 : Robert E. McCue,Meera Balasubramaniam
Publisher : Springer
Page : 229 pages
File Size : 55,9 Mb
Release : 2016-10-27
Category : Medical
ISBN : 9783319326726

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Rational Suicide in the Elderly by Robert E. McCue,Meera Balasubramaniam Pdf

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 : David C. Steffens, M.D., M.H.S.,Kristina F. Zdanys, M.D.
Publisher : American Psychiatric Pub
Page : 850 pages
File Size : 40,9 Mb
Release : 2022-08-09
Category : Medical
ISBN : 9781615373406

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The American Psychiatric Association Publishing Textbook of Geriatric Psychiatry, Sixth Edition by David C. Steffens, M.D., M.H.S.,Kristina F. Zdanys, M.D. Pdf

"This new edition retains the multidisciplinary and developmental perspectives of its predecessors, drawing on the knowledge not only of psychiatrists but also of relevant biomedical and behavioral experts in order to present the most comprehensive approach to patient care. It has been extensively updated to reflect the latest scientific advances and clinical developments in the field. Not only will readers find the most up-to-date information on phenomenology, diagnosis, and assessment of late-life mental disorders, they will also access the latest research on psychotherapeutic, psychopharmacological, and other somatic treatments. A dedicated chapter delves into the role of technology-including digital phenotyping, wearables, digital and web-based neurocognitive testing, and more-in aiding the geriatric mental health workforce and improving both access to care and ongoing support. Throughout the book, several sections examine the impact of COVID-19, and its attendant social isolation, on older adult mental health and the evolution of treatment approaches, revealing insights learned about telepsychiatry and care in nursing homes during the pandemic. Chapters on the legal and ethical factors in the psychiatric care of older adults close out the book, the most exhaustive on the topic. Extensively researched and with key points for ease of reference, this edition will equip both the scholar and the clinician with the current state of scientific understanding as well as the practical skills and knowledge base required for dealing with mental disorders in late life"--

Author : S.F. Spicker,S.R. Ingman,Ian Lawson
Publisher : Springer Science & Business Media
Page : 336 pages
File Size : 40,5 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9789400933910

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Ethical Dimensions of Geriatric Care by S.F. Spicker,S.R. Ingman,Ian Lawson Pdf

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.

Author : Rajesh Tampi,Deena Tampi,Juan Young,Rakin Hoq,Kyle Resnick
Publisher : Springer Nature
Page : 409 pages
File Size : 49,7 Mb
Release : 2021-02-04
Category : Medical
ISBN : 9783030586638

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Absolute Geriatric Psychiatry Review by Rajesh Tampi,Deena Tampi,Juan Young,Rakin Hoq,Kyle Resnick Pdf

This book provides a comprehensive yet concise review of geriatric psychiatry in preparation for the board exam, or for reference during practice. Written by experts in the field, this text thoroughly reviews over 500 developmental, biological, diagnostic, and treatment questions for board certification. Unlike any other text on the market, this book takes a broader approach to the subject, making it accessible for physicians as well as other clinicians, including nurses, therapists, and social workers. Absolute Geriatric Psychiatry Review is an excellent resource for all clinicians who will care for the mental health of aging patients, including psychiatrists, neurologists, psychologists, therapists, nurses, social workers, nursing home administrators, and all others.