Ethical Dimensions of Geriatric Care: Value Conflicts for the 21st CenturyS.F. Spicker, S.R. Ingman, Ian Lawson Springer Science & Business Media, 31.10.1987 - 336 Seiten 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. |
Inhalt
Aging and Dependency in the 21st Century | 3 |
Commentary on Jacob A Brodys Essay | 23 |
Changing Images of Dependency in Prolongevity | 29 |
An Evolutionary Perspective on Senescence | 45 |
Efficiency and Equity | 67 |
National Policies vs Individual Choice | 79 |
Commentary on Baruch Brodys Essay | 95 |
The Rights of Passage | 105 |
The Ethics and Economics of Suicide in Old Age | 161 |
Comments on the Essays of Dubler Battin Kataja and Gavin | 191 |
A Prudential Account | 197 |
CrossNational Perspective on Distributive Justice | 223 |
The Bad the Ugly and the Unfortunate | 263 |
Obstacles to a Prosthetic Society | 273 |
NOTES ON CONTRIBUTORS | 291 |
293 | |
Case Studies in Geriatric Care | 129 |
Legal Rights and Responsibilities in Agent Custody | 137 |
Andere Ausgaben - Alle anzeigen
Ethical Dimensions of Geriatric Care: Value Conflicts for the 21st Century S.F. Spicker,S.R. Ingman,Ian Lawson Eingeschränkte Leseprobe - 2012 |
Ethical Dimensions of Geriatric Care: Value Conflicts for the 21st Century S.F. Spicker,S.R. Ingman,Ian Lawson Keine Leseprobe verfügbar - 1987 |
Ethical Dimensions of Geriatric Care: Value Conflicts for the 21st Century S.F. Spicker,S.R. Ingman,Ian Lawson Keine Leseprobe verfügbar - 2011 |
Häufige Begriffe und Wortgruppen
ability allocation American Ansen argue argument autonomy benefits Brody cantons Cardiopulmonary Resuscitation cells choice clinical competence Connecticut Community costs death decisions decline dementia dependent elderly dialysis Dimensions of Geriatric disability discussion disease distributive justice economic effect elderly person England Journal ESRD Ethical evolutionary example expectancy expensive fact function funds genes Gerontology health care system health insurance Health Service hospital human illness incentives increase individual Ingman institutions issues Journal of Medicine limited lipofuscin lives major maximize maximum life span mechanisms Medicaid Medicare moral national health service natural selection nursing home obligation to resuscitate opportunity range palliative care perspective physicians population possible preference principle problems procedures protect prudent question rationing renal require responsibility risk Roy Walford scheme senescence social society span specific Spicker Stuart F suicide survival Switzerland theory of aging tion transplants treat University of Connecticut
Beliebte Passagen
Seite 289 - These trends can be summed up as the inverse care law: that the availability of good medical care tends to vary inversely with the need of the population served.