Ethical Issues in Cardiothoracic Surgery for the Elderly

2011 ◽  
pp. 89-103 ◽  
Author(s):  
Susan M. Hecker ◽  
Robert M. Sade
Keyword(s):  
Ethical Issues ◽  
The Elderly ◽  
Cardiothoracic Surgery

scholarly journals The “Elderly” in Medicine: Ethical Issues Surrounding This Outdated and Discriminatory Term

2019 ◽  
Vol 56 ◽  
pp. 004695801985697
Author(s):  
Javad Hekmat-panah
Keyword(s):  
Ethical Issues ◽  
Relevant Literature ◽  
Healthcare Providers ◽  
The Elderly ◽  
Health Care Rationing ◽  
Specific Information ◽  
Science And Art ◽  
Increased Risk ◽  
Surgical Treatments ◽  
The Cost

The objective of this study was to investigate and describe how the use of the term “elderly” contributes to bias and problems within the medical system. A systematic review of the relevant literature and history was conducted. The term “elderly” does not define age accurately and carries bias and prejudice that lead to harm through discriminatory practices, institutional prejudices, and “ageist” policies in society and medicine. Doctors and healthcare providers seldom intentionally try to harm any patient, but might do so through unconscious anti-elderly bias. Studies indicate that medical students already demonstrate anti-elderly bias; researchers may lump patients aged 65 and over together, confounding specific information needed for individualized treatments; and out of unwarranted concern, medical and surgical treatments may be denied, despite minimal increased risk of mortality. When the cost of healthcare rises, it is the elderly against whom rationing is suggested. The term “elderly” has no place in medicine. Anti-elderly health care rationing is as unethical as rationing targeted against any group. It is reverse paternalism to make rules that limit others’ medical care, happiness, and life span without their consent. Medicine is the science and art of individual communication, evaluation and treatment. Once we deny care to any one group, we open the door to denial to others.

Ethical Issues in Cardiothoracic Surgery

2019 ◽  
pp. 271-281
Author(s):  
Richard I. Whyte ◽  
Douglas E. Wood
Keyword(s):  
Ethical Issues ◽  
Cardiothoracic Surgery

Anaesthesia for the Elderly Patient (Oxford Anaesthsia Library)

2017 ◽  
Author(s):  
Chris Dodds ◽  
Chandra M. Kumar ◽  
Frédérique Servin
Keyword(s):  
Elderly Patient ◽  
Elderly Patients ◽  
Independent Living ◽  
Ethical Issues ◽  
Preoperative Assessment ◽  
The Elderly ◽  
Day Surgery ◽  
Gynaecological Surgery ◽  
Current State

This book provides a timely and authoritative synopsis of the current state of anaesthesia and the elderly patient at a time when the challenge of caring for the growing numbers of elderly patients is probably the greatest faced by healthcare across the globe. The book reviews important developments in the understanding of clinical practice serving the elderly. It describes the need for anaesthesia to deliver ‘best care’ to the elderly, with the aim to maintain their independent living. It then details the key features of ageing and the effect these have on physiology and pharmacology. Specific aspects of practice, including preoperative assessment; day surgery; emergency surgery; anaesthesia for orthopaedic, urological, and gynaecological surgery, as well as major abdominal surgery; neurosurgery; and critical care. Emphasis is placed on managing postoperative care and cognitive dysfunction (POCD), with additional discussion of ethical issues and the law pertaining to the elderly patient. A new chapter reviews the challenges of treating elderly patients in non-theatre environments.

The treatment of bipolar disorder in the elderly

2017 ◽  
Author(s):  
Gilberto Sousa Alves ◽  
Felipe Kenji Sudo ◽  
Johannes Pantel
Keyword(s):  
Bipolar Disorder ◽  
Gold Standard ◽  
Atypical Antipsychotics ◽  
Extended Release ◽  
Ethical Issues ◽  
The Elderly ◽  
Evidence Based ◽  
Pharmacological Interventions ◽  
First Line ◽  
Evidence Based Guidelines

Bipolar disorder (BD) is an extremely disabling condition characterized by mood switches, and cognitive and functional impairment. The current chapter discusses the updated review on pharmacological and non-pharmacological interventions targeting BD in the elderly. The risk of concurrent medical diseases (eg, metabolic syndrome) and relatively lower tolerability than young BD make the patient safety a major concern in most cases. Evidence-based guidelines, although useful for promoting rational and effective therapy, are generally lacking in elderly BD. Current recommendations for acute mania include atypical antipsychotics, careful use of lithium, and election of valproate as the gold-standard therapy. In acute BD depression, first-line agents in monotherapy may include lithium, lamotrigine, quetiapine, and quetiapine extended release (XR). Electroconvulsive therapy may be an option for severe/refractory cases. Family members or caregivers should be encouraged to support the patient, since potential ethical issues involving patrimony or profession may arise during the treatment.

Forensic Issues and Caregivers of the Elderly

2017 ◽  
Author(s):  
Gary Epstein-Lubow ◽  
Elizabeth Tobin-Tyler
Keyword(s):  
Mental Health ◽  
Family Caregivers ◽  
Mental Health Treatment ◽  
Ethical Issues ◽  
The Elderly ◽  
Patient Centered Care ◽  
Health Condition ◽  
Patient Centered ◽  
Centered Care ◽  
Laws And Policies

Providing patient-centered care for an elderly individual with a mental health condition requires clinicians and family caregivers to work together. This chapter provides a description of a mental health treatment model, the triadic model of caregiving, in which service delivery for a patient includes clinicians communicating with family members or caregivers. Description of the mental health workforce to support patient-centered care is provided along with laws and policies that support family caregivers in their aid of patients. The associated legal responsibilities and ethical issues related to working with patients who have impaired decision-making capacity due to a mental health or substance use condition are explained, including capacity, competence, informed consent, advance care planning, guardianship, fiduciary responsibilities, and ethical concerns.

scholarly journals Ethical Issues for Otolaryngology and Surgery in the Elderly

1999 ◽  
Vol 78 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Michael D. Seidman ◽  
Donald P. Shapiro ◽  
Najeeb A. Shirwany
Keyword(s):  
Ethical Issues ◽  
The Elderly ◽  
Surgery In The Elderly
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