Ethics and old age psychiatry

2013 ◽  
Author(s):  
Julian C. Hughes
Keyword(s):  
Clinical Practice ◽  
Old Age ◽  
Final Section ◽  
Ethical Dilemmas ◽  
Ethical Reasoning ◽  
Assisted Dying ◽  
Ethical Theories ◽  
Ethical Concerns ◽  
Ethical Decisions ◽  
Old Age Psychiatry

This chapter starts by reviewing four of the main ethical theories – consequentialism, deontology, principlism, and virtue ethics – looking at their relevance to old age psychiatry. Next comes a practical framework, which can be used to deal with particular ethical dilemmas. The chapter goes on to consider the report on dementia produced by the Nuffield Council on Bioethics in 2009, with its emphasis on the importance of personhood and solidarity. In the final section arguments around assisted dying are discussed. Throughout the chapter the aim is to locate clinical practice in the broader field of ethical concerns, in which the person’s inter-relatedness with the broader social context is emphasized. Clinical decisions need to be seen as ethical decisions, which are either right or wrong, and which reflect the fundamental nature of ethical reasoning.

Ethics and old age psychiatry

2020 ◽  
pp. 803-822
Author(s):  
Julian C Hughes
Keyword(s):  
Clinical Practice ◽  
Old Age ◽  
Ethical Issues ◽  
Clinical Decisions ◽  
Ethical Decisions ◽  
Moral Theories ◽  
Old Age Psychiatry ◽  
Patterns Of Practice

This chapter is about ethics, i.e. about right or wrong decisions and good or bad judgments in clinical practice. It starts by reflecting on the extent to which all clinical decisions are, at one and the same time, ethical decisions. This is reflected in the idea of values-based practice. It outlines the major moral theories and a range of approaches to ethical issues. These theories and approaches have to be put into practice and it is not always clear how this should be done. The notion of patterns of practice, which will be described, may be helpful. There is a great variety of ethical issues that emerge in old age psychiatry, in particular in connection with dementia. The notion of patterns of practice is used, with the help of fictional vignettes, to discuss and understand such issues.

Overview of Ethics in Psychiatry

2017 ◽  
Author(s):  
Cheryl Erwin ◽  
Janeta Tansey
Keyword(s):  
Ethical Dilemmas ◽  
Ethical Reasoning ◽  
Real Life ◽  
Patient Relationship ◽  
Historical Sources ◽  
Case Examples ◽  
Ethical Decisions ◽  
Practice Of Medicine ◽  
Ethics In Psychiatry ◽  
Difficult Situations

This review of psychiatry ethics is intended for residents, fellows, and practicing psychiatrists. We provide an overview of the historical sources of ethical reasoning and give practitioners a structured method for analysis of ethical dilemmas typically encountered in the practice of medicine. Through the use of case examples, we explain how difficult situations often challenge received knowledge and superficial opinion about the ethical options present and justifiable in real-life situations. This review will appeal to the higher callings and traditions of medicine and encourage the physician who is faced with ethical decisions about which reasonable practitioners may disagree. Tools of ethical reasoning provide a means for making ethical decisions that are grounded in history and tradition. This review contains 1 figure, 6 tables, and 30 references. Key words: confidentiality, decision making, doctor-patient relationship, ethics, informed consent, narrative, principles, professionalism, respect, virtue

scholarly journals Ethical dilemmas in old age psychiatry

1994 ◽  
Vol 18 (9) ◽  
pp. 541-544 ◽  
Author(s):  
Catherine Oppenheimer ◽  
Gwen Adshead ◽  
Jeanette Smith
Keyword(s):  
Old Age ◽  
Ethical Dilemmas ◽  
The Elderly ◽  
Health Needs ◽  
Financial Responsibility ◽  
Financial Interests ◽  
Old Age Psychiatry

Patients and their relatives sometimes make what to others appear to be unfortunate decisions. In this paper the ethical dilemmas raised by such decisions in the context of old age psychiatry are examined. The case also raises questions about financial responsibility for the care of the elderly and suggests that the health needs of patients can no longer be separated from their financial interests.

scholarly journals The Film Philadelphia As A Case Study Of Ethical Dilemmas In The Workplace

2011 ◽  
Vol 4 (7) ◽  
pp. 41
Author(s):  
Carlos B. Gonzalez ◽  
Agustin F. Zarzosa
Keyword(s):  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Ethical Reasoning ◽  
Hiv And Aids ◽  
Clear Understanding ◽  
Ethical Decisions ◽  
Professional Careers ◽  
Shed Light

In this paper we present the film Philadelphia as an exemplary text for teaching business ethics. For this purpose, we show students three scenes from the film and guide them as they engage in ethical reasoning. Through the exercise, students should: understand the nature of ethical dilemmas; understand a model for ethical decision-making and apply it to shed light on selected situations presented in the film; and lastly, understand ethical dimensions of discrimination. After engaging with the exercise, students should also develop a clear understanding of the difficulty of reaching ethical decisions in their professional careers. In addition, the exercise serves as an opportunity to discuss issues of HIV and AIDS in contemporary organizations.

scholarly journals Fear of flying, reviewed: An example of evidence-based old age psychiatry

2002 ◽  
Vol 26 (5) ◽  
pp. 188-190 ◽  
Author(s):  
Gianetta Rands
Keyword(s):  
Clinical Practice ◽  
Old Age ◽  
Evidence Based ◽  
Significant Deterioration ◽  
Fear Of Flying ◽  
Number Of Patients ◽  
The Family ◽  
Old Age Psychiatry ◽  
Person With Dementia ◽  
Patients Experience

‘Doctor, would it be alright to take mum to Cyprus for a family wedding?’ In a cosmopolitan city such as London hardly a month goes by without hearing a similar sort of query. If ‘mum’ has dementia I tend to advise the family against flying. This advice is based on anecdotal observations from past clinical practice. I have witnessed a number of patients experience significant deterioration in cognition following flying. While disorientation in unfamiliar environments may explain some of the difficulties in travelling for a person with dementia, as illustrated by John Bayley in Iris (1998), this may not be the only explanation. On this occasion, I decided to use evidence-based practice to review the situation.

Attitudes of UK psychiatrists to the diagnosis of MCI in clinical practice

2012 ◽  
Vol 25 (2) ◽  
pp. 286-291 ◽  
Author(s):  
Joanne Rodda ◽  
Santhosh Dontham Gandhi ◽  
Naaheed Mukadam ◽  
Zuzana Walker
Keyword(s):  
Clinical Practice ◽  
Old Age ◽  
Postal Survey ◽  
Cognitive Testing ◽  
Assessment Tools ◽  
Transitional Stage ◽  
The United Kingdom ◽  
General Functioning ◽  
Old Age Psychiatry ◽  
State Examination

ABSTRACTBackground: Mild cognitive impairment (MCI) may represent a transitional stage between normal functioning and dementia. Following the initial criteria developed by Petersen et al. in 1999, which focused on memory deficit in the context of otherwise normal cognition and general functioning, the concept has evolved with the introduction of subtypes of MCI and improved understanding of etiology. Our aim was to investigate current practice as well as familiarity with and attitudes toward the concept of MCI amongst UK old age psychiatrists.Method: We sent an anonymized postal survey to all clinicians on the Royal College of Psychiatrists Old Age Psychiatry register. Questions covered attitudes toward the concept of MCI in addition to diagnostic criteria and assessment tools used.Results: The response rate was 39% (453 of 1,154 questionnaires returned completed). The majority of respondents were consultants (83%) and 91% diagnosed MCI. Only 4.4% of the respondents thought that the concept of MCI was not useful and 79% of them required a memory complaint from either the patient or an informant for a diagnosis, but the majority did not have a specific cut-off on cognitive testing. Eighty-two percent reported that they required no or minimal impairment in activities of daily living for a diagnosis of MCI. The two most frequently used tools for assessment were the Mini-Mental State Examination and the Addenbrooke's Cognitive Examination–Revised.Conclusions: Our survey shows that in the United Kingdom, the term MCI has become part of everyday clinical practice in psychiatry, suggesting that clinicians find it a useful term to conceptualize the transitional stage between normal aging and dementia. However, there is variability in diagnostic practice.

On Geropsychology in the Czech Republic

GeroPsych ◽  
2012 ◽  
Vol 25 (3) ◽  
pp. 161-166
Author(s):  
Hana Stepankova ◽  
Eva Jarolimova ◽  
Eva Dragomirecka ◽  
Irena Sobotkova ◽  
Lenka Sulova ◽  
...  
Keyword(s):  
Czech Republic ◽  
Clinical Practice ◽  
Old Age ◽  
Cognitive Rehabilitation ◽  
The Czech Republic ◽  
Rehabilitation Research

This work provides an overview of psychology of aging and old age in the Czech Republic. Historical roots as well as recent activities are listed including clinical practice, cognitive rehabilitation, research, and the teaching of geropsychology.

Old age psychiatry in Ireland: The way forward

1996 ◽  
Author(s):  
Colm Cooney ◽  
Margaret Kelleher
Keyword(s):  
Old Age ◽  
Old Age Psychiatry ◽  
The Way

Ethical dilemmas in clinical practice

1993 ◽  
Author(s):  
William A. Rae ◽  
Frances Worchel
Keyword(s):  
Clinical Practice ◽  
Ethical Dilemmas
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