A systematic review of ethical and legal issues in elder care

2020 ◽  
pp. 096973302092148
Author(s):  
Nertila Podgorica ◽  
Magdalena Flatscher-Thöni ◽  
Daniela Deufert ◽  
Uwe Siebert ◽  
Michael Ganner
Keyword(s):  
Decision Making ◽  
Elderly People ◽  
Ethical Issues ◽  
The Elderly ◽  
Geriatric Care ◽  
Further Education ◽  
Legal Issues ◽  
Systematic Analysis ◽  
Old Patients ◽  
Ethical And Legal Issues

Background: Ethical and legal issues are increasingly being reported by health caregivers; however, little is known about the nature of these issues in geriatric care. These issues can improve work and care conditions in healthcare, and consequently, the health and welfare of older people. Aim: This literature review aims to identify research focusing on ethical and legal issues in geriatric care, in order to give nurses and other health care workers an overview of existing grievances and possible solutions to take care of old patients in a both ethical and legally correct way. Methods: Using a systematic approach based on Aveyard, a search of the PubMed, CINAHL, and Ethicshare databases was conducted to find out the articles published on ethical and legal issues in geriatric care. Ethical considerations: The approval for the study was obtained from UMIT-The Health and Life Sciences University, Austria. Results: Only 50 articles were included for systematic analysis reporting ethical and legal issues in the geriatric care. The results presented in this article showed that the main ethical issues were related to the older people’s autonomy, respect for their needs, wishes and values, and respect for their decision-making. The main legal issues were related to patients’ rights, advance directives, elderly rights, treatment nutrition dilemma, and autonomy. Conclusion: Further education for professional caregivers, elderly people, and their families is needed on following topics: care planning, directive and living wills, and caregiver-family member relationships to guide and support the elderly people within their decision-making processes and during the end-of-life care.

Chances for and Limitations of Brain-Computer Interface use in Elderly People

2015 ◽  
pp. 1723-1734
Author(s):  
Emilia Mikołajewska ◽  
Dariusz Mikołajewski ◽  
Tomasz Komendziński ◽  
Joanna Dreszer-Drogorób ◽  
Monika Lewandowska ◽  
...  
Keyword(s):  
Elderly People ◽  
Heart Diseases ◽  
Developed Countries ◽  
Legal Issues ◽  
Medical Problems ◽  
Computer Interfaces ◽  
Ethical And Legal Issues ◽  
Control Devices ◽  
And Control

Recent demographic prognoses show tendencies toward a significant increase in the number of elderly people, especially in developed countries. This makes geriatric therapy, rehabilitation, and care difficult, especially with maintaining as long as possible the highest quality of life and independence in activities of daily living. Lack of specialized personnel and financial shortages may cause increased application of Assistive Technology (AT) and associated control devices. The most advanced current devices for diagnosis, communication, and control purposes are perceived Brain-Computer Interfaces (BCIs). BCIs use brain-derived bioelectrical signals as an input to enable diagnosis, communication, and/or control (e.g. neuroprostheses, medical robots, wheelchairs, whole integrated environments) without any movement. BCIs are regarded as novel solutions offering another breakthrough in everyday life, care, therapy, and rehabilitation in patients with severe sensory and neuropsychological deficits. However, particular issues in the area of BCIs use in elderly people should be emphasized, including influence of neurodegenerative disorders accompanied with secondary changes resulting from other medical problems (e.g. heart diseases, hypertension, diabetes mellitus, and osteoporosis), co-occurence of various drug therapies, etc. This chapter investigates the extent to which the available opportunities are being exploited, including both chances and limitations, medical, technical, psychological, societal, ethical, and legal issues.

Clinical Record Keeping

2013 ◽  
pp. 139-150
Author(s):  
Mary Alice Fisher
Keyword(s):  
Risk Management ◽  
Patient Information ◽  
Ethical Issues ◽  
Legal Issues ◽  
Clinical Record ◽  
Patient Centered ◽  
Record Keeping ◽  
Clinical Patient ◽  
Ethical And Legal Issues

Chapter 10 discusses only ethical issues related to the confidentiality of patient information that has been recorded, whether on paper or electronically. It examines the shift away from clinical (patient-centered) and ethical (patient-protective) considerations and toward a risk management (therapist-protective) focus, and that documentation serves many functions, but addresses only ethical and legal issues related to confidentiality, regardless of the function being served.

Ethical and Legal Issues in Teaching and Learning in Second Life in a Graduate Online Course

2010 ◽  
pp. 228-238
Author(s):  
R.S. Talab ◽  
Hope R. Botterbusch
Keyword(s):  
Second Life ◽  
Criminal Behavior ◽  
Teaching And Learning ◽  
Ethical Issues ◽  
Legal Issues ◽  
Course Content ◽  
Teaching Platform ◽  
Legal Literature ◽  
Ethical And Legal Issues ◽  
The Many

As a growing number of faculty use SL as a teaching platform, outside of anecdotal articles and the legal literature, no research exists on the many legal and ethical issues that affect course development. Ethical issues include abuse (“griefing”) nudity and lewd behavior, and false/misleading identities. Legal issues include creation and use of copyrighted and trademarked items, faculty intellectual property rights in objects and course content, and criminal behavior. Following the experiences of the instructor and 5 students, their 12-week journey is documented through interviews, journals, weekly course activities, SL class dialogs, and in-world assignments. Additionally, 5 faculty and staff experts who teach or train in SL at this university were interviewed and consulted, as well. This study provides insight for designing courses that foster exploration of rich learning opportunities outside a traditional classroom-both real and virtual.

Psychosurgery

2002 ◽  
Vol 12 (12) ◽  
pp. 443-448
Author(s):  
Marilyn Williams
Keyword(s):  
Surgical Procedures ◽  
Ethical Issues ◽  
Mental States ◽  
Legal Issues ◽  
History Of ◽  
Ethical And Legal Issues ◽  
The Subject ◽  
The Brain

The use of surgical procedures to alter mental states raises many issues. Surgery on the brain has been known for thousands of years, but procedures developed in the 1930s, ‘40s and ‘50s, and the reasons for them, raised many ethical issues that remain with us today. The following article touches on the history of psychosurgery, the conditions treated, the literature on the subject, and the ethical and legal issues.

Ethical and Legal Standards in Social Work: Consistency and Conflict

2005 ◽  
Vol 86 (2) ◽  
pp. 163-169 ◽  
Author(s):  
Frederic G. Reamer
Keyword(s):  
Decision Making ◽  
Social Work ◽  
Social Workers ◽  
Legal Issues ◽  
Ethical Standards ◽  
Comprehensive Overview ◽  
Case Examples ◽  
Legal Standards ◽  
Ethical And Legal Issues ◽  
The Relationship

Social workers frequently encounter circumstances involving ethical and legal issues. In many instances, relevant ethical and legal standards complement each other; however, in some circumstances, ethical and legal standards conflict. This article provides a comprehensive overview of the relationship between U.S. ethical and legal standards in social work. The author presents a conceptually based typology of 4 types of relationships between legal and ethical standards. Case examples are included. The author concludes with a decision-making framework designed to enhance social workers' constructive management of difficult decisions involving ethical and legal standards.

scholarly journals Ethical and Legal Issues in the Use of Online-Based Health Services (E-Health)

SOEPRA ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Fitriani Nur Damayanti ◽  
Absori Absori ◽  
Kelik Wardiono ◽  
Sri Rejeki
Keyword(s):  
Health Services ◽  
Health Information ◽  
Ethical Issues ◽  
Health Workers ◽  
Code Of Ethics ◽  
Online Communication ◽  
Legal Issues ◽  
Public Health Issue ◽  
The Internet ◽  
Ethical And Legal Issues

The internet offers unprecedented power to provide users with health information for patients, health professionals, and professionals. Maintaining the integrity, data systems, and confidentiality of individual health information, quality of content, and consumer protection and the commercial interests of the health industry against unethical practices, are areas of greatest concern in the implementation and use of the Internet. However, there is no national and international legislation for regulating the use of online-based health services. This research is a Literature review that aims to explore ethical and legal issues in the use of online-based health services (E-Health). The review process begins by identifying journal articles that are relevant to the research topic. This study concludes that the use of online-based health services (E-Health) is an important public health issue. E-Health emerged as a tool for developing new diagnostics and therapeutic interventions. Ethical issues related to crossing clinical practice and online communication about health services. This allows discriminatory or unethical behavior and is not following the professional code of ethics. E-Health licensing standards and regulations have not been implemented in many countries. So that health workers are required to code of ethics in the use of online-based health services (E-Health).

scholarly journals Tolerance for uncertainty in elderly people

2020 ◽  
Vol 5 (1) ◽  
pp. 20-27
Author(s):  
Khrystyna Kachmaryk ◽  
Sophia Grabovska ◽  
Kateryna Ostrovska ◽  
Viktor Syniev
Keyword(s):  
Decision Making ◽  
Social Interaction ◽  
Older People ◽  
Elderly People ◽  
The Elderly ◽  
Control Group ◽  
Third Age ◽  
The Third ◽  
Tolerance Of Uncertainty ◽  
The University

The aim of the study. The aim of the paper is a comparison of tolerance to uncertainty in two groups of elderly: the students of the University of the Third Age (UTA) and older people who are not enrolled but help to educate grandchildren. A relation to uncertainty was shown to infl uence on decision making strategy of elderly that indicates on importance of the researches. Methods. To obtain the objectives of the paper the following methods were used: 1) Personal change readiness survey (PCRS) adapted by Nickolay Bazhanov and Galina Bardiyer; 2) Tolerance Ambiguity Scale (TAS) adapted by Galina Soldatova; 3) Freiburg personality inventory (FPI) and 4) The questionnaire of self-relation by Vladimir Stolin and Sergej Panteleev. 40 socially involved elderly people were investigated according the above methods, 20 from UTA and 20 who are not studied and served as control group. Results. It was shown that relations of tolerance to uncertainty in the study group of students of the University of the Third Age substantially differ from relations of tolerance to uncertainty in group of older people who do not learn. The majority of students of the University of the Third Age have an inherent low tolerance for uncertainty, which is associated with an increase in expression personality traits and characteristics in self-relation. The group of the elderly who are not enrolled increasingly shows tolerance of uncertainty, focusing on  the social and trusting relationship to meet the needs of communication, and the ability to manage their own emotions and desires than a group of Third Age university students. Conclusions. The results of experimental research of the third age university student’s peculiarities of the tolerance to uncertainty were outlined. It was found that decision making in the ambiguity situations concerning social interaction is well developed in elderly who do not study. The students of the University of Third Age have greater needs in conversation, social interaction than the control group and should learn to make decisionin ambiguity or uncertainty situations.

scholarly journals Challenges to Elderly People in Quetta City (Balochistan) Pakistan

2020 ◽  
Author(s):  
Nudrat Mushtaq ◽  
Rabia Ali
Keyword(s):  
Decision Making ◽  
Elderly People ◽  
Family System ◽  
The Elderly ◽  
Structured Interview ◽  
Interview Schedule ◽  
Economic Problems ◽  
Traditional Family ◽  
Economic Dependency ◽  
Alternative Means

Introduction: The present study aims to examine challenges encountered by elderly people in Quetta city of Balochistan. The socio-economic problems faced by elderly and the attitude of family members towards them were explored in this study. Methods: A random sample of 200 respondents comprising both women and men of age 60 years and above was selected and data was collected through semi-structured interview schedule. The data collected has been processed through SPSS and simple frequency designed tables. Results: The results show several problems were encountered by elderly including discrimination (65%), limited decision making power (44%), acts of neglect and maltreatment from families (42%), verbal and physical abuse (41%), reduced social interaction (68%) and economic dependency (55.5%). These challenges were reported to have serious implications on the lives of elderly. Conclusion: The findings of this study imply that the majority of problems faced by elderly were largely due to breakdown of traditional family system of the country. To address these issues the attention of the state is needed especially in providing alternative means of living for the elderly who spend their lives in serving the nation. This may include setting up elderly homes, introducing elderly allowances and increasing pension amounts.

Ethical and Legal Issues in Teaching and Learning in Second Life in a Graduate Online Course

2013 ◽  
pp. 1368-1378
Author(s):  
R. S. Talab ◽  
Hope R. Botterbusch
Keyword(s):  
Second Life ◽  
Criminal Behavior ◽  
Teaching And Learning ◽  
Ethical Issues ◽  
Legal Issues ◽  
Course Content ◽  
Teaching Platform ◽  
Legal Literature ◽  
Ethical And Legal Issues ◽  
The Many

As a growing number of faculty use SL as a teaching platform, outside of anecdotal articles and the legal literature, no research exists on the many legal and ethical issues that affect course development. Ethical issues include abuse (“griefing”) nudity and lewd behavior, and false/misleading identities. Legal issues include creation and use of copyrighted and trademarked items, faculty intellectual property rights in objects and course content, and criminal behavior. Following the experiences of the instructor and 5 students, their 12-week journey is documented through interviews, journals, weekly course activities, SL class dialogs, and in-world assignments. Additionally, 5 faculty and staff experts who teach or train in SL at this university were interviewed and consulted, as well. This study provides insight for designing courses that foster exploration of rich learning opportunities outside a traditional classroom-both real and virtual.

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