Med bibl SkaS : Ethical considerations and challenges in geriatrics

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Ethical considerations and challenges in geriatrics

Titel och upphov	Ethical considerations and challenges in geriatrics
Utgivning, distribution etc.	Cham : Springer, 2017.
DDC klassifikationskod (Dewey Decimal Classification)	174/.2
Fysisk beskrivning	1 online resource
Anmärkning: Bibliografi etc.	Includes bibliographical references and index.
Anmärkning: Innehåll	Contributors; 1: Geriatric Epidemiology; Introduction; Medical Implications of the Aging Population; Acute Versus Chronic Illness; Polypharmacy; Dementia; Surrogate Decision-Maker; Social Implications of the Aging Population; Health Literacy; Living Arrangements; Finances; References; 2: Evaluating Capacity for Safe and Independent Living Among Vulnerable Older Adults; Capacity for Safe and Independent Living; Two-Dimension Model of Autonomy and Capacity; The Functional Domains of Safe and Independent Living. Practical Approach to the Assessment of Capacity for Safe and Independent Living MED-SAIL Instrument; Interventions to Support Capacity for Safe and Independent Living; References; 3: Surrogate Decision-Making and Advance Care Planning; Introduction; Advance Care Planning as a Process to Promote Patient Autonomy; Factors Influencing Surrogates' Decision-Making; Burden of Decision-Making for Others; Racial/Ethnic Disparities in EOL Decision-Making; Surrogate Decision-Making for "Unbefriended" Patients; Physician Orders for Life-Sustaining Treatment (POLST); References. 4: End-of-Life Care of Older Adults Introduction; What Is Palliative Care?; What Is Hospice Care?; Prognosticating for Older Adults; Requests for Hastened Death; Physician-Assisted Dying; Discontinuation of Treatments at the End of Life; Palliative Sedation; The Rule of Double Effect; Shared Decision-Making Process; References; Additional Recommended Reading; 5: Special Considerations in Older Surgical Patients; Introduction; Appropriateness of the Operation; Informed Consent; Do Not Resuscitate and Surgery; Barriers to Perioperative DNR; Recommendations. Public Reporting of 30-Day Mortality Impact of Mortality Reporting; References; 6: Ethical Issues of Renal Replacement Therapy in the Elderly; Introduction; Management Considerations in Elderly Patients with ESRD; Comorbidities Impacting Management of ESRD; Outcomes in Elders with ESRD Treated with Dialysis Versus Conservative Management; Decision-Making; Considerations with Renal Replacement Therapy; Considerations with Conservative and Palliative Care; The Importance of Advance Care Planning; References; 7: Ethical Considerations for the Driver with Dementia; Introduction. Ethical Issues Driving Situations; Clarifying Provider Responsibilities; Steps to Take; References; 8: Medical Futility; Introduction; History of Futility; Futility Versus Potentially Inappropriate Care; Strategies to Prevent Conflict; Advanced Care Planning; Communication Skills; Early Consultation; Aggressive Palliation; Approaching Conflict; Assess Urgency of Decision-Making; Surrogate Decision-Makers and Substituted Judgment; Follow Hospital Policy/State Law; Futility and Do-Not-Resuscitate Orders; Conscientious Objections; Case Discussion; References.
Anmärkning: Innehållsbeskrivning, sammanfattning	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.
Term	Geriatricians Geriatrics. Medical ethics. BUSINESS & ECONOMICS Geriatrics. Medical ethics. Medicine & Public Health. Geriatrics/Gerontology. General Practice / Family Medicine. Public health. Psychiatry. Emergency Medicine. General practice. Public health & preventive medicine. Psychiatry. Accident & emergency medicine. Geriatric medicine.
Genre/Form	Electronic books.
Personnamn	Catic, Angela Georgia,
Annat medium	Print version: Ethical considerations and challenges in geriatrics. Cham : Springer, 2017 ISBN 3319440837 ISBN 9783319440835
Elektronisk adress och åtkomst (URI)	http://link.springer.com/10.1007/978-3-319-44084-2
ISBN	9783319440842 3319440845

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*5050 $aContributors; 1: Geriatric Epidemiology; Introduction; Medical Implications of the Aging Population; Acute Versus Chronic Illness; Polypharmacy; Dementia; Surrogate Decision-Maker; Social Implications of the Aging Population; Health Literacy; Living Arrangements; Finances; References; 2: Evaluating Capacity for Safe and Independent Living Among Vulnerable Older Adults; Capacity for Safe and Independent Living; Two-Dimension Model of Autonomy and Capacity; The Functional Domains of Safe and Independent Living.
*5058 $aPractical Approach to the Assessment of Capacity for Safe and Independent Living MED-SAIL Instrument; Interventions to Support Capacity for Safe and Independent Living; References; 3: Surrogate Decision-Making and Advance Care Planning; Introduction; Advance Care Planning as a Process to Promote Patient Autonomy; Factors Influencing Surrogates' Decision-Making; Burden of Decision-Making for Others; Racial/Ethnic Disparities in EOL Decision-Making; Surrogate Decision-Making for "Unbefriended" Patients; Physician Orders for Life-Sustaining Treatment (POLST); References.
*5058 $a4: End-of-Life Care of Older Adults Introduction; What Is Palliative Care?; What Is Hospice Care?; Prognosticating for Older Adults; Requests for Hastened Death; Physician-Assisted Dying; Discontinuation of Treatments at the End of Life; Palliative Sedation; The Rule of Double Effect; Shared Decision-Making Process; References; Additional Recommended Reading; 5: Special Considerations in Older Surgical Patients; Introduction; Appropriateness of the Operation; Informed Consent; Do Not Resuscitate and Surgery; Barriers to Perioperative DNR; Recommendations.
*5058 $aPublic Reporting of 30-Day Mortality Impact of Mortality Reporting; References; 6: Ethical Issues of Renal Replacement Therapy in the Elderly; Introduction; Management Considerations in Elderly Patients with ESRD; Comorbidities Impacting Management of ESRD; Outcomes in Elders with ESRD Treated with Dialysis Versus Conservative Management; Decision-Making; Considerations with Renal Replacement Therapy; Considerations with Conservative and Palliative Care; The Importance of Advance Care Planning; References; 7: Ethical Considerations for the Driver with Dementia; Introduction.
*5058 $aEthical Issues Driving Situations; Clarifying Provider Responsibilities; Steps to Take; References; 8: Medical Futility; Introduction; History of Futility; Futility Versus Potentially Inappropriate Care; Strategies to Prevent Conflict; Advanced Care Planning; Communication Skills; Early Consultation; Aggressive Palliation; Approaching Conflict; Assess Urgency of Decision-Making; Surrogate Decision-Makers and Substituted Judgment; Follow Hospital Policy/State Law; Futility and Do-Not-Resuscitate Orders; Conscientious Objections; Case Discussion; References.
*520  $aThis 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.
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