Legal and healthcare ethics for the elderly:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Washington, DC [u.a.]
Taylor & Francis
1996
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XXI, 207 S. |
| ISBN: | 156032452X 1560324538 |
Internformat
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| 650 | 4 | |a Financing, Government | |
| 650 | 4 | |a Health Care Rationing | |
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| 650 | 4 | |a Health Services for the Aged |x legislation & jurisprudence | |
| 650 | 4 | |a Informed Consent | |
| 650 | 4 | |a Long-Term Care | |
| 650 | 4 | |a Older people |x Medical care |x Law and legislation |z United States | |
| 650 | 4 | |a Older people |x Medical care |x Moral and ethical aspects | |
| 650 | 4 | |a Patient Advocacy | |
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Datensatz im Suchindex
| _version_ | 1804125626541539328 |
|---|---|
| adam_text | Contents xv xix Preface Acknowledgments CHAPTER 1 CHAPTER 2 CHAPTER 3 Aging as a Phenomenon 1 Theories of Aging Social Demographics Increased Longevity The Support Ratio A Shifting Ratio Physician Care and Institutionalization 3 4 4 4 5 5 A Full or Limited Right of Access to Healthcare Services 7 Toward Bureaucratic Medicine Delivery Bias The Nature of Healthcare “ Rights ” Toward a New Healthcare Delivery Ethic Patient Preferences as Constructs for Decision Making 7 8 10 10 11 Healthcare Financing 15 Cost Containment and Quality Assurance Medicaid and Medicare Controlling Hospital Stays 15 16 18 ix
CONTENTS x The Older Americans Act and Noninstitutionalized Long-Term Care Routine and Long-Term Care Financing Supplemental Medical Insurance Medigap Coverage Medicaid Trusts Peer Review Organizations Health Maintenance Organizations Preferred Provider Organizations Health Competition? Overall Effectiveness or Inherent Weaknesses? CHAPTER 4 CHAPTER 5 CHAPTER 6 18 19 20 20 20 21 22 22 23 23 Economic Efficiency, Prioritizing, and Rationing 25 Rationing as a Fact Prioritization Necessary Healthcare Need Variables Ethics of Rationing Healthcare Modem Rationing The Value of Life Measuring Quality of Life An Ethical Dilemma and the Americans with Disabilities Act Risk-Benefit or Cost-Benefit Analysis Voluntary Limitations on Life Rational Construct for Healthcare Decision Making 26 27 28 28 29 30 30 32 32 33 33 Autonomy, Competency, and Guardianship Paternalism 35 Guardianship Paternalism Determining Competency Adult Protective Services Guardianship A Future Agenda 36 37 38 39 40 Informed or Negotiated Consent 43 Creation of the Consent Doctrine Criteria Necessary for a Valid Informed Consent Consent Must Be Voluntary 44 46 46
xi CONTENTS CHAPTER 7 CHAPTER 8 CHAPTER 9 Information Must Be “Material” The Patient Must Be Competent Negotiated Consent Principles of Negotiated Consent Necessary Elements The Future: Informed or Negotiated Consent for the Elderly? Ethics Committees as a Component Medical Information Privacy Conclusions 46 47 48 48 49 Advance Directives 55 Right to Refuse Treatment Patient Self-Determination Act Living Wills Durable Power of Attorney Guardianships and Durable Powers of Appointment Statutory Clarification? Incremental Steps Toward Passive Euthanasia 1976 Massachusetts General Hospital Protocol The New York Study: A Model for the Other States Unresolved Questions 56 57 58 59 60 61 61 63 63 66 Complexities in Treatment and Nontreatment Decisions 69 American Medical Association Guidelines Past Practices Other Professional Postures The Hastings Center Guidelines Cost-Worthy Treatment Decisions Handicapped Newborns and Incompetent Adults Legal Perspective: Is There a Right to Refuse Treatment? Conclusions 69 71 73 75 75 76 77 78 Nursing Home Industry 81 An Expanding Enterprise Typical Structure and Operation of a Nursing Home Quality of Care in Nursing Homes: Role of Market Forces 82 82 83 49 51 51 53
.j¡ CONTENTS Case Management Cost of Care Index Long-Term Care and Costs Nursing Home Placement Transfer and Discharge Hospice Care Complex Ethical Issues CHAPTER 10 Ethical and Legal Rights of Long-Term Care Residents A Patient’s Bill of Rights Decreased Disability and Nursing Home Admissions Impact of Abusive Care on the Elderly Elder Abuse and Neglect: Historical and Sociological Background Incidence and Prevalence of Elder Abuse Concerns About Nursing Home Care Sanitation Concerns Use of Physical and Chemical Restraints Forced Psychotropic Medication: The Current Dilemma Lifting Restraints Additional Abusive Factors Solutions to the Problem of Elder Abuse in Nursing Homes Ethics of Autonomy in Long-Term Care Long-Term Care Ombudsman Older Americans Act of 1965 Relevant Amendments Role of the Ombudsman New Jersey Paradigm A More Active Criminal Justice System CHAPTER 11 Death with Dignity Right to a Good Death Beneficent Euthanasia Blurred Definitions and a Posited Clarification Act of Treatment Versus Omissions of Treatment Morality of Actions Ordinary Versus Extraordinary Treatment Circular Terminology Double Effect 84 84 85 86 87 87 89 91 91 93 94 94 95 95 95 96 96 98 99 99 100 101 101 102 102 103 105 107 107 108 109 111 111 112 115 116
xiii CONTENTS Legal Distinctions Criminal Liability International Perspective Dutch Action Final Resolution Other International Responses Legislative Initiatives in the United States Emergence of a Clear Judicial Stand Growing State Consensus Clinical Standards for Assisted Suicide A Constructive Proposal: Redefinition and Re-Education 119 120 121 121 122 122 123 124 124 124 126 The Future 129 The White House Conference New Directions in Social Services New Norm of Social Responsibility Goals Seven Questions for the Future Conclusions 129 130 131 131 132 133 Sample Attorney s Letter to Client Appointed as Guardian 135 Power of Attorney for Health Care and Instructions for Completion 144 APPENDIX C Model Living Will 152 APPENDIX D Model Living Will with Comments and Instructions 154 APPENDIX E The Dying Person s Bill of Rights 157 CHAPTER 12 APPENDIX A APPENDIX В Notes !59 Index 201
|
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| spelling | Smith, George P. Verfasser aut Legal and healthcare ethics for the elderly George P. Smith Washington, DC [u.a.] Taylor & Francis 1996 XXI, 207 S. txt rdacontent n rdamedia nc rdacarrier Personnes âgées - Santé et hygiène - États-Unis ram Personnes âgées - États-Unis ram Ethik Recht Advance Directives Decision Making Ethics, Medical Financing, Government Health Care Rationing Health Services for the Aged Health Services for the Aged legislation & jurisprudence Informed Consent Long-Term Care Older people Medical care Law and legislation United States Older people Medical care Moral and ethical aspects Patient Advocacy Public Policy Right to Die Alter (DE-588)4001446-0 gnd rswk-swf Gesetzgebung (DE-588)4020682-8 gnd rswk-swf Medizinische Versorgung (DE-588)4038270-9 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Alter (DE-588)4001446-0 s Medizinische Versorgung (DE-588)4038270-9 s Gesetzgebung (DE-588)4020682-8 s DE-604 Digitalisierung UB Bamberg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007461850&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Smith, George P. Legal and healthcare ethics for the elderly Personnes âgées - Santé et hygiène - États-Unis ram Personnes âgées - États-Unis ram Ethik Recht Advance Directives Decision Making Ethics, Medical Financing, Government Health Care Rationing Health Services for the Aged Health Services for the Aged legislation & jurisprudence Informed Consent Long-Term Care Older people Medical care Law and legislation United States Older people Medical care Moral and ethical aspects Patient Advocacy Public Policy Right to Die Alter (DE-588)4001446-0 gnd Gesetzgebung (DE-588)4020682-8 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| subject_GND | (DE-588)4001446-0 (DE-588)4020682-8 (DE-588)4038270-9 (DE-588)4078704-7 |
| title | Legal and healthcare ethics for the elderly |
| title_auth | Legal and healthcare ethics for the elderly |
| title_exact_search | Legal and healthcare ethics for the elderly |
| title_full | Legal and healthcare ethics for the elderly George P. Smith |
| title_fullStr | Legal and healthcare ethics for the elderly George P. Smith |
| title_full_unstemmed | Legal and healthcare ethics for the elderly George P. Smith |
| title_short | Legal and healthcare ethics for the elderly |
| title_sort | legal and healthcare ethics for the elderly |
| topic | Personnes âgées - Santé et hygiène - États-Unis ram Personnes âgées - États-Unis ram Ethik Recht Advance Directives Decision Making Ethics, Medical Financing, Government Health Care Rationing Health Services for the Aged Health Services for the Aged legislation & jurisprudence Informed Consent Long-Term Care Older people Medical care Law and legislation United States Older people Medical care Moral and ethical aspects Patient Advocacy Public Policy Right to Die Alter (DE-588)4001446-0 gnd Gesetzgebung (DE-588)4020682-8 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| topic_facet | Personnes âgées - Santé et hygiène - États-Unis Personnes âgées - États-Unis Ethik Recht Advance Directives Decision Making Ethics, Medical Financing, Government Health Care Rationing Health Services for the Aged Health Services for the Aged legislation & jurisprudence Informed Consent Long-Term Care Older people Medical care Law and legislation United States Older people Medical care Moral and ethical aspects Patient Advocacy Public Policy Right to Die Alter Gesetzgebung Medizinische Versorgung USA |
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