Ethical Dimensions of Geriatric Care: Value Conflicts for the 21st Century: 25 (Philosophy and Medicine, 25) - Hardcover
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Inhaltsangabe
There is both a timeliness and a transcendent 'rightness' in the fact that scholars, clinicians, and health professionals are beginning to examine the ethics-based components of decision making in health care of the elderly.
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Críticas
`This volume should be read by academicians and clinicians alike who work in health and aging.'
Carroll L. Estes, University of California (May 1987)
`This is an important work that focuses on the challenging ethical decisions involved in the care and treatment of the elderly.'
Philip R. Lee, University of California (June 1987)
Reseña del editor
There is both a timeliness and a transcendent 'rightness' in the fact that scholars, clinicians, and health professionals are beginning to examine the ethics-based components of decision making in health care of the elderly. Ethics - as the discipline concerned with right or wrong conduct and moral duty - pervades hospital rooms, nursing home corridors, physicians' offices, and the halls of Congress as decisions are made that concern the allocation of health-related services to individuals and groups in need. In particular, care of older persons recently has received dispropor tionate attention in discussions of ethics and clinical care. Age alone, of course, should not generate special focus on ill individuals about whom concerns arise based on value conflicts tacitly involved in the delivery of health care. Having said that age is not the principal criterion for attention to ethics-based concerns in health care, it must be acknowl edged that old people have a high prevalence of conditions that provoke interest and put them in harm's way if value conflicts are not identified and seriously addressed. Issues that concern autonomy, the allocation of scarce resources, inter-generational competition and conflict, the withholding of treat ment in treatable disease, and substitute and proxy decision making for the cognitively impaired all have special relevance for older persons.
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Ethical Dimensions of Geriatric Care
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Springer Netherlands, 1987
ISBN 10: 1556080271
ISBN 13: 9781556080272
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Ethical dimensions of geriatic care, value conflicts for the 21ste Century (Volume 25)
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Hardcover. Zustand: Good. pp. 297 English Ethical Dimensions of Geriatric Care: Value Conflicts for the 21st Century. Edited by Stuart F. Spicker (School of Medicine, University of Connecticut Health Center, Farmington, Connecticut, U.S.A.), Stanley R. Ingman (Dept. of Family and Community Medicine, University of Missouri at Columbia, U.S.A.) and Ian R. Lawson (School of Medicine, University of Connecticut Health Center, Farmington, Connecticut, U.S.A.). This 25th volume in the Philosophy and Medicine series is devoted to numerous ethical and value conflicts involved in the clinical care of the aged and very elderly at the stage of transition to the 21st century. The work pays special attention to the U.S. experience but is also pertinent to a wider variety of disciplines: geriatric, internal and psychiatric medicine; nursing, medical sociology, political science, health law, journalism, public health, ethics and moral philosophy. The volume focuses on four themes: (1) understanding the biology and epidemiology of aging; (2) philosophical reflections on medical care provision for the aged; (3) self-determination in late-life dependency; (4) justice in the provision of medical care for the aged. The book ends with an epilogue on the transition to the eighth stage of humanity: the prosthetic era. D. Reidel Publishing Company, Dordrecht/Boston/Lancaster/Tokyo. TABLE OF CONTENTS ? Richard W. Besdine, M.D./Foreword (vii). Editors' Preface (ix). Richard A. Lusky, Stanley R. Ingman, Stuart F. Spicker and Ian R. Lawson/Introduction (xiii). Editors? Acknowledgement (xxxiii). Section I: Understanding the Biology and Epidemiology of Aging ? Jacob A. Brody/The Best of Times ? The Worst of Times: Aging and Dependency in the 21st Century (3). Tom Beauchamp/Commentary on Jacob A. Brody?s Essay (23). Albert Rosenfeld/Changing Images of Dependency in Prolongevity (29). Randolph Martin Nesse/An Evolutionary Perspective on Senescence (45). Section II: Philosophical Reflections on Medical Care Provision for the Aged ? Daniel M. Hausman/Health Care: Efficiency and Equity (67). Baruch Brody/Wholehearted and Halfhearted Care: National Policies vs. Individual Choice (79). Thomas Halper/Commentary on Baruch Brody?s Essay (95). Teo Forcht Dagi/Revival, Resuscitation, and Resurrection: The Rights of Passage (105). Section III: Self-Determination in Late-Life Dependency ? Molly Rees Gavin and Gayle Kataja/Self-Determination in Later Life: Case Studies in Geriatric Care (129). Nancy Neveloff Dubler/The Dependent Elderly: Legal Rights and Responsibilities in Agent Custody (137). Margaret P. Battin/Choosing the Time to Die: The Ethics and Economics of Suicide in Old Age (161). Joseph M. Healey/Elderly Dependency and Autonomy: Comments on the Essays of Dubler, Battin, Kataja and Gavin (191). Section IV: Justice in the Provision of Medical Care for the Aged ? Norman Daniels/Equal Opportunity, Justice, and Health Care for the Elderly: A Prudential Account (207). Stanley R. Ingman, Jack Ferguson, and Lynn Campbell/ESRD and the Elderly: Cross-National Perspective on Distributive Justice (223). H. Tristram Engelhardt, Jr./The Bad, the Ugly, and the Unfortunate (263). Epilogue: The Eighth Stage of Humanity ? Ian R. Lawson/Elderly Dependency and Systems Failure: Obstacles to a Prosthetic Society (273). Notes on Contributors (291). Index (293). Review ? ?The editors have brought together in one volume a wide range of disciplines on a topic of growing importance. Ethics is rightly located in a socio-historical context, and the myth that ethical principles can be meaningful apart from their social context is dispelled as one reads the essays. The contributors illuminate ethical dilemmas from two philosophical and ideological poles ? the dominant American perspective or ideology of individualism and the more European tradition of collectivist thought. The work provides some surprises for the reader. One essay on suicide and the aged may even startle some academics, since one author suggests that suicide in old age could conceivably become the accepted moral decision in societies where the collectivity has decided not to provide adequate care of the so-called frail aged. There is no doubt about the relevance and significance of these topics to social and health policy for the aged. This volume should be read by academicians and clinicians alike who work in health and aging.? ? Professor Carroll L. Estes, Director, Institute for Health and Aging, University of California, San Francisco. D. Reidel Publishing Company, Dordrecht/Boston/Lancaster/Tokyo. Artikel-Nr. 10124392
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Ethical Dimensions of Geriatric Care : Value Conflicts for the 21st Century
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