Mezey / Cassel / Bottrell Ethical Patient Care

A Casebook for Geriatric Health Care Teams
Erscheinungsjahr 2003
ISBN: 978-0-8018-7652-3
Verlag: Johns Hopkins University Press
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 0 Seiten, Format (B × H): 152 mm x 229 mm

The delivery of good medical care often involves professionals from various disciplines working together. Interdisciplinary health care teams can be especially valuable in managing patients with complex medical and social needs, such as older persons in hospital, community, or home settings. Such teams, however, can also complicate or even create problems because of their diverse views and responsibilities. Ethical Patient Care: A Casebook for Geriatric Health Care Teams is designed to teach effective and responsible group decision making to clinicians working in teams to treat older patients.

The editors use the case study method to present ethical dilemmas that team members encounter in the management of geriatric patients. Patients with multiple chronic conditions so often require the care of more than one medical specialist, and in the introductory chapters the editors suggest ways to resolve conflicts among patients, health care professionals, and the institutions that support them, including hospitals, HMOs, insurance companies, and the government. The book is then divided into four sections, each dealing with one angle of the team-care picture. The first section treats the diverse ethical imperatives of various professionals, conflicts among disciplinary approaches, and and varying attitudes toward end-of-life- decision making. Section two focuses on the patient and covers patient confidentiality, family decisionmaking and interaction with the healthcare team, issues of patient and team nonadherence to the care plan, and elder abuse and neglect. Section three examines the emerging difficulties of decentralized health care in settings such as hospitals, nursing homes, and the home, including clinician accountability and how ethical dilemmas differ across settings. Section four discusses the problems arising from the increasing responsibility of clinicians to manage costs and serve the interests of hospitals and insurers. Ethical Patient Care is a valuable resource for bioethicists, gerontologists, and the physicians, nurses, social workers, and therapists who care for aging persons.

Autoren/Hrsg.

Mezey, Mathy D.

Cassel, Christine K.

Bottrell, Melissa M.

Hyer, Kathryn

Howe, Judith L.

Fulmer, Terry T.

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizinische Ethik
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Geriatrie, Gerontologie

Inhaltsverzeichnis

Contents:

List of Contributors
Foreword, by Terrie Wetle
Preface

I INTRODUCTION
1 An Introduction to Bioethics as It Relates to Teams and Geriatrics
2 Using this Book as a Teaching Tool

II PROFESSIONALS
3 Ethics and Culture of Care
4 Professional Attitudes Toward End-of-Life Decision Making

III CARE RECIPIENTS
5 Protecting the Patient's Voice on the Team
6 Guarding Patients' Secrets: Clinician's Responsibility to Protect Patient Confidentiality
7 Conflicting Interests: Dilemmas of Decision Making for Patients, Families, and Teams
8 Refusal to Comply: What to Do When the Interdisciplinary Team Plan Doesn't Work
9 Protecting Patients: The Special Case of Elder Abuse and Neglect

IV TEAMS AND HOW THEY WORK ACROSS HEALTH CARE SETTINGS
10 Using Ethics Consultation to Resolve Team Conflict
11 Avoiding the Darker Side of Geriatric Teamwork
12 Exploring Responsibility, Accountability, and Authority in Geriatric Team Performance
13 The Locus of Care and Its Effect on the Presentation of Ethical Conundrums

V IMPACT OF THE ORGANIZATION ON TEAM CARE
14 Ethical Dilemmas of Team decisions in a Cost-Conscious Environment
15 Duly Compensated or Compromised? Multiple Providers and Cross-Institutional Decision Making
16 Transitions from Setting to Setting along the Care Continuum: The Case for Megateams
17 Emerging Ethical Issues in Geriatric Team Care

Glossary
Index

Über Autor(innen)

Mathy D. Mezey, Ed.D., R.N., is Independence Foundation Professor of Nursing Education and Director of the John A. Hartford Foundation Institute for Geriatric Nursing Practice in the Division of Nursing at New York University. She and her coeditors directed efforts for the John A. Hartford Foundation's Geriatric Interdisciplinary Team Training (GITT) Program.