Suchergebnisse

Intro -- Preface -- Contents -- Contributors -- Part I: Ethical Aspects of Geriatric Psychiatry -- Chapter 1: Aging: Balancing Autonomy and Beneficence -- Introduction -- Ethical Frameworks in Medicine and Research: Integration of Autonomy and Beneficence -- Physiologic Changes of Aging that Can Impact Autonomy -- Autonomy in the Clinical Encounter -- Beneficence in Clinical Practice -- Situations Where Autonomy and Beneficence May Conflict in Older Adults -- Case #1 -- Case #2 -- Case #3 -- Case #4 -- Discussion -- Conclusions -- References -- Chapter 2: The Capacity to Make Medical Decisions -- Introduction -- Components of a Capacity Assessment -- Making a Determination of Lack of Capacity -- Performing a Capacity Assessment -- Clinician Confidence in Performing Capacity Assessments -- Medical Decision-Making and the Elderly -- Medical Decision-Making and Dementia -- The Role of Standardized Cognitive Assessments and Capacity Assessment Tools -- Conclusions -- References -- Chapter 3: The Capacity to Live Independently -- Introduction -- Risks and Benefits of Institutionalization -- Assessment of Capacity to Live Independently -- Decisional Capacity -- Executive Capacity -- Cognitive Assessment -- Functional Assessment -- Framework of Evaluation -- Implications of Incapacity to Decide to Live at Home -- Conclusion -- References -- Chapter 4: The Capacity to Manage Finances -- Case Example -- Introduction -- Financial and Testamentary Capacity -- Financial Capacity -- Testamentary Capacity -- Neuroanatomy and Imaging -- Relevant Assessment Methods -- Discussion -- References -- Chapter 5: Capacity to Manage Critical Domains of Living: Driving, Voting, and Sexual Expression -- Driving -- Regulating Safety -- Clinician Advice -- Capacity Evaluation -- Legal Obligations -- Voting -- Gatekeepers -- Voting Facilitation -- Capacity Evaluation.