Competence of long-term care residents to participate in decisions about their medical care: a brief, objective assessment

Autor: Rachel Pruchno, Paula E. Hartman-Stein, Miriam Rose, Donna L. Henderson-Laribee, Michael A. Smyer
Rok vydání: 1995
Předmět:
Zdroj: The Gerontologist. 35(5)
ISSN: 0016-9013
Popis: Issues of competence to make decisions about medical care are of great concern to service providers, to older adults living in long-term care facilities, and to the families of people living in long-term care facilities. These issues might range from the relatively mundane (Can Mrs. Jones decide what time she wants to get up in the morning?) to the extraordinary (Can Mr. Smith make end-of-life decisions?). Across the range of concerns, however, two facts are clear: First, issues of competence in the elderly will become increasingly important because of demographic trends and changes in medical and legal practices and policies. Second, there are currently no generally accepted reliable, valid assessment procedures to help service providers and families gauge an older adult's competence for involvement in important self-care issues, such as medical care. This article describes an approach to assessing the competence of older adults living in long-term care settings for making decisions regarding their medical care. Demographic, legal, and policy developments have combined to make issues regarding determination of competence especially important for health
Databáze: OpenAIRE