Download Free Psychiatric Ethics In Late Life Patients Book in PDF and EPUB Free Download. You can read online Psychiatric Ethics In Late Life Patients and write the review.

The process of aging is frequently associated with changes in the physical and mental functioning of older adults, challenging their autonomy and rendering them vulnerable to exploitation. Certain illnesses that are more common in older adults can affect their capacity to function independently. These include the capacity to make medical decisions, live independently, manage finances, to name a few. Healthcare professionals, especially psychiatrists are often entrusted with the responsibility of assessing an older adult’s capacity to perform one or more functions. This makes it imperative for them to be cognizant of these issues, understand the need for these evaluations, and be able to conduct them in a comprehensive manner. Another way of protecting an older person’s rights and facilitating a life based on their own decisions even after they lose decision making capacity is Advanced Health Care Planning (AHCP). Health care professionals are required to initiate a discussion about AHCP with their patients and their families and review it periodically. Lastly, the older adults incarcerated in prisons is a group that is growing in numbers. They have unique needs at the intersection of the geriatric and forensic services, but are often marginalized by both services. The combination of poor quality of life and increasing costs makes the care of older adults in the criminal justice system makes this topic an important public health concern. There is a pressing need for better training of prison staff in issues of geriatric psychiatry. Assessment of criminal responsibility and competence to stand trial in aging offenders are other complex but under-studied issues. This proposed book will provide a comprehensive view of ethical, medicolegal, and forensic issues that will be useful in clinical practice. There will be three sub-sections, each focusing on ethical, medicolegal and forensic issues respectively. The first section will focus on ethical issues. Its first chapters will provide an overview of the how age and the process of aging influence decision-making and introduce unique ethical dimensions to clinical care. This will be followed by a discussion of the concepts of informed consent and capacity evaluation. The next chapters will focus on common scenarios that arise in the care of elderly patients and offer a practical approach to understanding and managing them. These will include assessments of the capacity to make medical decisions, the capacity to live independently, manage finances, drive a vehicle, have sexual relations etc. A chapter on ethical issues specific to dementia will outline issues related to diagnostic disclosure and genetic testing. Research ethics issues in geriatric psychiatry will also be outlined. The next section of the book will focus on surrogate decision making in an older adult who has been deemed to lack the capacity to serve one or more functions independently. The first chapters in this sub-section will focus on patient directed advance health care planning tools, namely, living will and power of attorney. This will be followed by an overview of default surrogate making. Guardianship will subsequently be covered. A separate chapter will cover the issue of elder abuse and discuss an approach to assessing it. The last section of the book will cover forensic issues in geriatric psychiatry. The first chapter will discuss aging older adults in the criminal justice system from an epidemiological perspective. The growing numbers of incarcerated older adults, their illness burden, the challenges in the diagnosis and management of neurocognitive disorders in the prison setting will be elucidated. The following chapter will discuss competence to stand trial with reference to elderly offenders. This will be followed by a discussion of the concepts of medical reprieve, compassionate release as well as model programs and policies currently in the works for older incarcerated adults.
Though mental health recommendations for the elderly is rapidly evolving, the few current textbooks on this subject are either too voluminous or complex for regular review by clinicians, and most do not contain the latest information available in the field. Written by experts in geriatric psychiatry, this book provides a comprehensive yet concise review of the subject.The text covers topics that include the social aspect of aging, treatment and diagnosis options unique to the elderly in need of psychiatric care, policy and ethics, and particular geriatric health concerns that may influence psychiatric considerations. Psychiatric Disorders Late in Life is the ultimate resource for practicing psychiatrists, physicians, geriatricians, and medical students concerned with the mental healthcare of the elderly.
Ethical issues inherent in psychiatric research and clinical practice are invariably complex and multi-faceted. Well-reasoned ethical decision-making is essential to deal effectively with patients and promote optimal patient care. Drawing on the positive reception of Psychiatric Ethics since its first publication in 1981, this highly anticipated 5th edition offers psychiatrists and other mental health professionals a coherent guide to dealing with the diverse ethical issues that challenge them. This edition has been substantially updated to reflect the many changes that have occurred in the field during the past decade. Its 25 chapters are grouped into three sections which cover: 1) clinical practice in child and adolescent psychiatry, consultation-liaison psychiatry, psychogeriatrics, community psychiatry and forensic psychiatry; 2) relevant basic sciences such as neuroethics and genetics; and 3) philosophical and social contexts including the history of ethics in psychiatry and the nature of professionalism. Principal aspects of clinical practice in general, such as confidentiality, boundary violations, and involuntary treatment, are covered comprehensively as is a new chapter on diagnosis. Given the contributors' expertise in their respective fields, Psychiatric Ethics will undoubtedly continue to serve as a significant resource for all mental health professionals, whatever the role they play in psychiatry. It will also benefit students of moral philosophy in their professional pursuits.
Consideration of ethics has established a firm place in the affairs of psychiatrists. An increased professional commitment to accountability, together with a growing "consumer" movement has paved the way for a creative engagement with the ethical movement. Psychiatric Ethics has carved out a niche for itself as a major comprehensive text and core reference covering the many complex ethical dilemmas which face clinicians and researchers in their everyday practice. This new edition takes a fresh look at recent trends and developments at the interface between ethics and psychiatric practice.For this edition, Sydney Bloch and Paul Chodoff are joined by Stephen Green, a clinical professor in ethics and psychiatry at Georgetown University, in leading 29 of the finest scholars in the field from around the world. Eleven new contributors join the team of authors. They include Drs. Beauchamp, Gutheils, Sabin, McGuffin, Szmulter, Gabbard and Holmes. Since the second edition, the editors have observed several emerging aspects of psychiatric practice requiring coverage. As a result, six new chapters have been added covering the ethical aspects of community psychiatry, managed care, psychiatric genetics, resource allocation, codes of ethics and boundary violations. All others chapters have been fully revised and updated.The book will continue to be essential reading for psychiatrists and other mental health professionals, as well as of interest to ethicists, policy makers, managers and lawyers.
This book offers a comprehensive view of ethical, medicolegal, and forensic issues common to aging psychiatric patients. Written by experts in the field, this volume includes assessments of each patient's capacity to make decisions, live independently, manage finances, drive a vehicle, have sexual relations, and a wide array of other topics in the context of ethics and the law. The text also discusses guardianship and care for patients who are no longer fit to handle their own care and the ethical dilemmas associated with these challenges. Finally, the text covers aging adults in the criminal justice system from an epidemiological perspective-a problem that is steadily increasing in many nations, including the United States. Psychiatric Ethics in Late-Life Patients is an excellent resource for all physicians navigating legal and ethical scenarios involving aging patients, including general, geriatric, and forensic psychiatrists, geriatricians, primary care providers, geriatric nurses, social workers, public health officials, and all others.
This book provides the various concepts of advanced practice nursing and factors related to it as examined by the author for graduate and postgraduate nursing students. The book is divided into three sections: the first section describes India’s health system, healthcare challenges, and trends. The challenges and trends are discussed in comparison with other countries worldwide. The second section focuses on the description of advanced practice nursing in general and the nurse practitioner in particular. This section also discusses the training requirements for nurse practitioner in critical care (NPCC) in India and the future challenges likely to be faced by them. The third section provides details about clinical competencies, leadership qualities, and the importance of research and evidence-based practice (EBP) for NPCC.Learning activities are provided in a few chapters to encourage students for further reading. Sample health assessment format is given for the students to follow in their day-to-day practice as well as a few clinical scenarios are provided for discussion. Different EBP resources for nurse practitioners are also offered which will be beneficial for nursing students as well as students from other healthcare disciplines. This book is a complete guide to all aspects of Advanced Practice Nursing. written and presented as per the requirements of NPCC Course in India. Book has exhaustive coverage to help students to clear concepts. Version as per the National Nursing Education Practice
This open access book provides a comprehensive perspective on the concept of ageism, its origins, the manifestation and consequences of ageism, as well as ways to respond to and research ageism. The book represents a collaborative effort of researchers from over 20 countries and a variety of disciplines, including, psychology, sociology, gerontology, geriatrics, pharmacology, law, geography, design, engineering, policy and media studies. The contributors have collaborated to produce a truly stimulating and educating book on ageism which brings a clear overview of the state of the art in the field. The book serves as a catalyst to generate research, policy and public interest in the field of ageism and to reconstruct the image of old age and will be of interest to researchers and students in gerontology and geriatrics.
The book is a concise and comprehensive resource for people who are middle-aged and beyond and are facing the prospects of their own aging and of caring for elderly relatives—an often overwhelming task for which little in life prepares us. Using an interdisciplinary approach and many personal anecdotes, Professor Hoffman develops recommendations for building sustainable social, legal, medical, and financial support systems for aging and caregiving. Aging with a Plan combines thorough research with engaging anecdotes and practical advice. It offers one-stop shopping for anyone in need of guidance without a lot of time for independent research. The book answers questions such as: What legal documents should you be sure to have? What expenses should you anticipate in retirement and how do you save for them? What do you need to know about medical care as you or your loved ones grow older? How should you approach conversations about the sensitive topic of safe driving with elderly loved ones? What options exist for end-of-life care, and how do you make sure that your wishes will be followed? The book is user-friendly and accessible to a general audience, and each chapter ends with a helpful checklist.
Today, more than 200,000 men and women over age fifty are languishing in prisons around the United States. It is projected that by 2030, one-third of all incarcerated individuals will be older adults. An already overcrowded and underserved prison system is straining to manage the needs of incarcerated older adults with growing frailty and health concerns. Separated from their families and communities despite a low risk of recidivism, incarcerated older adults represent a major social-justice issue that reveals the intersectional factors at play in their imprisonment. How do the people aging in prison understand their life experiences? In Aging Behind Prison Walls, Tina Maschi and Keith Morgen offer a data-driven and compassionate analysis of the lives of incarcerated older people. They explore the transferable resiliencies and coping strategies used by incarcerated aging adults to make meaning of their lives before, during, and after imprisonment. The book draws on extensive quantitative and qualitative research as well as national datasets. It features rich narrative case studies that present stories of trauma, coping, and well-being. Based on the data, Maschi and Morgen present a solution-focused caring-justice framework in order to understand and transform the individual- and community-level structural factors that have led to and perpetuate the aging-in-prison crisis. They offer concrete proposals—at the community and national policy levels—to address the pressing issues of incarcerated elders.
The "Age-Friendly Cities & Communities: States of the Art and Future Perspectives" publication presents contemporary, innovative, and insightful narratives, debates, and frameworks based on an international collection of papers from scholars spanning the fields of gerontology, social sciences, architecture, computer science, and gerontechnology. This extensive collection of papers aims to move the narrative and debates forward in this interdisciplinary field of age-friendly cities and communities.