Inadequate Treatment for Elderly Patients: Professional Norms and Tight Budgets Could Cause “Ageism” in Hospitals [Book Review]
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
Learn more about PhilPapers
Health Care Analysis (2):1-10 (2012)
We have studied ethical considerations of care among health professionals when treating and setting priorities for elderly patients in Norway. The views of medical doctors and nurses were analysed using qualitative methods. We conducted 21 in depth interviews and 3 focus group interviews in hospitals and general practices. Both doctors and nurses said they treated elderly patients different from younger patients, and often they were given lower priorities. Too little or too much treatment, in the sense of too many interventions and too much drugs, combined with too little care and comfort, was admitted as a relatively frequent yet unwanted consequence of the way clinical priorities were set for elderly patients. This was explained in terms of elderly patients not tolerating the same treatment as younger patients, and questions were raised about the quality of life of many elderly patients after treatment. These explanations were frequently referred to as medically sound decision making. Other explanations had little to do with medically sound decisions. These often included deep frustration with executive guidelines and budget constraints
|Keywords||Ageism Elderly patients Priority settings Nurses Physicians Qualitative interviews Professional norms|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
Virginia Held (2005). The Ethics of Care: Personal, Political, and Global. Oxford University Press.
R. Forde & O. G. Aasland (2008). Moral Distress Among Norwegian Doctors. Journal of Medical Ethics 34 (7):521-525.
Helge Skirbekk (2009). Negotiated or Taken-for-Granted Trust? Explicit and Implicit Interpretations of Trust in a Medical Setting. Medicine, Health Care and Philosophy 12 (1):3-7.
R. Pedersen, P. Nortvedt, M. Nordhaug, A. Slettebo, K. H. Grothe, M. Kirkevold, B. S. Brinchmann & B. Andersen (2008). In Quest of Justice? Clinical Prioritisation in Healthcare for the Aged. Journal of Medical Ethics 34 (4):230-235.
P. Nortvedt, R. Pedersen, K. H. Grothe, M. Nordhaug, M. Kirkevold, A. Slettebo, B. S. Brinchmann & B. Andersen (2008). Clinical Prioritisations of Healthcare for the Aged--Professional Roles. Journal of Medical Ethics 34 (5):332-335.
Citations of this work BETA
Laura Pritchard-Jones (forthcoming). Ageism and Autonomy in Health Care: Explorations Through a Relational Lens. Health Care Analysis:1-18.
Similar books and articles
Joseph S. Pliskin & Clyde H. Beck (1980). A Mathematical Approach for Establishing Treatment Priorities Among Patients. Theoretical Medicine and Bioethics 1 (1):29-38.
Anika A. Jordbru, Ejgil Jespersen & Egil Martinsen (2008). Conversion Gait Disordermeeting Patients in Behaviour, Reuniting Body and Mind. Sport, Ethics and Philosophy 2 (2):185 – 199.
Ejgil Jespersen, Anika A. Jordbru & Egil Martinsen (2008). Conversion Gait Disorder—Meeting Patients in Behaviour, Reuniting Body and Mind. Sport, Ethics and Philosophy 2 (2):185-199.
Arthur R. Derse (1999). Making Decisions About Life-Sustaining Medical Treatment in Patients with Dementia. Theoretical Medicine and Bioethics 20 (1):55-67.
Tse Chun-yan & Julia Tao (2004). Strategic Ambiguities in the Process of Consent: Role of the Family in Decisions to Forgo Life-Sustaining Treatment for Incompetent Elderly Patients. Journal of Medicine and Philosophy 29 (2):207 – 223.
Allen E. Buchanan (1989). Deciding for Others: The Ethics of Surrogate Decisionmaking. Cambridge University Press.
Dominic Wilkinson (2009). The Self-Fulfilling Prophecy in Intensive Care. Theoretical Medicine and Bioethics 30 (6):401-410.
Dallas M. High (1989). Caring for Decisionally Incapacitated Elderly. Theoretical Medicine and Bioethics 10 (1).
Melinda A. Lee, Linda Ganzini & Ronald Heintz (1993). The PSDA and Treatment Refusal by a Depressed Older Patient Committed to the State Mental Hospital. HEC Forum 5 (5):289-301.
David B. Resnik (2005). The Patient's Duty to Adhere to Prescribed Treatment: An Ethical Analysis. Journal of Medicine and Philosophy 30 (2):167 – 188.
Eugene J. Stein (1980). Doctors and Patients: Partners or Adversaries? [REVIEW] Bioethics Quarterly 2 (2):118-122.
Jerome Lowenstein (2005). The Midnight Meal and Other Essays About Doctors, Patients, and Medicine. University of Michigan Press.
Dan W. Brock (1988). Justice and the Severely Demented Elderly. Journal of Medicine and Philosophy 13 (1):73-99.
M. Bacon, K. Stewart & L. Bowker (1998). CPR Decision-Making by Elderly Patients. Journal of Medical Ethics 24 (2):134-134.
Added to index2012-04-13
Total downloads12 ( #304,248 of 1,934,371 )
Recent downloads (6 months)3 ( #195,883 of 1,934,371 )
How can I increase my downloads?