Ethical analysis of community-based dementia screening for unhoused older adults.

IF 2.9 1区 哲学 Q1 ETHICS
Alisa Squires, Diana M Bowman, Heather M Ross
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引用次数: 0

Abstract

Screening for dementia and mild cognitive impairment (MCI) in community-based settings helps connect vulnerable older adults to medical and social support services promoting well-being. Referencing a universal screening program for unhoused older adults seeking emergency shelter services as a case example, this paper calls attention to alignment of programmatic features with the four principles of biomedical ethics, beneficence, nonmaleficence, autonomy, and justice. Regarding beneficence, homeless services workers gain insight into clients' needs and can facilitate engagement with resources to aid in their successful exiting of homelessness. Using assessment findings to promote safety in shelter environments incorporates nonmaleficence. Concerning autonomy, by choosing to share screening results with healthcare providers and other human service stakeholders such as public safety officials and social service professionals, older adults are empowered to take charge of their care. Justice is embodied by the ability to influence policy changes related to homelessness prevention and equitable distribution of health resources.

无房老年人社区痴呆筛查的伦理分析。
在社区环境中筛查痴呆症和轻度认知障碍有助于将脆弱的老年人与促进福祉的医疗和社会支持服务联系起来。本文以一项针对寻求紧急庇护服务的无家可归老年人的普遍筛查项目为例,呼吁人们注意将项目特征与生物医学伦理、慈善、无害、自主和正义四项原则相结合。关于慈善事业,无家可归者服务工作者可以洞察客户的需求,并可以促进与资源的接触,以帮助他们成功地摆脱无家可归。利用评估结果促进住房环境的安全包括非恶意。关于自主性,通过选择与医疗保健提供者和其他人类服务利益攸关方(如公共安全官员和社会服务专业人员)分享筛查结果,老年人有权负责照顾自己。正义体现在有能力影响与预防无家可归和公平分配保健资源有关的政策变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Ethics
Nursing Ethics 医学-护理
CiteScore
7.80
自引率
11.90%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Nursing Ethics takes a practical approach to this complex subject and relates each topic to the working environment. The articles on ethical and legal issues are written in a comprehensible style and official documents are analysed in a user-friendly way. The international Editorial Board ensures the selection of a wide range of high quality articles of global significance.
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