{"title":"Ethics and healthcare in the older adult population.","authors":"Aryan Ayati, Moloud Payab, Zhaleh Shadman, Amirahmad Shojaei, Mojgan Asadi, Farshad Sharifi, Mahbube Ebrahimpur, Bagher Larijani","doi":"10.18502/jmehm.v17i12.18664","DOIUrl":null,"url":null,"abstract":"<p><p>Aging is a natural process involving the loss of several abilities, including cardiovascular, neurologic, musculoskeletal, and social capabilities. In addition to the usual needs, older adults face specific physical and mental challenges. Considering the increase in life expectancy and the large percentage of older adults in most populations, societies should be prepared for the ethical challenges associated with high-demand older generations. A search was conducted across the three main databases: PubMed, Web of Science, and Scopus. Next, 57 qualitative studies were selected to evaluate the ethical concerns and solutions in providing healthcare and treatment for older generations. Two independent researchers screened and assessed the studies, and the results were reported. Our findings showed that the main concern of policymakers and healthcare planners should be observance of principles such as autonomy, dignity, and fair and balanced distribution of medical resources while not prioritizing others over older adults due to their age. The elderly have specific needs, and considering their increasing prevalence and physical and emotional fragility, countries should be prepared to meet their rapidly growing needs.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":"17 ","pages":"12"},"PeriodicalIF":0.8000,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461129/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Ethics and History of Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18502/jmehm.v17i12.18664","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICAL ETHICS","Score":null,"Total":0}
引用次数: 0
Abstract
Aging is a natural process involving the loss of several abilities, including cardiovascular, neurologic, musculoskeletal, and social capabilities. In addition to the usual needs, older adults face specific physical and mental challenges. Considering the increase in life expectancy and the large percentage of older adults in most populations, societies should be prepared for the ethical challenges associated with high-demand older generations. A search was conducted across the three main databases: PubMed, Web of Science, and Scopus. Next, 57 qualitative studies were selected to evaluate the ethical concerns and solutions in providing healthcare and treatment for older generations. Two independent researchers screened and assessed the studies, and the results were reported. Our findings showed that the main concern of policymakers and healthcare planners should be observance of principles such as autonomy, dignity, and fair and balanced distribution of medical resources while not prioritizing others over older adults due to their age. The elderly have specific needs, and considering their increasing prevalence and physical and emotional fragility, countries should be prepared to meet their rapidly growing needs.
衰老是一种自然过程,涉及到一些能力的丧失,包括心血管、神经、肌肉骨骼和社交能力。除了通常的需要外,老年人还面临着特殊的身体和精神挑战。考虑到预期寿命的增加和大多数人口中老年人的比例很大,社会应该为与高需求的老年人相关的道德挑战做好准备。我们对三个主要数据库进行了搜索:PubMed、Web of Science和Scopus。其次,选择57个定性研究来评估为老年人提供医疗保健和治疗的伦理问题和解决方案。两名独立研究人员对这些研究进行了筛选和评估,并报告了结果。我们的研究结果表明,政策制定者和医疗保健规划者应该关注的主要问题是遵守自主、尊严、公平和平衡分配医疗资源等原则,而不是因为年龄而优先考虑其他人而不是老年人。老年人有特殊的需求,考虑到他们的发病率越来越高,身体和情感也越来越脆弱,各国应做好准备,满足他们迅速增长的需求。