探讨在为遭受老年虐待的患者提供急诊室/医院护理时出现的伦理问题以及解决这些问题的方法。

IF 1.6 2区 心理学 Q3 GERONTOLOGY
Journal of Elder Abuse & Neglect Pub Date : 2024-08-01 Epub Date: 2024-06-12 DOI:10.1080/08946566.2024.2365341
Elizabeth M Bloemen, Elaine Gottesman, Kristin Furfari, Jackie Glover, Ezra Gabbay, Sarah Cox, Daniel Lindberg, Sarah Tietz, Tony Rosen, Daniel Baek, Alyssa Elman, Barrie Huberman
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引用次数: 0

摘要

急诊科和医院的临床医生在治疗老年人虐待(EM)患者时,可能会遇到具有挑战性的伦理困境。在治疗这些患者时,与伦理和老年医学咨询服务机构合作为团队提供了一个重要机会,可以改善以患者为中心的治疗效果并解决基于价值的问题。本文介绍了医院临床伦理学咨询服务的作用以及伦理学和急诊医学咨询服务之间合作的最佳实践。通过四个案例研究,文章介绍了几个核心伦理框架,包括允许患者享有风险尊严、围绕减少伤害出院的考虑因素、让施虐者参与代理决策,以及医疗服务提供者在处理急症患者时的道德困扰体验。加强与伦理和虐待老人服务部门的合作可以帮助团队更有效地应对紧急情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Examining ethical issues that arise in providing ED/hospital care for patients experiencing elder mistreatment and approaches to address them.

Clinicians in the emergency department and hospital who treat patients experiencing elder mistreatment (EM) can expect to encounter challenging ethical dilemmas. Collaboration with ethics and EM consultation services offers teams an important opportunity to improve patient-centered outcomes and address value-based concerns when treating these patients. This article describes the role of a hospital clinical ethics consultation service and best practices for collaboration between ethics and EM consultation services. Illuminated via four case studies, the article presents several core ethical frameworks, including allowing patients the dignity of risk, considerations around a harm reduced discharge, involving abusers in surrogate decision making, and providers' experience of moral distress when dealing with patients experiencing EM. Increasing collaboration with ethics and elder mistreatment services can help teams more effectively respond to EM.

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来源期刊
CiteScore
3.30
自引率
15.80%
发文量
17
期刊介绍: The Journal of Elder Abuse & Neglect is the peer-reviewed quarterly journal that explores the advances in research, policy and practice, and clinical and ethical issues surrounding the abuse and neglect of older people. This unique forum provides state-of-the-art research and practice that is both international and multidisciplinary in scope. The journal"s broad, comprehensive approach is only one of its strengths—it presents training issues, research findings, case studies, practice and policy issues, book and media reviews, commentary, and historical background on a wide range of topics. Readers get tools and techniques needed for better detecting and responding to actual or potential elder abuse and neglect.
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