Week 6 Notes from the Readings_.docx - Reading 26 The Right to Freedom from Restraints by Brown Discuss key issues in the reading that must be

Week 6 Notes from the Readings_.docx - Reading 26 The Right...

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Reading 26: The Right to Freedom from Restraints by Brown Discuss key issues in the reading that must be considered when trying to help an older adult that can’t make their own decisions legally. An example is someone in a coma. -Some impairments affect only the person, but some impairments produce a risk to others. -What is the role of the legal system? Refers to protective proceedings -Two types of decisions: 1- Affect financial interests. 2- All others - When our impairments (physical or mental) become an obstacle, a guardian or someone else will make those decisions for us. -Laws limit our freedom: police power -Also, the government has a parents patriae: patent of an age of the sate. This is the power to protect individuals incapacitated by disease or other causes who cannot care for themselves and/or dependant. The government grants a guardian or conservator. -However, there are no laws or protections intended for this. Lawmakers should ensure that the most appropriate and least restrictive processes available are used in seeking intervention in an individual’s life. Reading 27: Ethical Dilemmas in Elder Abuse by Wettle and Fulmer What are the major ethical dilemmas regarding intervening in cases of elder mistreatment? -Balancing patient autonomy and the best interests of the patients: Respecting autonomy might conflict with the treatment so a formal evaluation of decisional capacity must be done. Sometimes they might choose to continue in risky environments. - Confidentiality and reporting requirements: Laws override confidentiality when abuse is suspected, but information must be handled with extreme care “need to know basis.” - Impact of reporting on a patient/professional relationship: Some professionals fear a rupture in their relationship with patients if abuse is reported. It is important to explain the process to the patients, interventions and working with the family.
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  • Winter '17
  • Andrew Hill

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