Academic journal article Nursing Education Perspectives

Ethical Patient Care: A Casebook for Geriatric Health Care Teams

Academic journal article Nursing Education Perspectives

Ethical Patient Care: A Casebook for Geriatric Health Care Teams

Article excerpt

Ethical Patient Care:

A Casebook for Geriatric Health Care Teams

edited by Mathy D. Mezey, EdD, RN, Christine K. Cassel, MD, Melissa M. Bottrell, PhD(c), MPH, Kathryn Hyer, DrPA, MPP, Judith L Howe, PhD, and Terry T Fulmer, PhD, RN; Baltimore, MD: The Johns Hopkins University Press, 2002; 354 pages, $24.95

This compilation of case studies can be used to teach case-- based education and facilitate the analysis of ethical issues for effective decision-making. Cases relate to issues confronting frail older adults, their families, and members of interdisciplinary health care teams. The focus is on the development of team skills combined with ethical skills to determine an effective course of action.

This timely book is an excellent resource for practicing professionals, including advanced practice nurses, nurse educators, physicians, preceptors, graduate students, and other clinicians. It provides a framework for ethical case analysis and considers the implications of dilemmas confronting managed care teams and families providing home care.

The second section of the book discusses the interrelatedness of ethics and cultures of care. Culture is considered from a variety of perspectives and assumptions. Throughout the text, cases are analyzed with regard to ethical responsibility using a model by Jansen, Siegler, and Winslades. This model reviews the goals of medicine, the patient's perspective, quality of life, and contextual features focusing on ethical concerns of the entire team. End-of-life decisions are discussed from the viewpoint of various professional groups.

The third section addresses such issues as protecting the patient's voice as a member of the team, guarding the patient's secrets, and coping with dilemmas when there are conflicting interests, including conflicts between the patient and the interdisciplinary team regarding options for care. A special chapter is devoted to protecting the abused or neglected elderly. …

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