Novel ethical dilemmas arising in geriatric clinical practice

Elisa Constanza Calleja-Sordo, Adalberto de Hoyos, Jorge Méndez-Jiménez, Nelly F. Altamirano-Bustamante, Sergio Islas-Andrade, Alejandro Valderrama, Carmen García-Peña, Myriam M. Altamirano-Bustamante

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

© 2014, Springer Science+Business Media Dordrecht. The purpose of this study is to determine empirically the state of the art of the medical care, when healthcare personal is confronted with ethical dilemmas related with the care they give to the geriatric population. An observational, longitudinal, prospective and qualitative study was conducted by analyzing the correlation between healthcare personnel–patient relationship, and ethical judgments regarding dilemmas that arise in daily clinical practice with geriatric patients. Mexican healthcare personnel with current active practices were asked to write up an ethical dilemma that arose frequently or that had impacted their medical practice. From the narrative input, we were able to draw up a database with 421 dilemmas, and those corresponding to patients 60 years and older were selected (n = 54, 12.8 %). The axiological analysis of the narrative dilemmas of geriatric patients was made using dialectical empiricism. The axiological analysis values found most frequently were classified into three groups: the impact of healthcare, the roles of the physician, and refusal of therapy; the healthcare role of educator, caring for the patients’ life and the risk of imminent death where the values found more often. The persistence and universality of certain dilemmas in geriatrics calls for awareness and requires a good training in the ethical discernment of these dilemmas. This would help to improve substantially the care and the life quality of this population.
Original languageAmerican English
Pages (from-to)229-236
Number of pages205
JournalMedicine, Health Care and Philosophy
DOIs
StatePublished - 1 May 2015

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geriatrics
Geriatrics
Delivery of Health Care
value analysis
narrative
empiricism
Empiricism
medical practice
Physician's Role
medical care
persistence
quality of life
personnel
Population
physician
educator
death
Quality of Life
Databases
Prospective Studies

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Calleja-Sordo, E. C., de Hoyos, A., Méndez-Jiménez, J., Altamirano-Bustamante, N. F., Islas-Andrade, S., Valderrama, A., ... Altamirano-Bustamante, M. M. (2015). Novel ethical dilemmas arising in geriatric clinical practice. Medicine, Health Care and Philosophy, 229-236. https://doi.org/10.1007/s11019-014-9593-6
Calleja-Sordo, Elisa Constanza ; de Hoyos, Adalberto ; Méndez-Jiménez, Jorge ; Altamirano-Bustamante, Nelly F. ; Islas-Andrade, Sergio ; Valderrama, Alejandro ; García-Peña, Carmen ; Altamirano-Bustamante, Myriam M. / Novel ethical dilemmas arising in geriatric clinical practice. In: Medicine, Health Care and Philosophy. 2015 ; pp. 229-236.
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Calleja-Sordo, EC, de Hoyos, A, Méndez-Jiménez, J, Altamirano-Bustamante, NF, Islas-Andrade, S, Valderrama, A, García-Peña, C & Altamirano-Bustamante, MM 2015, 'Novel ethical dilemmas arising in geriatric clinical practice', Medicine, Health Care and Philosophy, pp. 229-236. https://doi.org/10.1007/s11019-014-9593-6

Novel ethical dilemmas arising in geriatric clinical practice. / Calleja-Sordo, Elisa Constanza; de Hoyos, Adalberto; Méndez-Jiménez, Jorge; Altamirano-Bustamante, Nelly F.; Islas-Andrade, Sergio; Valderrama, Alejandro; García-Peña, Carmen; Altamirano-Bustamante, Myriam M.

In: Medicine, Health Care and Philosophy, 01.05.2015, p. 229-236.

Research output: Contribution to journalArticle

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AU - Islas-Andrade, Sergio

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Calleja-Sordo EC, de Hoyos A, Méndez-Jiménez J, Altamirano-Bustamante NF, Islas-Andrade S, Valderrama A et al. Novel ethical dilemmas arising in geriatric clinical practice. Medicine, Health Care and Philosophy. 2015 May 1;229-236. https://doi.org/10.1007/s11019-014-9593-6