Abstract
Contemporary demographic challenges, associated with a rapidly aging population, make it necessary for the medical community and the health care system to redefine ethical standards in working with the elderly. This paper attempts a multifaceted analysis of key ethical issues in the context of geriatric care, taking into account not only the fundamental principles of bioethics, but also the challenges posed by cognitive limitations, communication problems and the specifics of terminal care. Particular emphasis is placed on respecting patient autonomy, countering futile therapy and the need to develop interpersonal competence in the patient-medical staff relationship. The article is a voice in the discussion of the need to humanize modern geriatric medicine, advocating a model of care based on empathy, justice and human dignity in every phase of life.
Literaturhinweise
Beauchamp, Tom L., and James F. Childress. 1996. Principles of Medical Ethics. Translated by Witold Jacórzyński. Warsaw: Książka i Wiedza.
Beet, Anna, and Agnieszka Reczynska. 2015. “Discrimination against Patients by Health Care Workers.” Geriatrics, 9: 218–226.
Fobelová, Drahomíra. 2017. “Models of Care in Experiencing Old Age – Ethical and Demographic Aspect.” Zeszyty Naukowe Politechniki Śląskiej. Organization and Management, 112: 157–165. DOI: https://doi.org/10.29119/1641-3466.2017.112.13
Frühwald, T. 2012. “Ethik in der Geriatrie.” Zeitschrift für Gerontologie und Geriatrie, 45: 545–557. DOI: https://doi.org/10.1007/s00391-012-0344-0
Hardwig, John. 2005. “Families and Futility: Forestalling Demands for Futile Treatment.” The Journal of Clinical Ethics, 16(4): 335–344. DOI: https://doi.org/10.1086/JCE200516408
Lee, D. H. 2002. “Approach to End of Life Care.” Ochsner Journal, 4(2): 98–103.
Mayo, Ann, and Margaret Wallhagen. 2009. “Considerations of Informed Consent and Decision-Making Competence in Older Adults with Cognitive Impairment.” Research in Gerontological Nursing, 2(2): 103–111. DOI: https://doi.org/10.3928/19404921-20090401-08
Misiak, Krystyna. 2011. “Tasks of the Primary Care Nurse in the Gerontological Perspective.” Nursing and Public Health, 1(4): 359–366.
Podgorica, Nertila, Magdalena Flatscher-Thöni, Daniela Deufert, Uwe Siebert, and Michael Ganner. 2021. “A Systematic Review of Ethical and Legal Issues in Elder Care.” Nursing Ethics, 28(6): 895–910. DOI: https://doi.org/10.1177/0969733020921488
Raniszewska-Wyrwa, Agnieszka. 2024. “Communication with the Patient at the End of Life.” In: On the Way to the Edge of Life, edited by Elżbieta Krajewska-Kułak et al., vol. XXIII, 109–122. Białystok: Medical University of Białystok.
Sikorski, Wiesław. 2013. Therapeutic Communication: The Nonverbal Relationship. Kraków: Oficyna Wydawnicza Impuls.
Sikorski, Wiesław. 2021. Psychology of Intra-family Relations: Communication and Psychotherapy. Warsaw: Difin.
Teeri, S., M. Välimäki, J. Katajisto, and H. Leino-Kilpi. 2007. “Nurses’ Perceptions of Older Patients’ Integrity in Long-Term Institutions.” Scandinavian Journal of Caring Sciences, 21(4): 490–499. DOI: https://doi.org/10.1111/j.1471-6712.2007.00499.x
Tuteja, Alexander, Laura Więcko, Livia Olczyk, and Katarzyna Trela. 2024. “Life-sustaining Therapy: When to Say Stop.” In: On the Way to the Edge of Life, edited by Elżbieta Krajewska-Kułak et al., vol. XXIII, 39–45. Białystok: Medical University of Białystok.
Ziomek-Michalak, Katarzyna. 2016. “Aging and Old Age in the Perception of Students Preparing for the Profession of Social Worker.” Gerontologia Polska, 24(3): 167–175.
Zurzycka, Patrycja, and Teresa Radzik. 2015. “Ethical Dilemmas in Geriatric Nursing – Selected Issues.” Problems of Nursing, 23(3): 423–427. DOI: https://doi.org/10.5603/PP.2015.0069
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