Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-17T17:33:05.140Z Has data issue: false hasContentIssue false
  • English
  • Français

An Ethics Consult Team in Geriatric Long-Term Care

Published online by Cambridge University Press:  29 July 2009

Eileen R. Chichin  and
Ellen Olson
Eileen R. Chichin
Affiliation:
Coordinator at The Kathy and Alan C. Greenberg Center on Ethics in Geriatrics and Long-term Care, The Jewish Home and Hospital for Aged, New York, New York
Ellen Olson
Affiliation:
Codirector of The Kathy and Alan C. Greenberg Center on Ethics in Geriatrics and Long-term Care, and Director of Medical Education, The Jewish Home and Hospital for Aged, New York, New York
Get access Rights & Permissions [Opens in a new window]

Extract

The increasing incidence of ethical dilemmas in long-term care settings, in concert with recommendations from the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, has prompted long-term care institutions to develop mechanisms to address these concerns. Some facilities have chosen to set up an ethics committee, although estimates obtained in the past few years indicate that only between 2 and 27% of institutional long-term care settings have such committees. Ethics committees are responsible for assisting staff, residents, and families with the resolution of ethi- cal concerns, and typically engage in policy review and development, case review, and education. Such committees usually count among their membership representatives from a variety of disciplines, with family members, patients, and representatives from patient advocacy groups supplementing the professional component of the committee.

Type
Special Section: Elder Ethics
Information
Cambridge Quarterly of Healthcare Ethics , Volume 4 , Issue 2 , Spring 1995 , pp. 178 - 184
Copyright
Copyright © Cambridge University Press 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Notes

1. Brown, BA, Miles, SH, Aroskar, MA. The prevalence and design of ethics committees in nursing homes. Journal of the American Geriatrics Society 1987;35(11): 1028–33.CrossRefGoogle ScholarPubMed

2. Glasser, G, Zweibel, NR, Cassel, CK. The ethics committee in the nursing home: Results of a national survey. Journal of the American Geriatrics Society 1988;36(2): 150–6.CrossRefGoogle ScholarPubMed

3. Cranford, RE, Doudera, AE. Institutional Ethics Committees and Health Care Decision-making. Ann Arbor, MI: Health Administration Press, 1984.Google Scholar

4. Libow, LS, Olson, E, Neufeld, RR et al. , Ethics rounds in the nursing home: An alternative to an ethics committee. Journal of American Geriatrics Society 1992;40:95–7.CrossRefGoogle Scholar

5. Bartholeme, WG. A revolution in understanding: How ethics has transformed health care decision-making. Quality Review Bulletin 1992;18(1):6–11.CrossRefGoogle Scholar

6. Sonstegard, L, Hansen, N, Zillman, L, Johnston, MK. The grieving nurse. American Journal of Nursing 1976;76:1490–2.Google ScholarPubMed

7. Ducanis, AJ, Golin, AK. The Interdisciplinary Health Care Team. Germantown, MD: Aspen Systems Communication, 1979:5.Google Scholar

8. Fry, L, Miller, JP. The impact of interdisciplinary teams on organizational relationships. Sociological Quarterly 25, 417–31.Google Scholar

9. Tsukuda, R. Interdisciplinary collaboration: Teamwork in geriatrics. In: Cassel, CK, Reisenberg, DE, Sorenson, LB, Walsh, JR, Eds. Geriatric Medicine, 2nd ed.New York: Springer-Verlag, 1990:668–75.CrossRefGoogle Scholar

10. Billups, JO. Interprofessional team process. Theory Into Practice 1987;XXVI(2): 146–52.CrossRefGoogle Scholar

11. Farrell, MP, Heinemann, GD, Schmitt, MH. Informal roles, rituals, and styles of humor in interdisciplinary health care teams: Their relationship to stages of group development. International Journal of Small Group Research 1988;2(2): 153–62.Google Scholar

12. Besdine, RW. Decisions to withhold treatment from nursing home residents. Journal of the American Geriatrics Society 1983;31:602–6.CrossRefGoogle ScholarPubMed

13. Benoliel, JQ. Anticipatory grief in physicians and nurses. In: Schoenberg, B, Carr, AC, Kutscher, AH, Peretz, D, Goldberg, IK, Eds. Anticipatory Grief. New York: Columbia University Press, 1974:218–28.Google Scholar