Elder Abuse and Its Prevention Workshop Summary (2014) / Chapter Skim
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4 Ethical Considerations
4 Ethical Considerations
Pages 25-30
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From page 25... ...
Workshop panelists discussed these issues in the context of providing care and services, and opportunities for prevention. Workshop speaker Susan Lynch from the Department of Justice suggested that the goals of elder abuse prevention are to prevent unnecessary suffering, maintain autonomy, and maintain quality of life.
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From page 26... ...
She noted that, after being given information, a person gives informed consent when he or she can make a choice, understand and appreciate the issues, rationally manipulate information, and make a stable and coherent decision. Several considerations for what may impede an older adult's ability to give informed consent are sensory deficits, impaired ability to ask questions, and values and beliefs about making health care choices.
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From page 27... ...
Karlawish noted that this specific kind of capacity can be thought of not as a "decisional capacity," but as an activity of daily living akin to cooking, shopping, or cleaning. He suggested there should be an instrument for assessing financial capacity that is standard practice for Adult Protective Services (APS)
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From page 28... ...
Elder Abuse Reporting Lynch discussed ethical considerations as well as barriers for elder abuse reporting, which has led to underreporting. Focusing on provider issues, she noted that, most states have mandatory reporting requirements for both abuse and neglect that apply to medical professionals, health care providers, mental health counselors, service providers, and government agents who come in contact with the elderly.
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From page 29... ...
HIPAA Lynch noted that HIPAA, which was created to protect medical information, has been perceived as a barrier to information sharing on elder abuse issues between emergency medical services and prosecutors; between hospitals and prosecutors; and among emergency medical services, hospitals, and APS. However, there are several exceptions to HIPAA that allow covered entities to provide protected health information to law enforcement and social service agencies.
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From page 30... ...
Noting the availability of assessment tools, Karlawish suggested that education on and dissemination of tools for assessment are needed for professionals in the field, such as APS workers, who are expected to assess decisional capacity on a regular basis. Speaker Sidney Stahl suggested there is an ethical imperative for more research and research funding, specifically in the areas of APS interventions and primary and secondary prevention.
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