Department of Psychiatry and Behavioral Sciences, Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA.
Int Rev Psychiatry. 2010;22(3):267-73. doi: 10.3109/09540261.2010.484016.
The high rates of medical illness in older people, the high prevalence of cognitive disorder in the elderly, and the high prevalence of frailty in late life raise issues that occur infrequently in the care of younger adults. This article discusses the ethical issues that commonly arise in the setting of these medical and psychiatric morbidities, and emphasizes the need for clinicians and researchers to be knowledgeable about the belief systems and values of individual patients, of their carers when relevant, of themselves, and of research participants.
老年人的高发病率、老年人认知障碍的高发率和老年人衰弱的高发率带来了一些在年轻成年人护理中不常出现的问题。本文讨论了这些医学和精神病理学中常见的伦理问题,并强调了临床医生和研究人员需要了解个体患者、其护理人员(如果相关)、自己和研究参与者的信仰体系和价值观。