Castellucci D T
Department of Nursing, Alvernia College, Reading; and Berks Continence Specialists, Wyomissing, PA, USA.
Nurs Clin North Am. 1998 Jun;33(2):265-74.
This article reviews issues related to elder autonomy that challenge nurses in their daily practice. Maintaining and promoting quality patient care is paramount to the profession of nursing. Included in that promotion is the need for nurses to remain sensitive to the older individual's desire to act autonomously and make life choices. A brief review of limitations to elder autonomy is included, as well as examples of research studying autonomous action on the part of the elderly. The completing ethical principle of beneficence is briefly discussed and the issue of competency is considered. Autonomy remains a concern for all health-care providers, in particular, the role of the nurse is to support the decision making of the older adult and provide needed information to allow the elderly person to make decisions based on what is right for him or her.
本文回顾了与老年人自主性相关的问题，这些问题在护士的日常实践中构成挑战。维持和促进高质量的患者护理对护理专业至关重要。在这种促进中包括护士需要对老年人自主行动和做出生活选择的愿望保持敏感。文中简要回顾了老年人自主性的限制，以及研究老年人自主行动的研究实例。还简要讨论了善举这一完整的伦理原则，并考虑了能力问题。自主性仍然是所有医疗保健提供者关注的问题，特别是护士的作用是支持老年人的决策，并提供所需信息，以使老年人能够根据对自己合适的情况做出决策。
