A common dilemma is the evaluation of an old person's capability of decision making, both about management of his affairs, or regarding approval to treatment, or contribution in study. Because cognitive capability is not always indistinguishable with competency, meaningful tools have recently been developed in which the stress is on the precise situation to be examined.
The changed interactions among the elderly patient and his or her environment may bring about ethical dilemmas in the behavioral patterns as the result of the pressure of sickness and care giving. Dependence due to physical, emotional, or mental disability in the aged infirm person is often provoked by earlier and coexisting dysfunction. This has effect also on the family who may be responsible for his supervision, and also troubled with the old person's care, and there is often an insistent need for strengthening of the social help needed for this condition. Likewise, the weakness of elderly persons may present delicate ethical issues in the determination of their ability to agree to join forces in clinical research in old age. This paper discusses some of these dilemmas in the management of disability and in the practice of clinical research in old people.
These units revolve round the psychology of "I", the subjective insight of identity, and the "Me", the o ...Show more