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Centre for Policy on Ageing | |
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Concerned about client decision-making capacity?
— considerations for practice | | Author(s) | Kathy Black, Hana Osman |
| Journal title | Care Management Journals, vol 6, no 2, Summer 2005 |
| Pages | pp 50-55 |
| Source | http://www.springerpub.com |
| Keywords | Cognitive impairment ; Competence ; Cognitive processes ; Self care capacity ; Case work ; Management [care] ; United States of America. |
| Annotation | As the US experiences an unprecedented growth in numbers of older people, geriatric case managers are likely to encounter many clients of very advanced age. Concomitant with this, as dementia and other cognitive impairments are more common in older age groups, practitioners will confront older people with questionable decision-making capacity. These clients pose potential safety and well-being concerns and may be vulnerable to exploitation, neglect and abuse in their homes. Case managers' responses to such client scenarios may range from little involvement, by acquiescing to the client's right to make autonomous decisions, to resorting to legal actions, which may lead to a substantial loss of rights for the older person. This article provides considerations for practice with older people presenting with questionable decision-making capacity and precarious living situations. The distinction between capacity and competency is presented, and factors affecting decision-making are discussed. Ethical aspects are considered and the process of assessing capacity is reviewed to enhance case managers' practice in this area. (RH). |
| Accession Number | CPA-070413230 A |
| Classmark | E4: DPB: DA: CA: IGA: QA: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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