REVIEW

Law and medical ethics in geriatric patient: current perspectives and a literature review

Raden Ayu Tuty Kuswardhani

Raden Ayu Tuty Kuswardhani
Geriatric Division, Internal Medicine Department, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia. Email: [email protected]
Online First: April 01, 2020 | Cite this Article
Kuswardhani, R. 2020. Law and medical ethics in geriatric patient: current perspectives and a literature review. Bali Medical Journal 9(1): 265-270. DOI:10.15562/bmj.v9i1.1638


Background: In the field of geriatrics, ethical issues (including the law) are very important, even among various branches of medicine, possibly in this branch that ethics and law have the most crucial role. Those several issues need special attention in Indonesia, in which geriatrics is a field of science which was just starting to develop. Therefore, some of the following ethical principles which will be put forward have often not yet present/executed in Indonesia. Meaning and knowledge regarding this matter will give a picture concerning how ethical and legal issues on the elderly patient should be enforced.

Objective: This review aims to explore further about the law and medical ethics in geriatric patient.

Method: A review of relevant literature was performed to elaborate the law and medical ethics in geriatric patient. A total of 12 qualified published literature of all years until 2019 were collected from several electronic database and manual search and included in this review.

Result: According to the law and medical ethics in geriatric patient, there were several considerations that need to carried out in the service of the elderly patient, those are ethical principles, directives of patient’s wish, administration of life sustaining device, condition of geriatric in unconscious/deep coma, approach to the patient, and religious and ethical aspects.

Conclusion: In the practice of geriatric services in our country, several aspects should be a considerations by following the law and medical ethics.

References

Kane RL and Kane RA. What Older People Want From Long-Term Care, And How They Can Get It. Project HOPE. 2001. p114-127.

National Research Council (US) Panel on a Research Agenda and New Data for an Aging World. Preparing for an Aging World: The Case for Cross-National Research. Washington (DC): National Academies Press (US); 2001.

Ilgili O, Arda B, Munir K. Ethics In Geriatric Medicine Research. Turk Geriatri Derg. 2014;17(2):188-195.

Voumard R, Rubli Truchard E, Benaroyo L, Borasio GD, Büla C, Jox RJ. Geriatric palliative care: a view of its concept, challenges and strategies. BMC Geriatr. 2018;18(1):220.

Leichsenring K. Developing integrated health and social care services for older persons in Europe. Int J Integr Care. 2004;4:e10.

Lingler JH, Jablonski RA, Bourbonniere M, Kolanowski A. Informed consent to research in long-term care settings. Res Gerontol Nurs. 2009;2(3):153-161.

Sommer S, Marckmann G, Pentzek M, Wegscheider K, Abholz HH, in der Schmitten J. Advance directives in nursing homes: prevalence, validity, significance, and nursing staff adherence. Dtsch Arztebl Int. 2012;109(37):577-583.

Locatelli I, Monod S, Cornuz J, Büla CJ, Senn N. A prospective study assessing agreement and reliability of a geriatric evaluation. BMC Geriatr. 2017;17(1):153.

Peraturan Menteri Kesehatan Republik Indonesia No. 76 tahun 2016. Pedoman Indonesian Case Base Groups (INA-CBG) Dalam Pelaksanaan Jaminan Kesehatan Nasional. Kemenkes Jamkesnas. 2017.

Mueller PS, Hook CC, and Fleming KC. Ethical issues in geriatrics: a guide for clinicians. Mayo Clin Proc. 2004;79(4):554-62.

Jain S, Kuppili PP, Pattanayak RD, Sagar R. Ethics in Psychiatric Research: Issues and Recommendations. Indian J Psychol Med. 2017;39(5):558-565.

Phillips SC, Hawley CE, Triantafylidis LK, Schwartz AW. Geriatrics 5Ms for Primary Care Workshop. MedEdPORTAL. 2019;15:10814.


No Supplementary Material available for this article.
Article Views      : 0
PDF Downloads : 0