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Ethical and legal issues in the care of demented people

Published online by Cambridge University Press:  17 November 2008

RG Jones*
Affiliation:
University Hospital, Nottingham, UK
*
RG Jones, Senior Lecturer and Consultant Psychiatrist, Health Care of the Elderly, ‘B’ Floor, Medical School, University Hospital, Nottingham NG7 2UH, UK

Abstract

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Type
Psychiatry of old age
Copyright
Copyright © Cambridge University Press 1993

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References

1Jonsen, AR.The end of medical ethics. J Am Geriatr Soc 1992; 40: 393–97.CrossRefGoogle ScholarPubMed
2Grimley, Evans J. The sanctity of life. In: Elford, RJ ed. Medical ethics and elderly people. Edinburgh: Churchill Livingstone, 1987.Google Scholar
3Oppenheimer, C. Ethics and the psychiatry of old age. In: Jacoby, R, Oppenheimer, C eds. Psychiatry in the elderly. Oxford: Oxford University Press, 1991.Google Scholar
4Jackson, J.Telling the truth. J Med Ethics 1991; 17: 59.CrossRefGoogle ScholarPubMed
5Pitt, B.Exercising restraint [Editorial]. Int J Geriatr Psychiatry 1988; 2: 207–10.CrossRefGoogle Scholar
6Gillett, G. Euthanasia, letting die and the pause. J Med Ethics 1989; 14: 2.Google Scholar
7Beauchamp, TL, Childress, JF.Principles of biomedical ethics, third edition. Oxford: Oxford University Press, 1989.Google Scholar
8Bloch, S, Chodoff, P.Psychiatric ethics, second edition. Oxford: Oxford University Press, 1991.Google Scholar
9Ekman, SL, Norberg, A.The autonomy of demented patients: interviews with caregivers. J Med Ethics 1988; 14: 184–87.CrossRefGoogle ScholarPubMed
10Jones, RG. Problems in senile dementia. In: Elford, RJ ed. Medical ethics and elderly people. Edinburgh: Churchill Livingstone, 1987.Google Scholar
11Norman, AJ.Rights and risk. London: National Corporation for the Care of Old People, 1980.Google Scholar
12Age Concern. The law and vulnerable elderly people. London: Age Concern Publications, 1986.Google Scholar
13The Law Commission. Mentally incapacitated adults and decision-making: an overview. Consultation paper no. 119. London: HMSO, 1991.Google Scholar
14A working party report under the auspices of the Age Concern Institute of Gerontology and the Centre of Medical Law and Ethics, King's College, London. The living will: consent to treatment at the end of life. London: Edward Arnold, 1988.Google Scholar
15Dyck, AJ.Ethical aspects of care of the dying incompetent. J Am Geriatr Soc 1984; 32: 661–64.CrossRefGoogle ScholarPubMed
16Veatch, RM.An ethical framework for terminal care decisions: a new classification of patients. J Am Geriatr Soc 1984; 32: 665–69.CrossRefGoogle ScholarPubMed
17Annas, GJ.Nancy Cruzan and the right to die. N Engl J Med 1990; 323: 670–73.CrossRefGoogle ScholarPubMed
18Elliott, C, Elliott, B.From the patient's point of view: medical ethics and the moral imagination. J Med Ethics 1991; 17: 173–78.CrossRefGoogle ScholarPubMed
19Improving care of elderly people in hospital. Joint publication of the Royal College of Nursing, British Geriatrics Society and the Royal College of Psychiatrists. London: Royal College of Nursing, 1986.Google Scholar
20Rabkin, MT.Cost containment – ethical implications. J Am Geriatr Soc 1992; 40: 413–16.CrossRefGoogle ScholarPubMed
21Wikler, D.Ethics and rationing: ‘whether’, ‘how’, or ‘how much?’ J Am Geriatr Soc 1992; 40: 398403.CrossRefGoogle ScholarPubMed
22Schneider, LF, Pollock, VE, Lyness, SA.A meta-analysis of controlled trials of neuroleptic treatment in dementia. J Am Geriatr Soc 1990; 38: 553–63.CrossRefGoogle ScholarPubMed
23Levin, E. Carers – problems, strains, and services. In: Jacoby, R, Oppenheimer, C eds. Psychiatry in the elderly. Oxford: Oxford University Press, 1991.Google Scholar
24Mace, NL, Rabins, PV.The 36-hour day. London: Johns Hopkins Press, 1986.Google Scholar
25Daniels, N.Am I my parents' keeper? Oxford: Oxford University Press, 1988.Google Scholar
26Williams, A.Cost-effectiveness analysis: is it ethical? J Med Ethics 1992; 18: 711.CrossRefGoogle Scholar
27Dickson, J, Welsh, HG.Priority setting; lessons from Oregon. Lancet 1991; 337: 891–94.Google Scholar
28Tooley, N.Abortion and infantacide. Phil Public Aff 1972; 2: 3765.Google Scholar
29Brock, DW.Justice and the severely demented elderly. J Med Philos 1988; 13: 7399.CrossRefGoogle ScholarPubMed
30Rosser, RM, Watts, VC.The measurement of hospital output. Int J Epidemiol 1972; 1: 361–66.CrossRefGoogle ScholarPubMed
31Williams, A.Quality-adjusted life-years. Lancet 1987; ii: 1372.CrossRefGoogle Scholar
32Black, D.Paying for health. J Med Ethics 1991; 17: 117–23.CrossRefGoogle ScholarPubMed
33Harris, J.Unprincipled QUALYs: a response to Cubbon. J Med Ethics 1991; 17: 185–88.CrossRefGoogle Scholar
34Stanley, JM.The Apppleton Consensus: suggested international guidelines for decisions to forego medical treatment. J Med Ethics 1989; 15: 129–36.CrossRefGoogle ScholarPubMed
35Institute of Medical Ethics Working Party. Withdrawal of life-support from patients in a persistent vegetative state. Lancet 1991; 337: 9698.Google Scholar
36Institute of Medical Ethics Working Party. Assisted death. Lancet 1990; 336: 610–13.Google Scholar
37Royal College of Psychiatrists. Joint Working Group on the Consent of Non-volitional Patients and de facto Detention of Informal Patients. Council report CR6. London: Royal College of Psychiatrists, 1989.Google Scholar
38van der Maas, PJ, van Delden, JJM, Pijnenborg, L, Looman, CWN.Clinical practice: euthanasia and other medical decisions concerning the end of life. Lancet 1991; 338: 669–74.CrossRefGoogle Scholar
39Millard, P. Kill or care: euthanasia and the doctor in the UK. Geriatr Med 1992; 22: 16.Google Scholar
40Black, D. Guidelines or gumption? The role of medical responsibility: a view from the profession. In: Hirsch, S, Harris, J eds. Consent and the incompetent patient–ethics, law and medicine. London: Royal College of Psychiatrists, 1986: 2931.Google Scholar
41Wear, AN, Brahams, D.At the coalface: to treat or not to treat: the legal, ethical and therapeutic implications of treatment refusal. J Med Ethics 1991; 17: 131–35.CrossRefGoogle ScholarPubMed
42Briscoe, M, Harris, B.Compulsory detention in hospital under the Mental Health Act 1983. Br Med J 1987; 294: 1141–44.CrossRefGoogle ScholarPubMed
43DOH. Mental Health Act 1983, code of practice. London: HMSO, 1990.Google Scholar
44Brahams, D.Involuntary hospital admission under Section 47 of the National Assistance Act. Lancet 1987; ii: 406.CrossRefGoogle Scholar
45Brahams, D.Sterilisation of a mentally incapable woman. Lancet 1989; i: 1275–76.CrossRefGoogle Scholar
46Applebaum, PS, Grisso, T.Assessing patients' capacities to consent to treatment. N Engl J Med 1988; 319: 1635–38.CrossRefGoogle Scholar
47Roth, LH, Meisel, A, Lidz, CW.Tests of competency to consent to treatment. Am J Psychiatry 1977; 134: 279–84.Google ScholarPubMed
48USA President's Commission for the study of ethical problems in medicine and biomedical and behavioural research, making health care decisions: a report on the ethical and legal implications of informed consent in the patient/practitioner relationship. 1982; 1: 172.Google Scholar
49Tepper, AM, Elwork, A.Competence to consent to treatment as a psycholegal constraint. Law Hum Behav 1884; 8: 205–23.CrossRefGoogle Scholar
50Law Society's Mental Health Sub-Committee. Decision making and mental incapacity. A discussion document. London: The Law Society's Hall, 1989.Google Scholar
51Law Reform Commission of Victoria. Enduring powers of attorney, discussion paper 18. Melbourne: Law Reform Commission of Victoria, 1990.Google Scholar
52Law Reform Commission of British Columbia. Report on the enduring power of attorney: fine tuning the concept. Vancouver: Law Reform Commission of British Columbia, 1990.Google Scholar
53Australian Law Reform Commission. Enduring powers of attorney, third report, no. 47. Canberra: Australian Law Reform Commission, 1988.Google Scholar
54Kosberg, JI.Abuse and maltreatment of the elderly: causes and interventions. Bristol: Wright, 1983.Google Scholar
55Quinn, MJ, Tomita, SK.Elder abuse and neglect: causes, diagnosis and intervention strategies. New York: Springer, 1986.Google Scholar
56Bennett, GJ, Ebrahim, S eds. Legal aspects. In: The essentials of health care of the elderly. London: Edward Arnold, 1992.Google Scholar
57Greaves, DA.Can compulsory removal ever be justified for adults who are mentally competent? J Med Ethics 1991; 17: 189–94.CrossRefGoogle ScholarPubMed
58Muir Gray, JA.Section 47– assault on or protection of the freedom of the individual? A short response to Greaves. J Med Ethics 1991; 17: 195.CrossRefGoogle Scholar
59Carson, D. Being prepared. In: Carson, D ed. Making the most of the Court of Protection: a guide to the law relating to the Court of Protection and of making use of the court's services. London: King's Fund Centre, 1987.Google Scholar
60Public Trust Office. Handbook for receivers. London: Public Trust Office, 1988.Google Scholar
61Public Trust Office. Enduring powers of attorney. London: Public Trust Office, 1989.Google Scholar
62Department of Social Security. The Social Security (Claims and Payments) Regulations 1987, reg. 33 SI 1987/1968.Google Scholar
63Jacoby, R. Appointeeship. In: Jacoby, R, Oppenheimer, C eds. Psychiatry in the elderly. Oxford: Oxford University Press, 1991.Google Scholar