Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 4
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Rush, Kathy L. Kjorven, Mary and Hole, Rachelle 2016. Older Adults’ Risk Practices From Hospital to Home: A Discourse Analysis. The Gerontologist, Vol. 56, Issue. 3, p. 494.


    MacLeod, Heather and Stadnyk, Robin L. 2015. Risk: ‘I know it when I see it’: how health and social practitioners defined and evaluated living at risk among community-dwelling older adults. Health, Risk & Society, Vol. 17, Issue. 1, p. 46.


    Robertson, Jacinta and Evans, David 2015. Evaluation of a workplace engagement project for people with younger onset dementia. Journal of Clinical Nursing, Vol. 24, Issue. 15-16, p. 2331.


    Tuokko, Holly Rhodes, Ryan Love, Janet Cloutier-Fisher, Denise Jouk, Alexandra and Schoklitsch, Angela 2013. Change in Beliefs about Older Drivers through Applied Theater. Educational Gerontology, Vol. 39, Issue. 1, p. 45.


    ×
  • Canadian Journal on Aging / La Revue canadienne du vieillissement, Volume 29, Issue 2
  • June 2010, pp. 173-183

Marginal Competence, Risk Assessment, and Care Decisions: A Comparison of Values of Health Care Professionals and Older Adults

  • Penny MacCourt (a1) and Holly Tuokko (a1)
  • DOI: http://dx.doi.org/10.1017/S0714980810000097
  • Published online: 01 May 2010
Abstract
ABSTRACT

Using a case scenario involving a marginally competent elderly woman living alone at risk, we assessed the care decisions made by older adults (n = 82) and health care professionals (HCPs, n = 87), and identified differences in the values underlying the care decisions. Overall, participants did not place a high value on independence when they appraised the risk to the client as high and safety as low. Under these conditions, elderly respondents tended to be more paternalistic in their decisions about care, while HCPs tended to be more beneficent. If the values of HCPs differ from those of elderly people, how likely is it that the care provided to marginally competent elderly people will be congruent with their wishes? The care provided by HCPs might be improved by incorporating knowledge of the values and perspectives of other older adults.

RÉSUMÉ

Par l’utilisation d’un scénario impliquant une femme âgée vivant seule compétent marginalement à risque, nous avons évalué les decisions liées aux soins réalisés par les adultes plus âgés (n = 82) et les professionnels de la santé (professionnels de la santé, n = 87), et les différences identifiées dans les valeurs qui sous-tendent les décisions relatives aux soins. Dans l’ensemble, les participants n’ont pas placé une grande valeur à l’independance quand on a évalué les risques pour le client comme plus élevé et la sécurité comme aussi bas. Dans ces conditions, les répondants âgés tendaient à être plus paternaliste dans leurs décisions concernant les soins, tandis que les professionnels de la sante ont tendance à être plus salutaire. Si les valeurs des professionnels de la santé diffèrent de ceux des personnes âgées, quelle est la probabilité que les soins dispensés aux personnes âgées peu compétentes seront conformes à leurs désirs? Les soins donnés par les professionnels de la santé pourrait être ameliorés en y incorporant la connaissance des valeurs et des perspectives des autres adultes âgés.

Copyright
Corresponding author
*Correspondence concerning this article should be addressed to / La correspondance concernant cet article doit être adressées à: Penny MacCourt, PhD Centre on Aging. University of Victoria Sedgewick Building A104 PO Box 1700 STN CSC Victoria, B.C. V8W 2Y2 (maccourt@uvic.ca)
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

P. Clark (1997). Values in health care professional socialization: Implications for geriatric education in interdisciplinary teamwork. The Gerontologist, 37(4), 441451.

E. Clemens , T. Wetle , M. Feltes , B. Crabtree , & D. Dubitzky (1994). Contradictions in case management: Client-centred theory and directive practice with frail elderly. Journal of Aging and Health, 6(1), 7088.

H. Degenholtz , A. Kane , & Q. Kivnick (1997). Care-related preferences and values of elderly community-based LTC consumer: Can case managers learn what’s important to clients? The Gerontologist, 37(6), 767776.

L. Feinberg , & C. Whitlatch , (2001). Are persons with cognitive impairment able to state consistent choices? The Gerontologist, 41(3), 374382.

D. Fitzsimmons , S. George , S. Payne , & C.D. Johnson (1999). Differences in perception of quality of life issues between health professionals and patients with pancreatic cancer. Psycho-Oncology, 8, 135143.

T. Healy (1999). Community-dwelling cognitively impaired frail elders: An analysis of social workers’ decisions concerning support for autonomy. Social Work in Health Care, 30(2), 2747.

R. Kane , B. Bershadsky , & J. Bershadsky (2006). Who recommends long-term care matters. The Gerontologist, 46, 474482.

S. King , C. Collin , & M. Liken (1995) Values and the use of community services. Qualitative Health Research, 5(3), 332347.

M. Lawton , M. Moss , C. Hoffman , R. Grant , T. Have , & M. Kleban (1999). Health, valuation of life, and the wish to live. The Gerontologist, 39(4), 406416.

R. Mack , A. Salmoni , G. Viverais-Dressler , E. Porter , & R. Garg (1997). Perceived risks to independent living: The views of older, community-dwelling adults. The Gerontologist, 37(6), 729736.

R. Otto , R. Dobie , V. Lawrence , & C. Sakai (1997). Impact of a laryngectomy on quality of life: Perspective of the patient versus that of the health care provider. Annals of Otology, Rhinology and Laryngology, 106, 693699.

J. Ouslander , A. Tymchuk , & B. Rahbar (1989). Health care decisions among elderly long-term care residents and their potential proxies. Archives of Internal Medicine, 149, 13671372.

L. Raymond , & B. Wentworth (1993). Autonomy and safety: The client’s perspective. Topics in Geriatric Rehabilitation, 9(1), 4756.

H. Tuokko , P. MacCourt , & Y. Heath (1999). Home alone with dementia. Aging & Mental Health, 3(1), 2127.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Canadian Journal on Aging / La Revue canadienne du vieillissement
  • ISSN: 0714-9808
  • EISSN: 1710-1107
  • URL: /core/journals/canadian-journal-on-aging-la-revue-canadienne-du-vieillissement
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: