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Ethical decision-making in case management programs for the elderly.

F E Netting, F G Williams

    Health Values
    |April 9, 1989
    PubMed
    Summary
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    This study examines ethical decision-making challenges in hospital case management for frail elderly individuals. It identifies dilemmas across the case management process, offering insights for social workers.

    Area of Science:

    • Gerontology
    • Healthcare Ethics
    • Social Work Practice

    Background:

    • Hospital-based case management is crucial for frail elderly care.
    • Ethical considerations are complex within this population.
    • Social workers play a key role in navigating these challenges.

    Purpose of the Study:

    • To explore ethical decision-making in hospital case management for the frail elderly.
    • To identify ethical dilemmas throughout the case management process.
    • To examine the implications for social workers.

    Main Methods:

    • Qualitative analysis of ethical dilemmas.
    • Examination of six hospital-based case management programs.
    • Focus on distinct phases of the case management process.
    Keywords:
    Professional Patient Relationship

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    Main Results:

    • Ethical dilemmas arise in client identification, informed consent, assessment, service planning, coordination, and evaluation.
    • Specific challenges vary across the case management continuum.
    • Social workers face multifaceted ethical responsibilities.

    Conclusions:

    • Ethical decision-making is integral to effective case management for the frail elderly.
    • Understanding phase-specific dilemmas is essential for social workers.
    • Further research should address training and support for social workers in ethical practice.