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Advancing an ethical framework for long-term care.

Mary Whelan Carter1

  • 1Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Mayo Mail Code 197, 420 Southeast Delaware Street, Minneapolis, MN 55455, USA.

Journal of Aging Studies
|November 6, 2003
PubMed
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This article proposes a new ethical framework for long-term care, emphasizing dignity and personhood. It critiques current principlism and suggests an agent-driven approach for ethical decision-making in long-term care settings.

Area of Science:

  • Bioethics
  • Philosophy of Care
  • Gerontology

Background:

  • Traditional ethical theories (deontological, teleological) provide foundational concepts.
  • Current long-term care ethics often relies on principlism.
  • Principlism faces limitations in addressing complex long-term care dilemmas.

Purpose of the Study:

  • To formulate an ethical framework for long-term care.
  • To stimulate further discourse on long-term care ethics.
  • To propose an alternative to principlism.

Main Methods:

  • Review of traditional ethical theories.
  • Analysis of existing long-term care ethics literature.
  • Critique of principlism in long-term care.
  • Development of an agent-driven ethical framework.
Keywords:
Analytical ApproachHealth Care and Public Health

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Main Results:

  • Identified limitations of principlism in long-term care.
  • Proposed an agent-driven ethical framework.
  • The framework emphasizes dignity and respect for personhood.

Conclusions:

  • An agent-driven ethical framework, rooted in Kantian philosophy, offers a valuable approach to long-term care ethics.
  • This framework prioritizes personhood and dignity.
  • Further discourse is needed to refine and implement this ethical model.