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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Physicians' perspectives on caring for cognitively impaired elders.

Wendy L Adams¹, Helen E McIlvain, Jenenne A Geske

¹Departmentof Geriatrics, Dean East Clinic, Madison, WI, USA.

The Gerontologist

|April 1, 2005

Summary

Caring for cognitively impaired elders presents challenges for primary care physicians, impacting the doctor-patient relationship and requiring a shift in care goals. An expanded care model is needed to address psychosocial and ethical issues alongside medical ones.

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Area of Science:

Geriatrics
Primary Care Medicine
Cognitive Impairment Research

Background:

Cognitive impairment significantly affects elder care.
Primary care physicians face unique challenges in managing these patients.

Purpose of the Study:

To understand primary care physicians' perspectives on caring for cognitively impaired elders.
To identify key issues and challenges in this care setting.

Main Methods:

Conducted in-depth interviews with 20 primary care physicians.
Utilized grounded theory analysis for qualitative data interpretation.

Main Results:

Physicians experienced medical uncertainty and frustration due to patients' limited history-taking and self-care abilities.
The shift from 'curing' to 'caring' and managing ethical dilemmas related to autonomy posed difficulties.
Physicians reported feelings of loss and grief as patients' personhood diminished.

Conclusions:

Caring for cognitively impaired patients necessitates profound changes in the care process.
An expanded model of care is crucial, integrating psychosocial and ethical considerations with medical management.