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Principles and practice of geriatric assent.

V Molinari1, L B McCullough, J H Coverdale

  • 1Department of Aging and Mental Health, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa 33612-3899, USA. vmolinari@fmhi.usf.edu

Aging & Mental Health
|December 13, 2005
PubMed
Summary

Geriatric assent ensures healthcare providers actively involve cognitively impaired older adults in decisions, respecting their values. This approach maximizes patient input and upholds autonomy across cultures.

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Area of Science:

  • Gerontology
  • Bioethics
  • Clinical Practice

Background:

  • Cognitively impaired older adults often face challenges in healthcare decision-making.
  • Respecting patient autonomy is a core ethical principle in geriatric care.
  • Existing clinical practices may not adequately incorporate the values of incapacitated patients.

Observation:

  • Geriatric assent is defined as active collaboration between healthcare professionals and cognitively impaired patients.
  • It emphasizes incorporating patients' longstanding values into major healthcare decisions.
  • The paper aims to guide geriatric practitioners in applying geriatric assent in diverse clinical settings.

Findings:

  • A case example and algorithm are provided to illustrate the implementation of geriatric assent.

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  • This framework helps practitioners maximize the input of incapacitated older adults.
  • Geriatric assent facilitates shared decision-making, even with cognitive impairment.

    • Implications:

    • Implementing geriatric assent preserves the autonomy of older adults.
    • It promotes culturally sensitive care for diverse patient populations.
    • This practice enhances respect for both current and future decision-making capacity.