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Updated: Jul 4, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Constraint during care in elderly people with cognitive disorders]
Valérie Bellamy1, Judith Feldman2, Pascale Brechet1
1Équipe mobile gériatrie, hôpital Saint-Antoine, AP-HP, Sorbonne université, 184 rue du Faubourg-Saint-Antoine, 75012 Paris, France.
Care for vulnerable elderly patients requires multidisciplinary reflection to uphold autonomy. Prioritizing patient consent and understanding refusal reasons, rather than coercion, is essential for ethical elder care.
Area of Science:
- Gerontology
- Bioethics
- Healthcare Management
Context:
- Daily challenges in elder care services.
- Vulnerable elderly populations.
- Cognitive impairments in patients.
Purpose:
- To emphasize multidisciplinary reflection in elder care.
- To advocate for patient autonomy despite cognitive disorders.
- To guide ethical decision-making in healthcare.
Summary:
- Care constraints for vulnerable elderly are common.
- Multidisciplinary teams must preserve patient autonomy.
- Consent and reasons for refusal are paramount; coercion is an exception.
Impact:
- Promotes ethical elder care practices.
- Enhances patient-centered decision-making.
- Reduces instances of coercion in healthcare settings.
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