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Informed consent and the elderly dental patient

R C Woodman, V L Malz

    Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    |March 1, 1994
    PubMed
    Summary

    Assessing competency in geriatric dental patients is crucial for valid informed consent. This article guides practitioners on evaluating decision-making capacity in elderly individuals facing medical care choices.

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    Area of Science:

    • Geriatric Medicine
    • Dental Ethics
    • Cognitive Assessment

    Background:

    • The elderly population (65+) is rapidly expanding.
    • Competency of older adults in medical decision-making is frequently questioned.
    • Geriatric dental patients require specific considerations regarding informed consent.

    Purpose of the Study:

    • To explore the principles of valid informed consent in geriatrics.
    • To provide an overview of competency assessment tools and methods.
    • To address the unique challenges in evaluating geriatric dental patients' capacity.

    Main Methods:

    • Review of existing literature on informed consent and competency.
    • Analysis of ethical guidelines relevant to geriatric care.
    • Discussion of practical approaches for dental practitioners.

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    Main Results:

    • Informed consent requires understanding, appreciation, reasoning, and communication.
    • Competency is decision-specific and can fluctuate.
    • Standardized assessment tools may need adaptation for geriatric dental contexts.

    Conclusions:

    • Practitioners must be equipped to assess competency in elderly dental patients.
    • Ensuring valid informed consent upholds patient autonomy and ethical practice.
    • Further research is needed on tailored competency assessments for this demographic.