Ageism, human rights and ethical aspects of end-of-life care for older people with serious mental illness
Bibliographic Data
| ID | 15524488 |
|---|---|
| Authors | Carla Kotzé (0000-0002-5015-9293, University of Pretoria, corresponding author), Johannes L Roos (0000-0002-0572-1072, University of Pretoria) |
| Year | 2022 |
| Volume | 13 |
| Pages | 906873-906873 |
| Publication date | 2022-07-28 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2022.906873 |
| PMID | 35966471 |
| OpenAlex | W4288430694 |
| Language | EN |
| References cited | 40 |
There are many complex concepts to consider during end-of-life discussions and advance care planning, especially when vulnerable populations such as older individuals with serious mental illness are involved. This article aims to summarize some of these important concepts, such as the effects of ageism, preservation of human rights and dignity, supported or shared decision making and palliative approaches. It emerged from a study that found two thirds of 100 participants 60 years of age and older with serious mental illness had end-of-life decision-making capacity. This finding highlighted the individual and contextual nature of decision-making capacity, the importance of consideration of individual values and protection of human dignity during end-of-life care. Healthcare providers have a duty to initiate end-of-life and advance care discussions, to optimize decision-making capacity, and to protect autonomous decision-making. Chronological age or diagnostic categories should never be used as reasons for discrimination and all patients should receive end-of-life care in keeping with their preferences and values
Advance care planning · Dignity · Duty · Duty to protect · End-of-life care · Human rights · Mental capacity · Mental health · Mental illness · Palliative care · Political science · Psychiatry · Healthcare Decision-Making and Restraints · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Psychology
Report of the Lancet Commission on the Value of Death
Assessment of Patients' Competence to Consent to Treatment
Dignity
Integration of Palliative Care Into All Serious Illness Care as A Human Right
Elevating Dignity as a Goal for Health System Achievement in the Covid-19 Era and in the Future
Dignity of Older Persons With Mental Health Conditions
End-of-Life Decision-Making Capacity in Older People With Serious Mental Illness
Supported Decision-Making
| Citation velocity | historical |
|---|---|
| Highly cited | No |