Book Chapter Details
Mandatory Fields
Day, MR;Leahy-Warren, P;McCarthy, G
2016 January
ANNUAL REVIEW OF NURSING RESEARCH: NURSING ETHICS: VULNERABLE POPULATIONS AND CHANGING SYSTEMS OF CARE, VOL 34
Self-Neglect Ethical Considerations
SPRINGER PUBLISHING CO
NEW YORK
Validated
1
Optional Fields
COMMUNITY-DWELLING POPULATION VULNERABLE OLDER-ADULTS CHICAGO HEALTH AGING PROJECT ELDER ABUSE COGNITIVE FUNCTION GERIATRIC SYNDROME RISK PERSPECTIVE PEOPLE
Self-neglect is a significant international public health issue. Estimates suggest that there may be over one million cases per year in the United States. Aging populations will put more people at risk of self-neglect. This chapter presents background literature, self-neglect definitions and policy context, risk factors, and a brief overview of research on perspectives of self-neglect from both clients and community health and social care professionals. A case study is presented from the perspective of an individual and is used to explore ethical issues therein. A person-centered assessment within a multidisciplinary team approach is required for building a therapeutic relationship with clients. Capacity is a central issue in the management of responses to self-neglect. Ethical considerations of importance for community health and social care professionals include beneficence and nonmaleficence, autonomy and capacity, and respect for people's rights and dignity. A model of ethical justification is presented to explain dilemmas, challenges, and actions. Competence of professionals, multidisciplinary team working, informed consent, privacy, confidentiality, and best interest are also critical considerations. Effective decision making by an interdisciplinary team of professionals needs to be person-centered and give due consideration to the best interest of self-neglecting clients. The purpose of this chapter is to provide an in-depth discussion and examination of ethical issues and challenges relating to self-neglecting clients.
0739-6686
89
107
10.1891/0739-6686.34.89
Grant Details