Ethnic Ethics

Human social and cognitive development is largely an outcome of the child-rearing practices of the cultural subgroups that compose a modern complex society (Havighurst, 1976, p. 56). Ethnic groups are people who have a common history and generally share ways of life, including language, religion, and social identity. They affect individuals through family activity, peer group, linguistic concepts, common literature, work in formal associations, in-group marriage, and residential and work...

Scope Of Ethical Issues Addressed In This Chapter

G, a 79-year-old widowed, white woman, has been admitted to the short-stay unit of a comprehensive geriatric health care center after discharge from the hospital for hip replacement. She has been discharged to the short-stay unit as part of a contract arrangement between the hospital and the geriatric health care center. Her care plan includes postsurgical follow-up, physical therapy, and planning for the future. Her medical problems include mild heart failure and moderate visual...

Preventing Promoting And Maintaining

Preventive medicine commonly speaks of primary and secondary prevention. Primary prevention seeks to ''prevent the onset of a disease.'' Secondary prevention ''aims to identify an established disease in a presymptomatic stage in order to cure or prevent its progression'' (Rubenstein, 1996-1997, p. 48). While some primary preventive measures (e.g., those aimed at preventing hypertension or diminishing certain cancer risk factors) are quite effective, medical prevention in mental health is more...

Ethical Dimensions of Acute Care Decision Making

Brian Hofland has pointed out that acute care, as a rule, involves well-defined problems as well as well-defined alternatives for managing them. Long-term care, by contrast, exhibits greater ambiguity. Problems are less well defined, and alternatives are therefore more resistant to clear definition (Hofland, 1990). Acute care tends to involve problems that are clear-cut. For example, the patient has gangrene caused by poor vascularization secondary to poorly controlled diabetes or significant...

Anthony J Cortese

The major objective of this chapter is to provide a comparative reference on ethical issues that emerge for subculturally diverse older adults within the following contexts (1) The broader sociocultural environment (2) Particular subcultural constructions of (a) attitudes about the elderly, and (b) interaction rituals involving older adults, including beliefs about death and dying (3) Health and health care delivery There is a focus on subcultural ethical practices, moral principles of conduct,...

Health And Health Care

Elderly ethnic minorities generally have greater health problems than their white counterparts. Moreover, minorities tend to have chronic disability at an earlier age than nonminorities (Hawkins & Kildee, 1990). Forty-one percent of elderly Latinos viewed themselves to be in poor or fair health, compared with 29.9 of all elderly (C. Lopez & Aguilera, 1991). Elderly Latinos also have disproportionately higher rates of disability than non-Latinos. Elderly minorities of color face serious...

Tanya Fusco Johnson

It is precisely because life so often fails our expectations that we need one another. It is precisely because moral demands to give of self can be so outrageous, so utterly devastating, that we need to know others are prepared to do the same for us. . . . Vulnerability is understood to be part of the human condition, some being visited with greater needs than others, but others being blessed with greater strength. A good society is one that finds ways to match needs and strengths, one that...

Mental Health And Aging Historical Background

Historically, American society has had ambivalent responses toward its aged members. On the one hand, older people have generally been favored as ''deserving'' thus the state attempted, however modestly, to provide some care for older people in need. At the same time, the medical profession and the broader society had few expectations of these elders. These low social expectations shaped conceptions of what constituted ''normal'' mental health. Well into the second half of this century, these...