The wills of older people: risk factors for undue influence

Peisah, Carmelle; Finkel, Sanford I.; Shulman, Kenneth I.; Melding, Pamela; Luxenberg, Jay S.; Heinik, Jeremia; Jacoby, Robin; Reisberg, Barry; Stoppe, Gabriela; Barker, Andrew; Firmino, Horácio; Bennett, Hayley

doi:10.1017/s1041610208008120

Cited by 56 publications

(49 citation statements)

References 19 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patient autonomy among older adults is critical for realizing end-of-life care preferences because, as people live longer, there is increasing potential for conditions such as dementia. 30 Realizing patients' end-of-life preferences is beneficial and can be achieved effectively by advance directives. The role of nurses regarding communication about advance directives is in the process of advance care planning.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of end-of-life education among community-dwelling older adults

Matsui

2010

Nurs Ethics

View full text Add to dashboard Cite

The purpose of this study was to evaluate the effectiveness of an educational intervention regarding end-of-life discussion directed at older Japanese adults and their attitude to and acceptance of this intervention. A quasi-experimental design was used. A total of 121 older adults, aged 65 years and over, consented to participate. Data from 55 intervention and 57 control participants were used for the analysis. The intervention consisted of an education program comprising a video, a lecture using a handout, and discussion among participants. The control group received only the handout. Both groups were followed up after one month. The intervention group's attitude became more favorable towards advance directives, especially living wills (P = 0.024). In addition, their expression of preference for life-sustaining treatment by means of artificial nutrition was less at follow up, demonstrating that these older adults had become more autonomous (P = 0.008). There was greater acceptance of the intervention as a whole by the intervention group compared with the control group (P = 0.011). Although few participants overall completed living wills, at follow up twice as many in the intervention group had discussed end-of-life matters with family members and/or their physician.

show abstract

Section: Discussionmentioning

confidence: 99%

Effectiveness of end-of-life education among community-dwelling older adults

Matsui

2010

Nurs Ethics

View full text Add to dashboard Cite

show abstract

“…It is estimated that as many as 5.2% of adults aged 60 years or over are financially Financial Capacity Assessment in Older Adults 337 abused by a family member through undue influence (Acierno et al, 2010). In domestic settings, risk factors for such forms of abuse include dependency, isolation, family conflict, physical disability, and cognitive impairment (Peisah et al, 2009).…”

Section: Social and Cultural Influences On Financial Capacitymentioning

confidence: 99%

Financial Capacity in Older Adults: A Review of Clinical Assessment Approaches and Considerations

Pinsker

Pachana

Wilson

et al. 2010

Clinical Gerontologist

View full text Add to dashboard Cite

Financial capacity is a critical issue of autonomy for older people. However, determining the point at which a cognitively impaired older adult is no longer capable of independent financial management poses an onerous task for family members, and health and legal professionals. At present, there is no agreed-upon standard for evaluating financial capacity, and issues pertaining to the level of impairment that constitutes incapacity remain largely unresolved. In the absence of validated assessment guidelines, determinations of capacity are frequently based on neuropsychological measures and clinical judgment, although there is limited evidence to support the validity of these methods in capacity determinations. In this paper, various cognitive, psychiatric, social, and cultural factors that potentially contribute to financial incapacity in older adults are described. The strengths and weaknesses of clinical approaches and instruments currently used in capacity determinations are evaluated, and specific recommendations are made regarding broader assessment approaches. Finally,

show abstract

“…Unfortunately, the execution of a will also may expose a cognitively impaired elder to financial exploitation. 59,60 Readers are referred to the review by Spar and Garb 61 for a detailed approach to assessing testamentary capacity.…”

Section: Reasoningmentioning

confidence: 99%

Clinical Ethics Issues in Geriatric Psychiatry

Walaszek

2009

Psychiatric Clinics of North America

View full text Add to dashboard Cite

The wills of older people: risk factors for undue influence

Cited by 56 publications

References 19 publications

Effectiveness of end-of-life education among community-dwelling older adults

Effectiveness of end-of-life education among community-dwelling older adults

Financial Capacity in Older Adults: A Review of Clinical Assessment Approaches and Considerations

Clinical Ethics Issues in Geriatric Psychiatry

Contact Info

Product

Resources

About