What’s really happening among the Elderly Population?

Fakhro, Mohammed Ali

doi:10.31031/ggs.2018.03.000563

Cited by 6 publications

(6 citation statements)

References 14 publications

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“…The decline in the global fertility rates, combined with the increase in life expectancy is causing the global population to age rapidly 1 . Alzheimer's disease (AD) is a degenerative brain disease and the most common cause of dementia among older adults 2 .…”

Section: Introductionmentioning

confidence: 99%

Geriatricians’ Standpoint of the Informed Consent Process among Patients with Alzheimer's Disease: The Lebanese Context

Fakhro¹,

Dpt²

2020

Preprint

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BackgroundDespite the existence of laws that ensure that patients’ capacity to consent is assessed systematically, many gray areas remain with that regard. As dementia progresses, some patients lose their capacity to make decisions. The aim was to characterize Lebanese geriatricians’ perspectives about decision-making capacity (DMC) of their patients with Alzheimer’s disease (AD). Moreover, to propose an algorithm for a reliable, comprehensive, and valid assessment of DMC. MethodsA cross-sectional descriptive study was designed to empirically collect data via an e-survey. Accordingly, a comprehensive list of geriatricians was provided by the Lebanese Order of Physicians. Geriatricians were approached via a phone call, to provide them with study-specific information. Those who accepted to participate received a link to the study’s survey via an e-mail.ResultsAmong the eligible geriatricians, 75% had successfully completed the e-survey, with a mean of 14.7 ± 9.6 years of experience. More than half of the geriatricians failed to recognize that assessing the patients’ DMC is an integral component of the informed consent (IC) process. Yet, 88.9% assessed the DMC of their patients with AD using different modalities. However, the majority were unable to clearly justify their judgment of DMC based on the tools they have selected.ConclusionLebanese geriatricians have demonstrated a poor understanding of the concept of autonomy and the need for the DMC assessment as part of the IC’s process. Moreover, they were unable to select adequate tools to assess and judge the DMC of their patients with AD.

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Section: Introductionmentioning

confidence: 99%

Geriatricians’ Standpoint of the Informed Consent Process among Patients with Alzheimer's Disease: The Lebanese Context

Fakhro¹,

Dpt²

2020

Preprint

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…Autonomy, also known as respect for persons, is a fundamental ethical principle in healthcare 3 Autonomy is "a person's ability and opportunity to make decisions relating to his/her wishes" 4 , or "an act of self-determination exercised by a competent person" 5 . As determined by Belmont's report, the autonomy principle requires three elements to validate the process of informed consent (IC): (1) disclosure of su cient relevant information for decision-making, (2) patient's comprehension, and (3) voluntariness 3 .…”

Section: Introductionmentioning

confidence: 99%

Geriatricians’ Standpoint of the Informed Consent Process Among Patients with Alzheimer's Disease: The Lebanese Context

Mdpma¹

2020

Preprint

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BackgroundDespite the existence of laws that ensure that patients’ capacity to consent is assessed systematically, many gray areas remain with that regard. As dementia progresses, some patients lose their capacity to make decisions. This study aimed to investigate the geriatricians’ understanding of the principle of autonomy and their perception of the decision-making capacity (DMC) testing as part of the informed consent (IC) process among patients with AD. Proposing an algorithm for a reliable, comprehensive, and valid assessment of DMC was the secondary aim of this study.MethodsA cross-sectional descriptive study was designed to empirically collect data via an e-survey. Accordingly, a comprehensive list of geriatricians was provided by the Lebanese Order of Physicians. Geriatricians were approached via a phone call, to provide them with study-specific information. Those who accepted to participate received a link to the study’s survey via an e-mail.ResultsAmong the eligible geriatricians, 75% had completed the e-survey, with a mean of 14.7 ± 9.6 years of experience. More than half of the geriatricians failed to recognize that assessing the patients’ DMC is an integral component of the informed consent (IC) process. Yet, 88.9% assessed the DMC of their patients with AD using different modalities. However, the majority were unable to justify their judgment of DMC based on the tools they have selected.ConclusionLebanese geriatricians have demonstrated a poor understanding of the concept of autonomy and failed to recognize the need for the DMC assessment as a component of the IC’s process. Moreover, they were unable to select adequate tools to assess and judge the DMC of their patients with AD.

show abstract

“…Autonomy is "a person's ability and opportunity to make decisions relating to his/her wishes" 4 , or "an act of self-determination exercised by a competent person" 5 . As determined by Belmont's report, the autonomy principle requires three elements to validate the process of informed consent (IC): (1) disclosure of su cient relevant information for decision-making, (2) patient's comprehension, and (3) voluntariness 3 .…”

Section: Introductionmentioning

confidence: 99%

Geriatricians’ Standpoint of the Informed Consent Process Among Patients with Alzheimer's Disease: The Lebanese Context

Fakhro

2020

Preprint

View full text Add to dashboard Cite

BackgroundDespite the existence of laws that ensure that patients’ capacity to consent is assessed systematically, many gray areas remain with that regard. As dementia progresses, some patients lose their capacity to make decisions. This study aimed to investigate the geriatricians’ understanding of the principle of autonomy and their perception of the decision-making capacity (DMC) testing as part of the informed consent (IC) process among patients with Alzheimer’s Disease (AD). Proposing an algorithm for a reliable, comprehensive, and valid assessment of DMC was the secondary aim of this study.MethodsA cross-sectional descriptive study was designed to empirically collect data via an e-survey. Accordingly, a comprehensive list of geriatricians was provided by the Lebanese Order of Physicians. Geriatricians were approached via a phone call, to provide them with study-specific information. Those who accepted to participate received a link to the study’s survey via e-mail.ResultsAmong the eligible geriatricians, 75% had completed the e-survey, with a mean of 14.7 ± 9.6 years of experience. More than half of the geriatricians failed to recognize that assessing the patients’ DMC is an integral component of the IC process. Yet, 88.9% assessed the DMC of their patients with AD using different modalities. However, the majority were unable to justify their judgment of DMC based on the tools they have selected.ConclusionLebanese geriatricians have demonstrated a poor understanding of the concept of autonomy and failed to recognize the need for the DMC assessment as a component of the IC’s process. Moreover, they were unable to select adequate tools to assess and judge the DMC of their patients with AD.

show abstract

What’s really happening among the Elderly Population?

Cited by 6 publications

References 14 publications

Geriatricians’ Standpoint of the Informed Consent Process among Patients with Alzheimer's Disease: The Lebanese Context

Geriatricians’ Standpoint of the Informed Consent Process among Patients with Alzheimer's Disease: The Lebanese Context

Geriatricians’ Standpoint of the Informed Consent Process Among Patients with Alzheimer's Disease: The Lebanese Context

Geriatricians’ Standpoint of the Informed Consent Process Among Patients with Alzheimer's Disease: The Lebanese Context

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