How do you balance the need for autonomy and informed consent with the potential for diminished decision-making capacity in older adults?

Sample interview questions: How do you balance the need for autonomy and informed consent with the potential for diminished decision-making capacity in older adults?

Sample answer:

Balancing Autonomy and Informed Consent in Older Adults

As a geropsychologist, the balance between respecting older adults’ autonomy and ensuring informed consent poses a complex ethical challenge. Here are strategies to navigate this delicate issue:

1. Presumption of Competence:

  • Assume older adults are competent to make decisions unless proven otherwise.
  • Assess decision-making capacity through standardized tests or informal observations.
  • Respect their wishes even if they differ from your own.

2. Gradual Approach to Decision-Making:

  • Involve older adults in decision-making as much as possible, even if their capacity is diminished.
  • Provide clear and simple information, breaking down decisions into smaller steps.
  • Seek their input and preferences throughout the process.

3. Supported Decision-Making:

  • Encourage older adults to seek assistance from trusted family members, friends, or professionals.
  • Facilitate communication between the individual and their support network.
  • Ensure that the support person understands the older adult’s values and goals.

4. Advance Directives:

  • Discuss and document older adults’ preferences regarding future care in advance directives.
  • These documents can guide decision-making when capacity is impaired.
  • Regularly review and update advance directives to ensure they reflect the current wishes of the individua… Read full answer

    Source: https://hireabo.com/job/7_0_17/Geropsychologist

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