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