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Therapeutic Decision Making and Institutional Advocacy in Caring for the Ill Aged *
Author(s) -
MILLER MICHAEL B.
Publication year - 1972
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1972.tb00765.x
Subject(s) - medicine , institution , nursing , inclusion (mineral) , quality (philosophy) , control (management) , patient participation , health care , family medicine , gender studies , philosophy , sociology , political science , law , economics , economic growth , management , epistemology
The clinical management of the severely ill aged patient in an institution is a complex process. In addition to decision making by the patient, family and physician, there is another factor related to increased safety and an improved quality of living for the patient. This factor is the inclusion of the institution in decision making with respect to therapeutic goals and methods. Institutional participation may help in uniting the divergent attitudes of the patient, the family and the attending physician. Firm control of the clinical management of the patient must always rest with the attending physician, but a beneficial contribution can be expected from other professional sources within the health care facility when they possess the necessary skills to become involved in decision making.