The elderly patient and informed consent. Empirical findings
B. Stanley, J. Guido, M. Stanley and D. Shortell
Informed consent with the elderly patient and the competency of this
patient population have been neglected issues in medicine and law.
Particularly, the competency of the elderly patient has received little
empirical investigation. The present study examines the capacity of
geriatric patients to consent to research participation. Competency is
investigated through the use of hypothetical consent information on three
dimensions: comprehension of consent material, quality of reasoning about
the decision to participate or not participate in research, and reasonable
choice regarding participation. The results indicate that elderly patients'
choices about those projects in which participation is "reasonable" do not
differ, by and large, from younger patients. However, the elderly show
significantly poorer comprehension of consent information. Thus, screening
for competency and providing special instructions may become an important
part of the research process when the elderly are participants.
Medical information and surrogate designation: results of a prospective study in elderly hospitalised patients
Paillaud et al.
Age Ageing 2007;36:274-279.
ABSTRACT
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Assessing Decisional Capacity for Clinical Research or Treatment: A Review of Instruments
Dunn et al.
Am. J. Psychiatry 2006;163:1323-1334.
ABSTRACT
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Assessment of Therapeutic Misconception in Older Schizophrenia Patients With a Brief Instrument
Dunn et al.
Am. J. Psychiatry 2006;163:500-506.
ABSTRACT
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Assessment of Capacity to Consent to Research Among Older Persons With Schizophrenia, Alzheimer Disease, or Diabetes Mellitus: Comparison of a 3-Item Questionnaire With a Comprehensive Standardized Capacity Instrument
Palmer et al.
Arch Gen Psychiatry 2005;62:726-733.
ABSTRACT
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Perceptions of Informed Consent in the Care of Elderly People in Five European Countries
Schopp et al.
Nurs Ethics 2003;10:48-57.
ABSTRACT
Discussing Treatment Options and Risks With Medical Patients Who Have Psychiatric Problems
Ness
Arch Intern Med 2002;162:2037-2044.
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Impaired Decision-Making Ability in Subjects With Alzheimer's Disease and Willingness to Participate in Research
Kim et al.
Am. J. Psychiatry 2002;159:797-802.
ABSTRACT
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Patient and Psychiatrist Ratings of Hypothetical Schizophrenia Research Protocols: Assessment of Harm Potential and Factors Influencing Participation Decisions
Roberts et al.
Am. J. Psychiatry 2002;159:573-584.
ABSTRACT
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Assessing the Competency of Patients With Alzheimer's Disease Under Different Legal Standards: A Prototype Instrument
Marson et al.
Arch Neurol 1995;52:949-954.
ABSTRACT
Clinical Determination of Mental Competence: A Theory and a Retrospective Study
Alexander
Arch Neurol 1988;45:23-26.
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