Purpose: This paper aims to examine uncertain situations with potential for learning in care work. While the dominant learning strategy in elderly care is lecture-based education, learning from and during daily care work routines is crucial and suitable. However, little is known about the potential for learning in daily work in elderly care.…

This article examines interpreters' dilemmas and choices in the case of home-based aged care assessments of elderly migrants in Australia. Based on one-on-one interviews with professional interpreters, it specifically explores tensions between power, norms and interpreters' own positionings on intercultural communication problems. Data analysis…

This viewpoint examines the complex ethical issues inherent in art therapy practice within a health-care setting for adults with dementia. The author explores and discusses the ways in which aspirational ethical principles outlined by the American Art Therapy Association can provide direction and guidance. The 6 aspirational ethical principles of…

Purpose: This is a pilot study that provides a description of the values older persons report in ethical wills and their reasoning for the values they chose, and compares the values in ethical wills of seniors and students. Nursing home residents rarely get the opportunity or venue to discuss these topics and the ethical will enables them to have…

Mistreatment of older adults is commonplace. These individuals are subjected to abuse, financial exploitation, and neglect. The authors present an overview of the literature concerning mistreatment, with an emphasis on clinical, ethical, and legal considerations. Methods are proposed for prevention, including counselor education, advocacy, and…

This research explores the workplace stress and ethical challenges reported by healthcare staff in a nursing home. A brief self-report survey was administered to 44 members of the nursing staff in a not-for-profit nursing home. The survey included items that elicited identification of specific workplace stressors and ethical challenges and global…

A study of 25 nonprofit and 87 for-profit nursing homes showed both types likely to offer education on advance care planning. However, nonprofits were more likely to have ongoing discussions that covered more than life support decisions and to have ethics committees to support advance care planning. (SK)

Assesses the stability of nursing home residents' preferences for medical treatments. Nondemented, nondepressed residents (N=37) were surveyed serially over a six-month period. Subjects preferred more treatment for their current health concerns than for all hypothetical conditions. All preference changes were toward less intervention. Most…

Examined difficulty of obtaining valid informed consent from participants in research with older persons. Of 470 nursing home residents asked to participate in nonrisk study, 406 agreed. High consent rate was attributed to perception of research significance, presentation format, and absence of risk or pain. (Author/NB)

Discusses the trend toward affiliation of nursing homes with educational programs as clinical teaching institutions for medical, nursing, and allied health students. Reviews potential ethical and legal issues for the nursing home administrator, professional staff member, educator, and student, including informed consent, supervisory…

Responsibilities of residents of long term care facilities are central to their autonomy and also set limits on their autonomy. It is important to assist residents to assume responsibilities and to express autonomy. Nursing home rules affecting residents need revision to accurately reflect resident responsibilities. Recognition of responsibilities…

In this theme issue, 18 articles discuss the motivation for and benefits of working with old and dying people, nursing homes, ethical issues, and the training of home health care workers. Employee recruitment and retention and the economics of health care for the frail elderly are also addressed. (JOW)

Purpose: The identification of nursing home residents who can continue to participate in advance care planning about end-of-life care is a critical clinical and bioethical issue. This study uses high quality observational research to identify correlates of advance care planning in nursing homes, including objective measurement of capacity. Design…