Ethical Dimensions of Geriatric Care

Value Conflicts for the 21st Century

  • Stuart F. Spicker
  • Stanley R. Ingman
  • Ian R. Lawson

Part of the Philosophy and Medicine book series (PHME, volume 25)

Table of contents

  1. Front Matter
    Pages i-xxxiii
  2. Understanding the Biology and Epidemiology of Aging

    1. Front Matter
      Pages 1-1
    2. Tom Beauchamp
      Pages 23-27
    3. Albert Rosenfeld
      Pages 29-44
    4. Randolph Martin Nesse
      Pages 45-64
  3. Philosophical Reflections on Medical Care Provision for the Aged

  4. Self-Determination in Late-Life Dependency

  5. Justice in the Provision of Medical Care for the Aged

    1. Front Matter
      Pages 195-195
    2. Stanley R. Ingman, Derek Gill, James Campbell
      Pages 223-262
    3. H. Tristram Engelhardt Jr.
      Pages 263-270
  6. Epilogue: The Eighth Stage of Humanity

    1. Front Matter
      Pages 271-271
  7. Back Matter
    Pages 291-298

About this book


There is both a timeliness and a transcendent 'rightness' in the fact that scholars, clinicians, and health professionals are beginning to examine the ethics-based components of decision making in health care of the elderly. Ethics - as the discipline concerned with right or wrong conduct and moral duty - pervades hospital rooms, nursing home corridors, physicians' offices, and the halls of Congress as decisions are made that concern the allocation of health-related services to individuals and groups in need. In particular, care of older persons recently has received dispropor­ tionate attention in discussions of ethics and clinical care. Age alone, of course, should not generate special focus on ill individuals about whom concerns arise based on value conflicts tacitly involved in the delivery of health care. Having said that age is not the principal criterion for attention to ethics-based concerns in health care, it must be acknowl­ edged that old people have a high prevalence of conditions that provoke interest and put them in harm's way if value conflicts are not identified and seriously addressed. Issues that concern autonomy, the allocation of scarce resources, inter-generational competition and conflict, the withholding of treat­ ment in treatable disease, and substitute and proxy decision making for the cognitively impaired all have special relevance for older persons.


aging autonomy ethics geriatrics senescence

Editors and affiliations

  • Stuart F. Spicker
    • 1
  • Stanley R. Ingman
    • 2
  • Ian R. Lawson
    • 3
  1. 1.Division of Humanistic Studies in Medicine, School of MedicineUniversity of Connecticut Health CenterFarmingtonUSA
  2. 2.Department of Family and Community MedicineUniversity of Missouri at ColumbiaColumbiaUSA
  3. 3.School of MedicineUniversity of Connecticut Health CenterFarmingtonUSA

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media B.V. 1987
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-010-8020-0
  • Online ISBN 978-94-009-3391-0
  • Series Print ISSN 0376-7418
  • Buy this book on publisher's site
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Health & Hospitals
Internal Medicine & Dermatology