Continuing care--should geriatricians re-engage?
Continuing care settings cater for some of the most disabled individuals. Their care can often present major ethical dilemmas; teams involved in such care require a broad range of skills. We illustrate this with a challenging case history and discuss specific dilemmas, including investigation and treatment in the absence of specific consent and advance directives. We suggest that continuing care should be recognised as a valuable component of training in geriatric medicine.
Conroy
Simon P
SP
University of Nottingham, Ageing and Disability Research Unit, Medical School, Queen's Medical Centre, Nottingham NG7 2UH, UK. simon.conroy@nottingham.ac.uk
Luxton
Tony
T
D016223:Advance Directives / Q000941:ethics / Q000331:legislation & jurisprudence; D003479:Curriculum; D004739:England; D004750:Enteral Nutrition / Q000941:ethics; D004992:Ethics, Medical; D005260:Female; D005853:Geriatrics / Q000193:education*; D016852:Housing for the Elderly / Q000331:legislation & jurisprudence*; D006801:Humans; D018447:Medical Futility / Q000941:ethics / Q000331:legislation & jurisprudence; D016743:Mental Competency / Q000331:legislation & jurisprudence; D008875:Middle Aged; D010348:Patient Care Team / Q000941:ethics / Q000331:legislation & jurisprudence; D018458:Persistent Vegetative State / Q000628:therapy*; D013222:State Medicine / Q000331:legislation & jurisprudence*; D013345:Subarachnoid Hemorrhage / Q000628:therapy*