title: [Autonomy and the elderly, not always a perfect pair].
abstract: Aging, viewed as an individual and social phenomenon, poses multiple challenges to healthcare providers who treat the elderly. The many physiological changes that come with aging modify habits, patterns of behavior, and limit autonomy and functionality of elderly patients. However, there are instances in which well-meaning relatives, physicians, and nurses underestimate the ability of elderly patients to make decisions regarding their own health and wellbeing, thus withholding information or disregarding patients opinions. The elderly patient-healthcare provider relationship has unique legal and ethical aspects that require deep reflection and special training. Care must be taken to avoid infringement of the elderly patients autonomy by limiting or distorting information given to the patient. The unique aspects of elderly patient care require effort and dedication, as well as scientific and appropriate ethical training.
authors.affiliation: Servicio de Medicina, Hospital Enrique Cabrera, La Habana, Cuba. Address: Calzada de Aldabó 11117, Altahabana, Municipio Boyeros, La Habana, Cuba. Email: marylumv@infomed.sld.cu.
authors.forename: María de Lourdes Menéndez
authors.initials: Mde L
authors.lastname: Villa
authors.affiliation: Hogar de ancianos Chung Wah, Municipio San Miguel del Padrón, La Habana, Cuba.
authors.forename: Leonor Hernandez
authors.initials: LH
authors.lastname: Piñero
mesh_terms: D000368:Aged; D000375:Aging; D003657:Decision Making; D006801:Humans; D026684:Personal Autonomy; D011369:Professional-Patient Relations / Q000941:ethics
keywords: aged; bioethics; personal autonomy; physician-patient relations