Do the Principles of Autonomy and Independence collide

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Do the Principles of Autonomy and Independence collide with Ethically Serving Self. Neglecting Older

Do the Principles of Autonomy and Independence collide with Ethically Serving Self. Neglecting Older Persons? Susan B. Somers, JD Secretary-General INPEA 10/31/2020

Concept of Autonomy “…autonomy is primarily a phenomenon involving independence of action, speech, and

Concept of Autonomy “…autonomy is primarily a phenomenon involving independence of action, speech, and thought. ” “It provides the broad foundation for a wide range of political, legal, civil, and human rights and the philosophical basis on which individuals can resist the coercive interference of external authorities or powers in their lives. ” (Agist, 2 nd Edition) 10/31/2020

Autonomy links to Independence Autonomy a concept respected in situations of intervention with older

Autonomy links to Independence Autonomy a concept respected in situations of intervention with older self neglecting adults. “Strongly related the concepts of Self Determination and Independence” “Independence in later life … often… synonymous with remaining in one’s own home for as long as possible. ” 10/31/2020

Definitions of Autonomy the meaning of the word autonomy in Greek history as “self-rule”,

Definitions of Autonomy the meaning of the word autonomy in Greek history as “self-rule”, “freedom to determine one’s own actions or behavior” (Colliers Dictionary) vs. Health Care Dictionary “having the ability to function independently” (Blackwell’s Dictionary of Nursing) 10/31/2020

States Authority to Intervene Concept of Parens Patriae “Father of the Land” Police Powers

States Authority to Intervene Concept of Parens Patriae “Father of the Land” Police Powers 10/31/2020

Framing the issue: When Self-Neglect collides with Self-Determination Hoarding Medical neglect Self harming behaviors

Framing the issue: When Self-Neglect collides with Self-Determination Hoarding Medical neglect Self harming behaviors 10/31/2020

A Dallas man, who had been missing two weeks, found dead inside his home

A Dallas man, who had been missing two weeks, found dead inside his home under piles of trash. DALLAS (CBSDFW. COM) 10/31/2020

A house so jammed with clutter took two days before the homeowner's body was

A house so jammed with clutter took two days before the homeowner's body was finally discovered amid the debris, 10/31/2020

WHO World Report on Violence and Health: 2002 10/31/2020 Preventing deaths by violence within

WHO World Report on Violence and Health: 2002 10/31/2020 Preventing deaths by violence within a public health framework Utilizing evidence based practice US Institute of Medicine conducted a Follow up to WHO 2002 Report June 26 -27 Wash. DC

Violence by type, WHO Interpersonal, Domestic/Family Violence Self inflicted, Suicide Collective Violence: Wars, conflicts,

Violence by type, WHO Interpersonal, Domestic/Family Violence Self inflicted, Suicide Collective Violence: Wars, conflicts, etc 10/31/2020

Suicide: A preventable form of Self –Neglect and Self Violence Suicide 54% of all

Suicide: A preventable form of Self –Neglect and Self Violence Suicide 54% of all violent deaths 10/31/2020

V. Legal Competency vs. Individual Capacity Traditional notions: All adults are deemed competent unless

V. Legal Competency vs. Individual Capacity Traditional notions: All adults are deemed competent unless adjudicated otherwise: 10/31/2020

VI. Assessing Individual Capacity for Self-Determination: 10/31/2020

VI. Assessing Individual Capacity for Self-Determination: 10/31/2020

VII. Involuntary Interventions When How 10/31/2020

VII. Involuntary Interventions When How 10/31/2020

VIII. Professional Ethical considerations: Lawyers Ethics Social Work Ethics Medical Ethics 10/31/2020

VIII. Professional Ethical considerations: Lawyers Ethics Social Work Ethics Medical Ethics 10/31/2020

References: Dependence and Autonomy in Old Age An Ethical Framework for Long-Term Care, Second

References: Dependence and Autonomy in Old Age An Ethical Framework for Long-Term Care, Second and Revised Edition George J. Agich The Meaning of “Independence” for Older People in Different Residential Settings Sarah Hillcoat-Nallétamby 10/31/2020

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