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Study-Unit Description

Study-Unit Description


CODE GDM1009

 
TITLE Ethical Issues in the Care of Older Persons

 
UM LEVEL 01 - Year 1 in Modular Undergraduate Course

 
MQF LEVEL 5

 
ECTS CREDITS 4

 
DEPARTMENT Gerontology and Dementia Studies

 
DESCRIPTION This study-unit discusses attitudes towards ageing, giving an overview of ethical theories. The distinct differences between how ethics, philosophy and morality inter-relate in old age will be given attention. The approach to ethical issues in aging (well-being and autonomy, person-hood and solidarity) together with the standing of an older person in society will be brought to the fore. Principilism, autonomy, beneficence, non-maleficence, justice, fidelity and confidentiality will be explained. It concludes by debating consent, informed consent, and competence in decision-making. The relevance of these concepts in relation to advance directives, and dementia and end-of-life care will also be presented and discussed.

Study-unit Aims:

The aims of the study-unit is to provide students with an overview of the main ethical issues related to the ageing population, with special reference to older persons in receipt of community and long-term care, but also including older persons living with dementia and end-of-life care. The study-unit aims to help students to better understand and evaluate pertinent ethical dilemmas of older persons and older person care.

Learning Outcomes:

1. Knowledge & Understanding:

By the end of the study-unit the student will be able to:

- Describe ethical theories and models of care for best service delivery and care for older persons and their informal/formal carers;
- Explain person-hood, person centred care, well-being and solidarity in relation to the ethical issues surrounding the older person and the care of the older person;
- Contextualize the place of values as well as attitudes towards the aging brain and towards ageing;
- Define how the principles of biomedical ethics (autonomy, beneficence, non-maleficence, justice, fidelity and confidentiality) impinge on the older person and her/his care;
- Recognise the standing of the older person in society.

2. Skills:

By the end of the study-unit the student will be able to:

- Demonstrate an appreciation of the link between the ethical issues and the ongoing care and support at community level, acute hospital services, rehabilitation, residential care as well as end of life palliative care of the older person;
- Establish that aging is a process, interlinked with issues of confidentiality, respect for the older person's right to confidences being honoured, whilst also considering the decision-making ability, especially in older persons living with dementia;
- Explain person-centered care components in respect of dignity, values, older persons as unique human beings, retaining a sense of identity and enabling feelings of self-worth;
- Integrate the concepts of ethics, values and professionalism in the care of the older person.

Main Text/s and any supplementary readings:

Main Texts:

- Formosa, M. (Ed.). (2018). Active and Healthy Ageing in Malta: Gerontological and Geriatric Inquiries. Malta: BDL.
- Rojo-Pérez, F. & Fernández-Mayoralas, G. (Eds.). (2021). Handbook of active ageing and quality of life: From concepts to applications. Springer Nature.
- Scarre, G. (Ed.). (2016). The Palgrave Handbook of the Philosophy of Aging. London: Palgrave Macmillan.

Supplementary Readings:

- Ayalon, L. & Tesch-Römer, C. (eds) (2017). Contemporary perspectives on ageism. Switzerland: Springer.
- Falcus, S. & Sako, K. (2019). Contemporary narratives of dementia: Ethics, ageing, politics. Routledge.
- Formosa, M. (2017). National policies for healthy ageing: The Malta experience. Exlibris Social Gerontology Journal, 13(1), 73-84.
- Gibson, J. (2020). Dementia, narrative and performance: Staging reality, Reimagining identities. Springer Nature.
- Hughes, J. (2023). Dementia and ethics reconsidered. McGraw-Hill Education (UK).
- Kitwood, T. (2019). Dementia Reconsidered, Revisited; The person still comes first. Open University Press.
- Vaughn, L. (2016). Doing ethics: Moral reasoning and contemporary issues. New York: W.W. Norton & Company.

 
STUDY-UNIT TYPE Lecture

 
METHOD OF ASSESSMENT
Assessment Component/s Assessment Due Sept. Asst Session Weighting
Assignment SEM1 Yes 100%

 
LECTURER/S Noel Borg

 

 
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the description above applies to study-units available during the academic year 2025/6. It may be subject to change in subsequent years.

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