Guardianship: The Implications of Resident Physician Perceptions of Caring for Incapacitated Older Adults Without Advocates
As the incidence of dementia rises, increased utilization of surrogate decision-makers, including legal guardians, is anticipated. This manuscript presents an analysis of resident physicians’ experiences and perceptions regarding requirements, roles, and responsibilities of caring for older adults i...
| Päätekijät: | , , , , |
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| Aineistotyyppi: | Artikkeli |
| Kieli: | English |
| Julkaistu: |
SAGE Publishing
2023-12-01
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| Sarja: | Gerontology and Geriatric Medicine |
| Linkit: | https://doi.org/10.1177/23337214231218581 |
| _version_ | 1827583093954838528 |
|---|---|
| author | Linda Wang DO Jared Morphew MD Caroline Vitale MD Patricia Mullan PhD Kahli Zietlow MD |
| author_facet | Linda Wang DO Jared Morphew MD Caroline Vitale MD Patricia Mullan PhD Kahli Zietlow MD |
| author_sort | Linda Wang DO |
| collection | DOAJ |
| description | As the incidence of dementia rises, increased utilization of surrogate decision-makers, including legal guardians, is anticipated. This manuscript presents an analysis of resident physicians’ experiences and perceptions regarding requirements, roles, and responsibilities of caring for older adults in need of, or already under, legal guardianship. This is a cross-sectional study, conducted at a tertiary academic medical center. A survey was sent, via Qualtrics, to all emergency medicine, family medicine, internal medicine, general surgery, and medicine-pediatric resident physicians. Eighty-eight out of three hundred thirty-three (26.4%) eligible residents physicians completed the survey. Most (98.9%) reported caring for patients under guardianship, yet many resident physicians reported significant uncertainty regarding the roles and responsibilities of guardianship, including its potential benefits and limitations. They also displayed misconceptions and overconfidence about guardians’ abilities to facilitate disposition, ensure financial security, and assign code status, among other matters. Our study highlights the importance of structured and directed education on the topic of guardianship for medical trainees. |
| first_indexed | 2024-03-08T23:00:56Z |
| format | Article |
| id | doaj.art-dd0b1fc5e98a4e3593b053dacce72398 |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-03-08T23:00:56Z |
| publishDate | 2023-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-dd0b1fc5e98a4e3593b053dacce723982023-12-15T21:06:51ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142023-12-01910.1177/23337214231218581Guardianship: The Implications of Resident Physician Perceptions of Caring for Incapacitated Older Adults Without AdvocatesLinda Wang DO0Jared Morphew MD1Caroline Vitale MD2Patricia Mullan PhD3Kahli Zietlow MD4Division of Geriatric and Palliative Medicine, University of Michigan, Ann Arbor, MI, USAVDepartment of Family & Community Medicine and Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USAGeriatric Research Education and Clinical Center, VA Ann Arbor Healthcare System, Ann Arbor, MI, USADepartment of Learning Health Sciences, University of Michigan, Ann Arbor, MI, USADivision of Geriatric and Palliative Medicine, University of Michigan, Ann Arbor, MI, USAAs the incidence of dementia rises, increased utilization of surrogate decision-makers, including legal guardians, is anticipated. This manuscript presents an analysis of resident physicians’ experiences and perceptions regarding requirements, roles, and responsibilities of caring for older adults in need of, or already under, legal guardianship. This is a cross-sectional study, conducted at a tertiary academic medical center. A survey was sent, via Qualtrics, to all emergency medicine, family medicine, internal medicine, general surgery, and medicine-pediatric resident physicians. Eighty-eight out of three hundred thirty-three (26.4%) eligible residents physicians completed the survey. Most (98.9%) reported caring for patients under guardianship, yet many resident physicians reported significant uncertainty regarding the roles and responsibilities of guardianship, including its potential benefits and limitations. They also displayed misconceptions and overconfidence about guardians’ abilities to facilitate disposition, ensure financial security, and assign code status, among other matters. Our study highlights the importance of structured and directed education on the topic of guardianship for medical trainees.https://doi.org/10.1177/23337214231218581 |
| spellingShingle | Linda Wang DO Jared Morphew MD Caroline Vitale MD Patricia Mullan PhD Kahli Zietlow MD Guardianship: The Implications of Resident Physician Perceptions of Caring for Incapacitated Older Adults Without Advocates Gerontology and Geriatric Medicine |
| title | Guardianship: The Implications of Resident Physician Perceptions of Caring for Incapacitated Older Adults Without Advocates |
| title_full | Guardianship: The Implications of Resident Physician Perceptions of Caring for Incapacitated Older Adults Without Advocates |
| title_fullStr | Guardianship: The Implications of Resident Physician Perceptions of Caring for Incapacitated Older Adults Without Advocates |
| title_full_unstemmed | Guardianship: The Implications of Resident Physician Perceptions of Caring for Incapacitated Older Adults Without Advocates |
| title_short | Guardianship: The Implications of Resident Physician Perceptions of Caring for Incapacitated Older Adults Without Advocates |
| title_sort | guardianship the implications of resident physician perceptions of caring for incapacitated older adults without advocates |
| url | https://doi.org/10.1177/23337214231218581 |
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