
@article{ref1,
title="Competence and the elderly patient with cognitive impairments",
journal="Australian and New Zealand journal of psychiatry",
year="1996",
author="Ryan, S. P.",
volume="30",
number="6",
pages="768-773",
abstract="OBJECTIVE: The purpose of this paper is to discuss the assessment of competence in the elderly, focusing particularly on individuals with cognitive impairments. METHOD: An analysis of autonomy forms the basis of an ethical discussion which attempts to modify the existing concept of competence. RESULTS AND CONCLUSION: A discussion of the factors which influence competence is presented including variations in situation, task and degree of risk. A critical analysis of four standards of competence is presented, leading to a discussion of the standards which can most successfully promote self-determination in elderly patients. Finally, three classes of competence are suggested which extend the criteria of competence to patients to cognitive deficits.<p /><p>Language: en</p>",
language="en",
issn="0004-8674",
doi="",
url="http://dx.doi.org/"
}