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Ethical dilemmas in old age psychiatry

The Warneford Hospital, Headington, Oxford OX3 7JX

Gwen Adshead, Lecturer

Department of Forensic Psychiatry, Institute of Psychiatry, De Crespigny Park, London SE5 8AF

Jeanette Smith, Senior Registrar

Fromeside Clinic, Blackberry Hill, Bristol BS16 1ED

Patients and their relatives sometimes make what to others appear to be unfortunate decisions. In this paper the ethical dilemmas raised by such decisions in the context of old age psychiatry are examined. The case also raises questions about financial responsibility for the care of the elderly and suggests that the health needs of patients can no longer be separated from their financial interests.