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Article: Competency
- Article from:
- Encyclopedia of Aging
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CopyrightCOPYRIGHT 2002 The Gale Group Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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COMPETENCY
The determination of competency is a critical one in a liberal democracy as it tries to balance the values of self-determination and the protection of innocents from harm. This determination becomes particularly important in elderly persons for whom chronic illness and mental disability both necessitate and frustrate decisions about medical treatment, about institutional placement, and, sometimes, about the quality of life itself. While there is no "Holy Grail" by which to judge competency (Roth et al.), careful consideration of this important social construct is necessary to maximize patient independence and well-being.
Although American society highly values freedom and ...