In order to help older adults with cardiovascular disease navigate complex decisions, clinicians must know tenets of medical ethics and have good communication skills. The elements of decision making capacity and informed consent are reviewed, using relevant clinical examples to illustrate the basic concepts. The shared decision making model, by which clinician and patient work together to dete...

This paper discusses how limited ability to assess patient risk of illness and predict treatment response may affect the welfare achieved by adherence to clinical practice guidelines and by decentralized clinical practice. Manski explains why predictive ability has been limited, calling attention to imperfections in clinical judgment and to questionable methodological practices in the research ...

A closer look at the lived illness experiences of medical professionals themselves shows that shared decision making is in need of a logic of care. This paper underlines that medical decision making inevitably takes place in a messy and uncertain context in which sharing responsibilities may impose a considerable burden on patients. A better understanding of patients' lived experiences enables ...

As far as medical diagnosis problem is concerned, predicting the actual disease in complex situations has been a concerning matter for the doctors/experts. The divergence measure for intuitionistic fuzzy sets is an effective and potent tool in addressing the medical decision making problems. We define a new divergence measure for intuitionistic fuzzy sets (IFS) and its interesting properties ar...

Decision Making Support based on a Process Engineering Ontology for Waste Treatment Plant Optimization Edrisi Muñoz, Elisabet Capón-García, Konrad Hungerbühler, Antonio Espuña, Luis Puigjaner* a Centro de Investigación en Matemáticas A.C., Jalisco S/N, Mineral y Valenciana 36240, Guanajuato, México b Department of Chemistry and Applied Biosciences, ETH Zürich, 8093 Zürich, Switzerland c Departm...

The Japanese Ministry of Health and Welfare has implemented a policy of paying physicians to explain the nature of the patient's medical condition and the treatment plan. We describe the precepts of this policy and examine ethical dimensions of this development. We question whether this policy will be sufficient to ensure patients will have the opportunity to become informed participants in med...

The convergence of the aging of our society, the increase in blended families, and an enormous intergenerational transfer of wealth has greatly expanded the incidence and importance of capacity assessment of older adults. In this article we discuss the emergence of capacity assessment as a distinct field of study. We review research efforts in two domains: medical decision-making capacity and f...