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This chapter explores the inherent tension between ensuring safety for older adults and respecting their autonomy and quality of life, particularly when clinicians deem them “not safe at home.” It critically examines the “patient safety paradigm,” highlighting how its focus on standardization and error prevention can inadvertently limit an older person’s ability to live according to their values. The text argues that while safety is important, it should not automatically override an older adult’s preferences, especially given that some negative outcomes are an unavoidable part of aging. Ultimately, it advocates for a balanced approach that considers an individual’s desire for a fulfilling life, even when it involves a degree of risk.

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When Safety Matters Most to a Provider but Not the Older Adult

  • 章节

  • 发表日期：

    2026年

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  • Theresa A. Harvath,
  • Mark Fedyk

摘要

This chapter explores the inherent tension between ensuring safety for older adults and respecting their autonomy and quality of life, particularly when clinicians deem them “not safe at home.” It critically examines the “patient safety paradigm,” highlighting how its focus on standardization and error prevention can inadvertently limit an older person’s ability to live according to their values. The text argues that while safety is important, it should not automatically override an older adult’s preferences, especially given that some negative outcomes are an unavoidable part of aging. Ultimately, it advocates for a balanced approach that considers an individual’s desire for a fulfilling life, even when it involves a degree of risk.