Ethical issues in geriatric dermatology.

Physicians should be cognizant of the multitude of unique issues that their geriatric patients present and aware of the overall elder patient's general health status both physically and cognitively, potential drug interactions, and their short-term as well as long-term goals. While respecting patients' autonomy, we must evaluate their ability to make their own decisions regarding their health care. This will require time and patience on our part. We also must overcome our own potential prejudices about what we view as important for the older patient. Finally, we may need to appropriate involve family members or caregivers in the decision-making processes and care of our elderly patients. To properly and ethically care for this distinct and vulnerable population, with their myriad of complex issues, it is important that dermatologists understand their unique issues and challenges.