Abstract: | Psychological practice in geriatric long-term care settings, which range from community-based services to skilled nursing facilities, can present ethical dilemmas. The context for practice in long-term care consists of a complicated structure of clients, services, payers, and disciplines, and as a result is extremely complex. Ethical codes and principles are useful in resolving dilemmas. In addition, familiarity with recent legal reform such as the patient self-determination movement and the guardianship reform movement, and attention to issues of race and ethnicity are important in guiding practice. |