In regards to the scenario of the patient Cindy who had an affair while being married, one of the red flags that I noticed was AACC Code 1-143 counseling with family, friends and acquaintances. According to the scenario, Cindy, as well as her family, attend the same church as the counselor, but also know the counselor very well. This was a breach in ethics on the counselor’s part, because in the AACC code, it states in Code 1-143, “Christian counselors do not provide counseling to close family or friends.” (Clinton, Ohlschlager, and Hart; pg. 269). The counselor has already broken the ethics code by giving Cindy counseling advice, which is part of the AACC code 1-145 (pg.269).
Reading this article for the elderly care, I feel that ethical issues commonly occur anywhere in the treatment of older patients. I had a clinical experience both in an acute-care hospital and in a long-term care facility. Before working in a long-term facility, I was not aware of how many ethical principles were violated in the treatment of older patients as a daily routine as stated in the article. In reality, there are many situations in which older patients don’t completely exhibit their autonomy because they are vulnerable physically and emotionally and dependent on others. Therefore, they become more conscious of caregivers or healthcare professionals.
In the UK, policies for health, safety and security are not only give positive impact it also creates dilemma in relation to implement. Dilemma refers to a situation in which a difficult choice has to he made between two or more alternatives, especially equally undesirable ones. There are different types of dilemma in safety. This includes * Resource implications
Yes, I think the practice of having a Registered nurse on staff who cannot administer certain basic functions is ethical. Registered nurses who work in assisted living facilities specializes in geriatrics. The typical assisted living facility provides security, housekeeping and food services. While the people in this assignment are not able to live independently or with family, it is the duty of the family to ensure the facility they choose to place their loved ones provides the type of care the person will need. Therefore, it is important for them to visit skilled nursing facilities and find the appropriate one that would accommodate the need of their loved one as opposed to assisted living facility.
These rules apply to day to day interactions with everyone in the facility including the patients, families, other health care providers and the public. In much long-term care facility, the compliance of the ethical code of conduct is a condition of employment and those who are found guilty of violating the regulations are severely disciplined and in worst cases terminated. Long-term care facility employs several corrective measures to discipline violators of the code of conduct. Some of the remedial measures include providing additional training for the offender, written warning, and refunding overpayments in cases of billing violations. The disciplining of employees who violate the code of conduct is based on the type of conduct being violated
Nurses in Complex Continuing Care Encountering Ethical Dilemmas of Autonomy and Wellbeing When Patient with Dementia Wants to go Home Bhakti Amin Student # A0622083 Professor S. Cairns NURS 2047 23 March 2018 Introduction Dementia continues to grow as a condition diagnosed among elderly females, researchers have hypothesized that this is due to longer female life expectancy (Podcasy & Epperson, 2016). Allowing a client with dementia to stay in their own can have several benefits such as joy, comfort, socially connected, maintain identity, and have meaning in life; however, in many cases, clients with dementia require complex continuous care (CCC) to support their health and wellness needs and the needs of their family (Lilly
Duty of care plays a major role for health professionals, Duty of care follows codes and principles put into action for facilities such as hospitals via external sources such as the Government, in order achieve one core goal which is to ensure that the patient is subject to the best possible care that can be given by the facility and the Health Professionals working at the health facility. Duty of care is defined as “the obligations placed on people in a certain way, in accordance with certain standards” Royal College of Nursing (2018), making it the obligation of the health professionals to not breach their Duty of Care. If the Duty of Care is breached or Health Professionals work outside of their scope of practice, the health and wellbeing
Long-term care facilities have become home to some individuals due to loss of capacity for independent living which normally caused by some illness that result in them not being able to care for themselves or to perform any daily living activities, such as cooking, eating, bathing, and toileting. Now as an administrator of a long-term care facility, I am responsible to make sure that everything runs smooth; in another word I play most important role in the facility. I am in charge of everything that goes on including patient admissions, facility policies, laws, finances, facility maintenance, residential care and staffing. A number of ethical issues can and will arise in a long-term care facility, such as providing patient care, dealing with
On March 15, 2016 at 4:34 am, I was notified by Elisha Smalls that she had discovered red spots on her arms and mid back and had an itch. The employee was instructed to leave the facility and see her physician as soon as possible and to follow-up regarding the visit. At 11:14am, the employee called back and stated she had chicken pox and was in contact a resident in ALF that had shingles. It was discovered that the employee di d work with the resident on 02/24/2016 and 02/25/2016.It was discovered on February 24, 2016; a resident in Assisted Living did exhibited signs and symptoms of possible shingles. The resident was seen by the Nurse Practitioner, Jody Eblen for a rash with pain, the resident was started treatment with antibiotics on
Hillier and Barrow (2015), associate problems of caregiving with the responsibility itself, the caregivers personal health, role strains, strained family relationships, ect. With all of this strain on an informal caregiver it seems most beneficial to the caregiver and the elderly individual to consider admittance in to an assisted living facility. Once a basis has been established as to why an elderly person is admitted in to an assisted living facility, further insight shall be established to denote what is considered elder abuse. In this movie, Life and Death in Assisted Living Facilities, several
I think there is a difference from approaching as a professional than as if they were family because as a professional there are certain boundaries you should not cross and sometimes families cross those boundaries. The care changes when caregivers know the values, accomplishments, and experiences of the elders in their care because they look as the patient being priority and what they want or need to a peaceful quality of life. 3. If you could have a conversation with anyone in Almost Home whom would you want to talk with and what would you want to talk about? Why?
Alzheimer 's is a hard disease to deal with, and more often, caregivers are needed for patients with Alzheimer 's disease. As a caregiver, it will not be an easy thing to do. In fact, caregivers are often stressed and overwhelmed because of the frequent care the Alzheimer 's patients require. They require help with eating, bathing, dressing, taking prescribed medication, communicating, help going to the bathroom, and more. Patients with Alzheimer 's are not able to perform these daily tasks because they may forget how to do them.
The ethical issues that are faced in nursing homes stem from a conflict of the institution's policy, staffing concerns regarding safety matters, and the general desires and preferences of the residents. When moving into a nursing, there is a loss of privacy as many residents share bedrooms, bathrooms, and common areas. The resident’s independence and decision-making ability over matters such as what to eat, wear, and their entertainment can all be controlled by the nursing facility, and this leads to a loss of autonomy. There are also concerns when the decision-making capacity of a resident conflicts with the general well-being of the nursing home populations. Moral issues that come into play when the resident has demonstrated a lack of competent decision-making practices is that who’s input regarding the resident's well-being has their best interest.
Current data demonstrates that individuals make an average of 221 food related decisions in a day (Wansink & Sobal, 2007). Do you use bar-b-que sauce or ranch? Do you eat one cookie or five cookies? Though these choices include what you consume, when, and how much, they are trivial in nature because they are based on personal preference. Unfortunately, it is inevitable that individuals will also have to make more challenging decisions, forcing them to consider what is “right, good, virtuous or just” (Cahn, 2013, p. 3).