White Paper Take the Intimidation out of Long Term Care Policies October 2015 Table of Contents Abstract 1 1. Why is Long Term Care Intimidating 1 2. Long Term Care Defined 1 2.1 Activities of Daily Living 1 2.2 Types of Long Term Care Services 2 3. Parts of a Long Term Care Policy 2 3.1 Application 2 3.2 Amendments 3 3.3 Face Page 3 3.4 Schedule Page 3 3.5 Definitions 3 3.6 Benefits 4 3.7 Limitations and Exclusions 4 3.8 Premiums 4 3.9 Claims 4 3.10 General Provisions 5 3.11 Policy Riders 5 4. In Summary 5 5.
Healthcare providers rely on ethical codes to establish guidelines and standards for addressing issues that arise. Associations representing the professional organization are tasked with the duty of developing and tailoring a code of ethics to assist its members to understand expectations in their professional role. For example the American Health Information Management Association and the American Physical Therapist Association established a code of ethics for its members. Each association considers the relation of the health professional obligations and constructs a code of ethics to serve as guidance to the professional. When reviewing the code of ethics for AHIMA and APTA, one may definitely draw parallels.
CMA (AAMA) Core Values, American Medical Association Assistants maintains this living code of ethics document in order to help medical assistants best evolve with the changing landscape of healthcare. Medical Assisting Code of Ethics of the AAMA sets forth principles of ethical and moral conduct as they relate to the medical profession and the particular practice of medical assisting. The Medical Assisting Creed of the AAMA sets forth medical assisting statements of belief. Medical Codes of Ethics Numerous other professional organizations catering to healthcare workers also promote ethical behavior in the workplace by publishing standards of behavior.”
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
This can be backed up by the act Utilitarianism theory which states that the rightness of an act depends solely on its consequences( Ferguson, 2015). This theory allows us to perform acts that would maximize happiness in the society. Changing barriers in the environment would result in promoting happiness and achieving better patient outcomes. Utilitarians assume that happiness consists of pleasure and the absence of pain and pleasure further includes intellectual, artistic, physical as well as sensual pleasures( Ferguson, 2015). According to the home care act, a long term care home is primarily the home of its residents and it is to be operated in a way that depicts it as a place where the residents may live with dignity and in security,safety
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.
Living in a long-term care facility can be devastating. Residents may feel abandoned by family, sadness because their friends have passed, or a feeling of being stuck. Though there are regulations in place to keep a stand for quality of life, I think as administrator I would go above and beyond those regulations. In my opinion they need to be stricter, but since they are not, I would do my best to give our elders what they have earned and deserve. It is important to consider how a person would want the conditions of a facility that their grandmother, grandfather, mother, or father would be in when they could no long live at home.
In 1987, the Nursing Home Reform Act was introduced and has started a great leap (post Medicare and Medicaid) into the realm of quality of care for the elderly. The main objective of this Act was to make sure that residents in nursing homes received the quality of care that would ultimately maintain or achieve their highest level of mental, social and physical well being. However, since it was introduced, it has been difficult to make a collective agreement on what is considered acceptable quality of life for someone who needs LTC.
There were several classes I attended that significantly impacted my views about death, dying, life, and living. However, for me I found it quite difficult to choose just one to highlight since they all seemed to make an impact on my thoughts and ideas in one-way or another. Nonetheless there were three classes that stood out a little bit more then the rest such as the Shifrin event, the class about bullying, and when the guest speaker came to discuss ethical issues during end of life care. From each of these classes I was able to take away some pertinent information about death, dying, life, and living. I found the lecture about ethical issues during end of life care very informative.
Showing professionalism in your choice of field or any field is more than showing up on time or dressing the part. Webster dictionary defines professionalism as “conduct, aims, or qualities that characterize or mark a profession or a professional person.” As a nurse, professionalism is a vital quality that is required to present at any workplace. To me, professionalism means having to demonstrate a professional, respectful attitude to your surroundings such as fellow coworkers, patients, and facility that you are in. It means dressing appropriately according to your profession and arriving in a timely manner before your shift begins; as well as leaving after your shift has ended, not early.
The National Organization for Human Services (NOHS) Ethical Standards is intended to serve as a guide to the everyday professional conduct of the helper. The standards are extremely broad and subject to interpretation, by the helper. Therefore, the standards are not static; they are revised as new concerns occur during the client-helper relationship.
Nursing home abuse is a distressing and unacceptable issue that occurs when residents in nursing homes or long-term care facilities are mistreated or harmed physically,emotionally, financially, or sexually by staff members or other residents. These abuses can occur through intentional acts or harm, neglect, or even ignorance of the residents' needs and rights. Preventing nursing home abuse requires vigilant oversight, proper training of staff, and strict regulations and enforcement by authorities. Familillies and loved ones of nursing home residents should visit reguray, communicate with the staff, and be aware of any signs of potential abuse or neglect.
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.
The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para
Since nursing homes tend to provide care to a vulnerable population they can be taken advantage of, overlooked or mistreated by staff and with residents potentially underreporting these incidents due to fear of retaliation by staff identifies this as significant ethical issues among nursing homes. The use of restraints that restricts a resident, whether physical or chemical applies to the ethical considerations within a nursing home as it not only impacts the resident, it can affect staff members and other resident’s safety. There is always the conflict between providing the resident with a fair amount of decisions regarding their activities of daily living, special accommodations, and independence. However, there is also the reflective issue of whether these freedoms impact the safety and the ability to comply with the institution's policy and how they are handled to deliver ethically appropriate customer service to those
