Ethical Dilemmas In Dementia

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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
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Autonomy means patients have the right to make their own decisions (Potter, & Perry, 2014). However, as dementia progresses, abilities to live independently fade and it becomes challenging to consider autonomy versus wellbeing of the patient (Smith, & Herber, 2015). Moreover, dilemmas may occur while caring for patients with dementia which may place them at risk (such as fall, injury, malnourished, self-harm etc.) while staying at home while considering autonomy. According to Hughes, Poole, and Louw (2013), when elderly patient with dementia may want to go home, the nurse desires to promote independence, but the risk of maintaining patient’s wellbeing at home may be…show more content…
They need support and help to perform ADLs from caregivers. To let them live in their home, care givers can consider options such as in home care services group homes, digital support persons (the tool may help build or maintain episodic memories and self-image. It is designed to also give direct and instrumental support in other priority needs areas. However, privacy, trust and dignity are key ethical issues associated with digital support) and/ or home care services will be explored as alternatives to institutionalized care (Fauth, Femia, & Zarit, 2016). With these options, nurses can find the solution and maintain autonomy of the patient. However, safety, health, and care have high chances to be compromised. In the hospital setting, patients with dementia get constant care, support, and help from staff in the
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