Preview

A Summary Of Ethical Issues In Nursing

Good Essays
Open Document
Open Document
503 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
A Summary Of Ethical Issues In Nursing
According to the dictionary of Merriam-Webster, the definition of ethics is an area of study that deals with what is good and bad behavior. According to the textbook of “Leading and Managing in Nursing”, Yoder-Wise states, “In ethics, there are no right or wrong answers, just better or worse answers, and nurses seek mentorships and counseling from nurse managers when they encounter difficult situation.” (P. 89) Nurses face directly to patient so that we deal with variety of ethical issues.
I was frustrated when I received a new couple last month about the issues of hearing aids and denture. Before being enrolled with our plan, they had applied for hearing aids via Elmhurst Hospital by Medicare, and then supposed to get their hearing aids on Oct 16, 2015. However, being enrolled with our plan, Medicare does not pay for their hearing aids so that our plan needs to cover their hearing aids. Also, we don’t have contract with Elmhurst Hospital. As a result, they need to follow up with our network providers. They did not
…show more content…

However, I did not get the clear response back from her. However, I am the person who directly answers the call from this couple. Also, I am the person who directly faces to this couple. I cannot allow myself to be in this situation every day so that I need to find a solution for myself and this couple. As a result, I phoned to the coordinator at Home Health Service Inc, and then explained the benefit of our plan to him due to this couple trusted him so that this home care agency referred them to be enrolled with our plan. After that, I requested him to explain the policy and rule to this couple. A few days later, I got a call from this couple about apologizing to me for the previous conversation due to they did not understand the policy and rules of applying for durable medical equipment. Also, they were happy to ask me to arrange the schedule to see the health care provider for the test of hearing

You May Also Find These Documents Helpful

  • Good Essays

    In this case, authorization was provided for the services, although under the incorrect patient information. Considering that SelectCare was promptly notified of the mistake, and that had the correct patient information been given, authorization would have been provided for the medically necessary services for patient E.F., the purported lack of authorization does not support denial of this claim. Indeed, it was no more than a technical default that caused no prejudice to SelectCare. See Koehler v. Aetna Health Inc., 683 F.3d 182, 188 (5th Cir. 2012) (recognizing that a lack of preauthorization “does not prejudice [the insurer]’s ability to refuse coverage if it concludes that the services were not medically necessary”); Weaver v. Phoenix Home Life Mut. Ins. Co., 990 F.2d 154, 158-59 (4th Cir. 1993) (reversing plan administrator’s denial of coverage because its denial that “hospital confinement commencing 05/16/90 was not authorized” was conclusory and the medical necessity of the inpatient stay, not any authorization of it, was what determined coverage). Under these circumstances, Medical City is entitled to payment in full for its services in the amount of $74,404.44. Demand is made for payment of this…

    • 802 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    At this time, a full overview of this case was given. Which is as follows: I explained the client is in Star plus waiver, a 30 day letter was issued from ASH on 1/6/17 and an MDU slot was requested on 1/6/17 and then again on 1/12/17 as I did not get a returned email that Cindy Pollan had already retired. Nor did I get a returned phone call from her voicemail, which was still active. After speaking with other DADS/HHSC contacts, I got your information and we spoke on 1/25/17. This was the date his slot was released. I spoke to the parents and they selected a provider on 1/31/17. Thus me reaching out to Stacy on 2/1/17. At the time, I explained that ASH did not want to hold the client until 3/1/17 due to no longer meeting medical necessity and why they issued the 30 day letter. This caused an issue, the client cannot return home, ASH needs to dischrge, yet he cannot enroll until 3/1/17 because of the Star plus waiver. I called seeking guidance on if the waiting until the 1st of the month was an HHSC rule that could be reviewed and changed for this special case or was the rule from Medicaid.…

    • 494 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    9:00-9:47AM. SC received an email from OLTL noting approval for increase in PAS hours. SC made required changes in SAMS and Oracle. SC contacted the provider Home Health Care on 12/31/2015 at 9:19 and spoke with Ferline an after hour’s receptionist. SC left detail message stating reason for calling and contact information. Ferline states that the office will be opened at 9:30 and she forward SC message. SC thanks Ferline and end call. SC place call to Pa caregiver Caroline and informed her of service approval. Caroline was pleased to hear stated that she Pa’s current DCW ( Ruddy) is no longer available to provide care to Pa in the same manner he was able before and she is in search for a replacement. SC suggest Caroline use an agency aide until she finds a suitable replacement because Pa’s needs are high and bot having adequate help can leave her burned out and Pa at risk greater declined.…

    • 419 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Samantha is requesting the assistance of MRS with purchasing hearing aids in order to maintain her current job. Samantha's hearing loss is causing significant barriers for her with performing her essential job functions successfully. These services will be provided for at least 6 months to ensure that she receives her hearing aids, is able to adjust to them, and is able to maintain her current…

    • 66 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    The patient was admitted to Los Robles Hospital and Medical Center (“Hospital”) through the ER following a DUI accident that was her fault on November 5, 2013. She was discharged the following day. The Artiva notes record that the patient’s Community Care policy number was provided by her husband over the phone on the day of admission. On November 22, 2013, the husband also provided Community Care’s billing address, phone number, and fax numbers. The Artiva notes indicate that on December 21, 2013,…

    • 843 Words
    • 4 Pages
    Good Essays
  • Good Essays

    We need your assistance in resolving an on-going problem. We are having difficulty getting paid for services that we have provided to five Dual Eligible Molina patients. Molina has authorized and continues to authorize services for these patients, however when we bill for services rendered, Molina is denying the claims as benefits have been exhausted. We then would expect SC Traditional Medicaid to pay for these services as the patients do have continuous care benefits. We are unable to bill directly to SC Medicaid because your plan still has these patient enrolled as Managed Care members.…

    • 179 Words
    • 1 Page
    Good Essays
  • Powerful Essays

    The agencies that are in charge of monitoring health care facilities and practitioners are known as health care regulation agencies. These agencies also provide the organizations with information about changes in the industry. At the federal, state, and local level the agencies establish rules and regulations that health care organizations have to follow mandatorily. Some agencies, especially those that provide accreditation for health care professionals, require no mandatory participation. The objective of this paper is to examine one of those health care regulatory agencies; the Centers for Disease Control and Prevention.…

    • 1492 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    A 65 year old resident is admitted to a Skilled Long Term Care Facility for a hip fracture. The resident has a Wound Vac and open wound upon admission to the Nursing Facility. The resident is due to receive Physical therapy and rehabilitation and go home. The resident must also receive wound care once per shift from the wound nurse or floor nurse depending on the shift. The resident is an alcoholic and is married with four children. The resident comes from a low income housing area with multiple flights of stairs and the housing area does not have handicap accessible apartments. Resident has Medicaid and Medicare at the time of admission the resident has not had a 60 day well stay and cannot use his Medicare to pay for services. The resident also has a diagnosis of diabetes and high blood pressure. The resident has a history of depression and mood disorder. The resident’s family is really involved in the care of the resident and insisting that the resident have treatment for drinking before returning home as this is the cause of the fall that created the fracture.…

    • 1731 Words
    • 7 Pages
    Better Essays
  • Satisfactory Essays

    The free dictionary defined ethical code as a system of principles governing morality and acceptable conduct. However, it was noted that no code can provide absolute or complete rules that are free of conflict and ambiguity. Because codes are unable to provide exact directives for moral reasoning and action in all situations, some people have stated that virtue ethics provides a better approach to ethics because the emphasis is on a person’s character than on rules, principles, and laws (Beauchamp & Childress, 2001). The core ethical principles in nursing are;…

    • 133 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Perfection is an unattainable standard in life, no matter how society aspires to achieve it. Therefore, in The Adventures of Huckleberry Finn written by Mark Twain, his decision to create an ideal resolution for the characters might upset readers; the concept of a perfect ending is unrealistic and lessens the pragmatic approach that he incorporated throughout the novel with the use of historical accuracy. Furthermore, traveling deeper into the South endangers the characters, the constant and recurring theme of racism, and the regression of Huck that contradicts the belief the ending suits each character.…

    • 556 Words
    • 3 Pages
    Good Essays
  • Good Essays

    CH 40

    • 778 Words
    • 4 Pages

    Ethics is the study of conduct and character. When it comes to decision making in the health care setting, you will experience differing values between patients, family members, health care providers, and society at large. The use of a standard process when deliberating ethical dilemmas assists nurses when handling ethical issues. Use of a code of ethics provides a foundation for professional nurses.…

    • 778 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    In the United States, privacy and confidentiality are the basic rights of the society enshrined not only in professional practice codes of ethics but also in the constitution. Hence, nurses and for that matter, all health care professional have a legal, moral and ethical responsibility to protect patient's privacy.…

    • 268 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    As a nurse being empathic to the patient is part on my job as professional in as a humain.Nurses are almost always with the patience,sharing their suffering their feeli ngs…

    • 672 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Prior to this assignment, I thought that medical ethics meant to practice nursing as a prudent nurse would practice, in a socially acceptable way. Ethical behavior is one doing what is right rather than what is wrong. I knew that all medical professionals had to comply with patient confidentiality, but I did not realize that all medical professionals, including writers, were held accountable just as if they were providing bedside patient care. I never considered medical writing before and never wrote medical information, other than charting. Charting is a big part of patient care, so naturally I understood the ethical responsibilities that were associated with charting. I also knew that research professionals were also held to high ethical standards because of their interaction with medical patients. After this assignment, I realized I knew less than I thought I did about medical ethics. I learned that all medical professionals, regardless of their position, are held to a high ethical standard.…

    • 315 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    S.Z, a 65 year old Hispanic male, is being discharged from hospital after being admitted with a blood sugar of 589. He has been seeing a curandero to manage his diabetes mellitus type II, hyperlipidemia, and osteoarthritis. He has not taken his prescription medications for these chronic conditions, but instead takes traditional medicines the curandero tells him to take. His daughter approaches the nurse with her concerns over her father’s heath and asks the nurse if her father’s discharge orders can be cancelled; the daughter would prefer the doctor write orders for her father to be admitted to a nursing home.…

    • 1179 Words
    • 5 Pages
    Powerful Essays