2. Due to the lack of quality care provided by nursing homes and all of the negative associations regarding these homes, the federal and state government implemented standards to improve care. The requirements forced organizations to transition from a “nursing home” standard to a more facilitated quality of care. The quality of care within nursing homes were poor because of lack of funding; therefore, Medicare, Medicaid, BlueCross, and other funding providers improved the policies for long-term care funding to support care standards. With the influence of OBRA, AHCA, and National Association of Long-Term Care Administrator …show more content…
There are many ethical issues that affect nursing facilities. These issues may range from every day to end of life issues. Some of the most important ethical issues these personnel face every day is patient autonomy, personnel needs to be trained on how to provide patients a sense of autonomy and respect. It is essential to avoid any problematic issues. Another is the patient’s right to choose his/her treatment program and when to terminate the program. The Patient Self-Determination Act of 1990 provide rights to the patient to be informed of the care provided and make adjustments according to his/her wishes via power of attorney, living will, and advance directives. It is the personnel’s responsibility to respect the patient’s wishes even if the personnel do not agree with the