Preview

Ethical Issues In Nursing Home Essay

Good Essays
Open Document
Open Document
820 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Ethical Issues In Nursing Home Essay
1. A nursing facility is a long-term care option for those needing care. The services offered are multidisciplinary and is not limited to nursing homes, which only includes housing, medical care, food, and daily assistance. A nursing facility includes medical and social care because it encourages rehabilitation and autonomy. A nursing home relates to a nursing facility because primary care is provided by nurses and services offered in a nursing home is similar to facilities but are limited. Nursing facilities are essentially improved versions of nursing homes.
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

You May Also Find These Documents Helpful

  • Powerful Essays

    An elderly lady, 78 year old Mrs Jones was admitted to the unit from a local nursing home following an acute myocardial infarction. In order to gain in my clinical skills experience I was asked to accompany and observe the staff nurse who was to carry out the catheterisation. The nurse told Mrs Jones that she was just going to pop a catheter in. There were no explanatory details towards Mrs Jones about what the procedure precisely entailed, and she was not informed of the risks or benefits. Therefore Mrs Jones was unable to ask any questions, or express any fears or anxieties. On commencement of the catheterisation Mrs Jones was quite clearly very distressed by what was happening to her. She was lashing out at the staff nurse, shouting "no get off me", and with great force tried to keep her own legs shut, but the nurse continued to proceed until after several attempts the catheter was in place. This was a procedure that was carried out without the patient 's consent.…

    • 3773 Words
    • 12 Pages
    Powerful Essays
  • Satisfactory Essays

    In the nursing field in recent years has had an increasing concern with legal and ethical dilemmas in clinical decision-making. In nursing there law has major impacts through a wide range of issues. Being healthcare professionals it is highly important for that professional to know the ways the laws regulate their scope. There are issues from clinical negligence to resource allocation. The people that work in healthcare are accountable…

    • 1176 Words
    • 5 Pages
    Satisfactory Essays
  • Powerful Essays

    Substandard quality of health care is duly recognized as a major form of medical crises with potential to jeopardize the functioning and purpose of the American health care system. Whereas on the one hand medical costs of treatment are rising, on the other malpractices and non compliance on the part of medical professionals and institutions compounds the problem and seriously questions the quality of health care being provided to citizens. However, before proceeding further it is important to understand what is exactly meant by the substandard quality of care. The substandard quality of care implies that one or more of the requirements mandatory under the federal regulations 42 CFR 483 .13 involving resident behavior and facility practices, 42CFR .15 involving quality of life or 42CFR 483 .25 regarding quality of care are not complied with leading to actual jeopardy to the resident health or safety or having potential for causing more than minimal harm (HealthCare information, 2007). Any nursing home found with delivering substandard quality of healthcare or carrying significant deficiencies in its healthcare treatment plans would be required to immediately address the issue.…

    • 1268 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Nvt1

    • 1211 Words
    • 5 Pages

    Provision 1.4 of the ANA Code of Ethics for Nurses, states that all human beings have “The right to self-determination.”(American Nurses Association Website, n.d., p. 4) It is important for the nurse to always honor, respect, and assist a patient in his or her decisions in determining the course of their care. Supporting these decisions as a patient advocate may require further education of family and staff. Preserving the rights of individual decisions made previous to a patient’s incapacitation is the moral and legal duty of all nurses.…

    • 1211 Words
    • 5 Pages
    Good Essays
  • Good Essays

    ANA Document Analysis

    • 515 Words
    • 3 Pages

    Nurses are provided guidelines for how to approach the care of patients in the American Nurses Association Code of Ethics, but they are just that, guidelines. It is simply a map to help navigate some of the more difficult decisions that are necessary for a nurse to make. Ethics, in nursing, is based on individual interpretation. A person’s values shape their individual approaches to patients and patient care. The ANA document does not tell or indicate what is an absolute right or wrong. Each and every nurse has to make those decisions individually. Ethical knowledge and guidelines help a nurse maneuver through personal/professional relationships, to give safe and ethical care in an ever-changing healthcare system.…

    • 515 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Ethical decision-making is required when a Healthcare Organizations must address a conflict or doubt regarding competing values, such as personal, organizational, professional and social values. When involved in a decision making process it is important for all concerned to considered ethical principles including justice, autonomy, beneficence, non-maleficence, and fidelity. Also included, should be professional and organizational ethical standards and codes of the organization involved. Over the years, many factors have contributed to the growing concern in healthcare organization over ethical issues. Such factors include, advances in medical technology that complicate decision making near the end of life, and lack of legal documentation acknowledging a patient’s choice, such as a Power of Attorney and Living Will. Numerous landmark cases throughout the past years have had a significant influence on the development of healthcare ethics as a field. Many of the cases, some well known, illustrate important questions, concepts and issues that arise in healthcare ethics. Numerous Healthcare organizations have mechanisms that include ethics committees, ethical consultation services, written policies, and procedures and guidelines to assist them with the ethical decision making process. Should an ethical dilemma arise with a patient, a family or a caregiver, these mechanisms could help an organization to thoughtfully and appropriately come to a resolution.…

    • 309 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Ethical issues/challenges faced during nursing practice are diverse; ranging from a potential of over-abusing power in position to getting burned out due to over-work to experiencing moral distress over patient suffering resulting from essential clinical practices. For the DNP prepared nurse, a number of issues can arise in the clinical scenario. The foremost of these is the moral burden of watching patients suffer, either before or after nursing intervention. Since the primary objective of nursing is to ensure understanding between the patient and the nurse, and alleviation of patient suffering, any indication to the contrary can be an ethical challenge for the nurse to face. Even though such suffering may be a part of the relief and recovery process, nevertheless, the transition can be demanding mentally.…

    • 389 Words
    • 2 Pages
    Good 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

    As a statutory adult social worker, I am responding to a service user’s self-referral regarding support for herself and husband, Ian, on hospital advice after Ian had a fall. Jackie, 69, is a carer for Ian, 66, who has increasing needs due to dementia. The visit’s objective is to assess the couple’s individual needs and then explore suitable early help support services matching their specific preferences. Theoretical knowledge and research evidence which broadens my understanding of the couple’s situation and their likely feelings will influence my thoughts and actions, however, practice must stay guided by social work ethical values and legislation. Supporting Jackie is critical as her efforts are invaluable for Ian’s best interests of staying within the familiarity of his home environment. Nevertheless, in the event of any ethical dilemmas or other challenges, Ian is…

    • 485 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Promoting patient’s autonomy is showing a sense of respect the patients. This can be violated very easy, it is the nurse responsibility to provide some sort of safety to prevent this from occurring. By educating the patients is recommended in all healthcare environment. When these patients understand that they have the right to their medical information, and also they have right to make any decision, they will be able to advocate themselves and prevent it. Educating the patient as a preventive measure that will also prevent any ethical dilemma advanced practice nurses’ moral distress. As a result, this can be done by explaining to the patient all the legal aspect while they are in the hospital. Another recommendation that could be made to prevent the violation of patient veracity and autonomy which may resolve advanced practice nurses’ moral distress in the dilemma, the healthcare providers should always encourage patients to seek care that promotes the individual patient’s medical interests. It might be thought that this approach fails to respect patient autonomy.…

    • 249 Words
    • 1 Page
    Good Essays
  • Better Essays

    Transition: Long Term Care

    • 1098 Words
    • 5 Pages

    Long-term services can be broken down into several categories. Some services for the elderly are nursing facilities, subacute…

    • 1098 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Reimbursement Issues

    • 1536 Words
    • 7 Pages

    As covered by the Patient Self-Determination Act of 1990, NPs must understand that patient autonomy includes patients having the right to make their healthcare decisions and the right to privacy in that their conditions and treatments are kept between the patient and the NP. The relationship between the patient and NP can be a fragile one, and the NP must ensure they are giving the care that the patient is requesting (Walker,…

    • 1536 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Anyone can get sick or get into an accident at any time. The human body is vulnerable to pathogens. One gets sick when the immunity level is low (American Nurses Association, 2015). The current health care system in the United States (U.S.) is inadequate and at the same time expensive too. About 51 million people are completely uninsured and millions underinsured in the U.S. (Physicians For A National Health Program, 2015).…

    • 326 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Ethics is the discipline that waits in the wings as a health-restoring resource when moral guidelines fail to do the job alone. Ethics provides a language, along with methods, and tools for evaluating the components of personal, societal, and group morality to create a better path for yourself and others. Some of its most important uses are to clarify, organize, and critique morality to highlight what does and does not fit in a particular situation (Purtilo, 2011). A nurse cultivates personal ethics through personal, cultural, and spiritual values which becomes a moral compass for their professional ethics. Personal ethics in combination with the code of ethics often assist the nurses in personal and social decision making during ethical dilemma. This ability prompts them to better respond to needs of the suffering patient and their own well-being. Nursing ethics shares many principles with medical ethics such as beneficence, non-maleficience, and respect for autonomy. Nursing ethics however, can be distinguished by its emphasis on relationships, collaborative care and human dignity, because the health care climate is regularly changing, as is our society, it is crucial that nurses have a grounded understanding of ethics (Ward, 2012).…

    • 962 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Nursing homes serve as a home for individuals who might need to be assisted with activities of daily…

    • 1150 Words
    • 5 Pages
    Good Essays