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Person centered nursing
Ethical issues regarding patients
Ethical issues regarding patients
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The second issue that I identified, relates to autonomy or self-determination. I struggled with labelling this fundamental concept in the social work discipline. My first blatant encounter with this issue occurred during the week of September 14th while I was attending a vigil. The patient was actively dying and requested that his spouse turn on the television. Initially she refused, she feared that it would agitate him and prevent him from resting. Since the patient was diagnosed with cancer rather than dementia, I felt that he was aware of what he was asking for and knew what he wanted. I directed by questions towards his spouse, because I did not want her to feel like I was trying to override her rules. I asked her if he normally watches …show more content…
In which health care professionals have instituted “client-centered” or “person-centered” practices in their medical practice. According to the Medical and Health Service Act of 1985, health care providers must provide quality care “ based on respect for patient self-determination and integrity,” (Ekelund, Dahlin-Ivanoff, & Eklund, 2014, p.118). The authors of the article address the issue that self-determination for older adults often have little to no control over their decision making. They are often influenced intentionally or unintentionally by other’s opinions. Therefore, the authors address the discriminatory feelings that others have towards older adults, especially those who have lost control over their bodily or cognitive functions. It is important to be aware of these issues of discrimination in order to remind providers of their professional values and legal responsibility to treat the patients with respect and integrity (Ekelund et al., …show more content…
In which health care professionals have instituted “client-centered” or “person-centered” practices in their medical practice. According to the Medical and Health Service Act of 1985, health care providers must provide quality care “ based on respect for patient self-determination and integrity,” (Ekelund, Dahlin-Ivanoff, & Eklund, 2014, p.118). The authors of the article address the issue that self-determination for older adults often have little to no control over their decision making. They are often influenced intentionally or unintentionally by other’s opinions. Therefore, the authors address the discriminatory feelings that others have towards older adults, especially those who have lost control over their bodily or cognitive functions. It is important to be aware of these issues of discrimination in order to remind providers of their professional values and legal responsibility to treat the patients with respect and integrity (Ekelund et al.,
Dementia patients must have the right to participate in all decisions concerning their care. Every person in this world has the same equal rights, no matter the situation. Doctors, caregivers, nurses, and even family members brush off the request of the person suffering from dementia each and every day. Most people call this carelessness while others call it freedom and in all reality, it is far from freedom. Luckily, there are many people who fight for the freedom everyone deserves. The majority of "Health professionals are usually keen to keep people with dementia at the center of decisions. Independent advocacy can support this by giving the extra time and skills needed to help people have a voice without the tensions of any other role"
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
This ethical scenario presents an 86 year old female with numerous health issues and chronic illnesses. Mrs. Boswell’s advancing Alzheimer’s disease makes it extremely difficult to initiate dialysis, leading her physician to conclude a poor quality of life. The ethical dilemma portrayed in this case is between nonmaleficence and autonomy. Health care workers should focus on promoting the patient’s overall wellbeing and weigh the benefits and risks of the course of action, while also considering what the family declares they want done. Since the patient is deemed unable to make decisions, the goal is to collaborate with family, assess patient quality of life, address prognosis, and establish realistic care goals.
Culture change in long-term care is a set of guiding principles based on person-centered care tailored to each elder’s care while treating them with dignity and respect. Core values include relationship, personal choice, self-determination, and purposeful living (“Defining Culture Change”, n.d.). In person-centered care, quality of life is recognized to be as important as the quality of care. It is also recognized that every person has the right to be allowed to make their own decisions, even if those decisions may not always be safe. Finally, at the very heart of person-centered care is the relationship between the elder and their caregivers in which the way a task is done is as important, if not more, than the task itself (Jones, 2011).
In conclusion, every patient is worried about their rights to care but not so much are focused on the rights of the physicians providing the care. It is hard to establish a respectable practice if you are required to perform care for instances in which you object or do not want to be a part of. This detracts from the ethical background of practice and procedure every physician should hold to the highest standard.
Ethical issues are “moral challenges” facing the health care profession (Stanhope & Lancaster, 2012, p. 127). Ethical issues is a major concern in the healthcare field because healthcare providers observe ethical issues every day and have to make ethical decisions. Advance directives are written documents that addressed an individual’s medical care preferences. These documents usually take effect when patients no longer can make informed health care decisions for themselves. While these documents are helpful to loved ones and health care providers, there are a number of ethical considerations that can make the development and execution of advance directives difficult (Llama, 2014). This author is a geriatric nurse that recently observed an advance directive ethical issue in the clinical setting. The purpose of this paper is to outline the steps of ethical decision-making within the seven steps for the framework. This paper will also identify the facts of the case from the perspective of each person impacted by the situation and identify which ethical principles were involved in the situation.
If an older individual is not given the proper care in an assisted living home, it will damage the well being of the individual. “Resident independence with ADLs
This essay will focus on one of these principles which support service users in having a voice and being heard. It will show why it is important for care workers to give services users the opportunity to have a voice and communicate their views and preferences together with the ability to convey their fears and concerns without being judged or discriminated against.
Attitudes are the foundation of quality of care for older adults. Among health care professionals, discrimination and stereotypical behaviors are very prevalent, even though more often than not these individuals do not realize their actions are ageist. “Ageism hinders people from seeing the potential of aging, anticipation their own aging, and being responsive to the needs of older people” (McGuire, Klein & Shu-Li, 2008, p. 12). Attitudes are directly correlated with how individuals age and whether individuals stay health and live longer (McGuire, Klein & Shu-Li, 2008, p. 12). The care that older adults receive from healthcare professionals is directly influenced by that provider’s attitude about growing older. All too often, health care providers rely on a patient’s chronological age rather than their functional age when determining their needs and what interventions are prescribed. Another issue lies in providers viewing the complaints of older patients as a part of “normal aging”, therefore potentially missing life-threatening problems that may have been easily resolved. “Age is only appropriate in health treatment as a secondary factor in making medical decisions, and it should not be used as a stand-alone factor” (Nolan, 2011, p. 334).
Discrimination in health care is an ethical issue focused on age, gender, income, chronic illness, and ethnic disparities. Discrimination occurs when a group of individuals are highly favored above another, either consciously or not. In Carolyn Clancy’s speech, she addresses this issue of “It makes a difference in people’s lives when breast cancer is diagnosed early with timely mammography; when a patient suffering from a heart attack is given the correct lifesaving treatment in a timely fashion; when medications are correctly administered; and when doctors listen to their patients and their families, show them respect, and answer their questions” (Clancy, pp. 3). It is very interesting to see that knowing is able to cure treatment, but minorities especially blacks face breasts cancer in the worse manner due to not having the right resources for treatment. Whether the issues of direct or indirect discrimination occurs, these actions affect the lives of working Americans and their right to receive quality healthcare. In a the research article it mentioned that, healthcare providers’ assessment and treatment decisions are based off their feelings about patients, which is usually influenced by patients’ race or ethnicity. (Nelson, pp. 5) Relationships between race or ethnicity and treatment decisions are complex, they are usually influenced by
In this essay, the position I will argue is that it is not ethical to allow an elderly white man to discriminate against African American health care professionals from entering his home. The African American race is a recognized minority in the United States representing only 13.1% of the population (US Quickfacts). Compared to the Caucasian population holding 77.9% of the population, African American’s are in the minority (US Quickfacts). With the knowledge that the African American race is a minority, they are less represented. Using three outlets to support my position, I will make a case against racial discrimination in a health care environment, specially the elderly white man’s home. First, I will use laws and policies that have been passed to protect against racial discrimination in the United States. Second, I will reference moral teachings to illustrate how legal standing can be supported in ethical decision-making. Lastly, I will argue my position against racial discrimination in a private social environment, such as this elderly man’s home. Through these three examples, I will defend my position that it is not ethical for the elderly white ...
According to DeBrew, author of “Can being ageist harm your older adult patients?” stereotypes and discrimination are evident in various aspects of patient care. “Ageism [is] defined as stereotyping or discrimination aimed at older adults and a lack of knowledge about normal changes of aging and presentation of illness in older adults (. . .)” (DeBrew, 2015). DeBrew (2015) states, “research findings suggest that ageism is common in healthcare” (DeBrew, 2015). Ageism is not only an issue in the healthcare setting, but also among older adults as well as their families. When ageism is present in the healthcare setting it poses
Self-determination theory is one that assumes all humans are born with an innate drive to better oneself, basically becoming self-actualized, which is referred to as full-functioning. In self-determination theory, or SDT, full-functioning is characterized as “being aware and mindful, acting autonomously…, and pursuing and attaining intrinsic life goals” (Deci, Ryan, and, Guay 2013). SDT describes three autonomous behaviors: intrinsically motivated, extrinsically motivated, and emotionally motivated. SDT also describes three psychological basic needs of every human: the needs for competency, autonomy, and relatedness. The need for competency causes people to try tasks slightly tougher than they can currently manage, in order to improve upon
Health care providers are faced with bioethical issues every day when caring for a wide variety of patients. Bioethical principles are outlined in order to help these professionals provide the best possible care for their clients. The first principle focuses on the autonomy of individuals. This is the foundation of “informed consent” that is required before performing any medical care on a patient. The patient must completely understand the benefits and risks associated with any medical acts and make their own decision. The second principle states that no intentional harm or injury to the patient can result from the medical decision. This principle of nonmaleficence helps set standards of care to prevent wrongdoing. Beneficence is the third bioethical principle that states that it is the responsibility of the health care provider to benefit the patient. The fourth bioethical principle refers to justice and that each patient is treated with fairness. Every patient is entitled to impartial medical care to ensure the appropriate distribution of goods and services (McCormick, 2013). These bioethical principles help guide health care professionals when making difficult decisions related to controversial topics and practices.