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Dementia and effects on brain functions
Alzheimer's disease and ethics
Alzheimer's disease and ethics
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This assignment will identify and evaluate the legal and ethical issues within the health and social care for elderly people with dementia and living in residential homes. It will address the difference between the legal and ethical issues and the impact it has on the person suffering from the disease, their family and the role that the professionals have in decision making for the individual’s wellbeing. Dementia is a disease which causes mental debility and affects one’s way of intelligent, attentiveness, recollection and problem-solving (NHS, 2013). As a result of dysfunction of brain cells in some parts of the brain it affects the thinking process then dementia occurs and it usually comes with age (Ibid). It is estimated that 560 000 people suffer from dementia in England and as a result the NHS and Social Care spend about 3.3billion (National Audit Offices) Ethical principles is focused on the morals and values of the individual who has dementia (Cribb and Duncan, 2002) Decision made by family to have a person who has dementia to live in a residential home from their personal home can be seen as inconsiderate to the individual values. It is for the best for the decision to be made before the individual was ill, the family members will feel less guilty. In the event that circumstances of the family members are not capable of caring it is understandable (Curthbert and Quallington, 2008). On the other hand this could be the best decision as cares in residential homes have skills development to provide professional care (Nice, 2010). Naidoo and Willis (2009) stated that the consequential theory is there to measure the end result of action in this case considering the health and wellbeing of people with dementia. The pr... ... middle of paper ... ...tion with the outside world and loss of their life style. Communities need to be educated on dementia so that as to include and create activities they can join in. The residential homes decision makers need to monitor the cares’ behaviour as they and address issues within their working environment to improve and keep everything up to standard. The government need to implement and review their policies to make ensure quality care in residential homes. According to United Kingdom Health and Social Care (UKHCA), (2012) and The National Institute for Health and Care Excellence (NICE), have been working on introducing new guidance which will help dementia patient to get more funding to live in their own homes and avoid living in residential home which is a positive move as people will still enjoy the comfort of their homes and receive excellent care.
In most facilities an initiative lifestyle has been organized to give people with dementia a voice in how and where they are cared for (White). This is how things should be everywhere in the world when it comes to people with dementia. People affected by this disease don’t need people to tell them what to do or make decisions for them, they need the freedom to do it themselves so they don’t give up. Although incapacity is common, many persons with dementia are capable of making their own medical and research decisions (Kim, Karlawish, and Caine). At the early stages of dementia, a will needs to be made so medical wishes can be granted. When people are given the freedom of choice, they are much happier, they live longer, and they have a better attitude about the disease they are suffering from. Individuals that get dementia did not get it by choice, but they live through it day by day with strength and the ability to live
The aim of the agency is to develop knowledge and skills to cater the residents and ensure they enjoy their life at the aged care. Furthermore, the agency aims to enhance local expertise in mental and physical health care, improve care through training and foster a collaboration with academics, researchers, institutions, volunteers, therapists, doctors and other health care professionals.
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.
The issue I Journaled about in the course is to reduce falls among the elderly in long term care. In writing my journals one of my focuses is that patient’s dignity can destroyed after falling multiple times by diminishing their independence. Our responsibility as nurses is to inform patients of choices, options for selection, which is why I suggested that patients should be given as much independence as possible with close supervision, and to the best of our ability, inform the patient of the consequences of the choices. Another ethical principle the book explained about is the respect for a person, it is the patients right to choose how they go along with their daily living in long-term care. They can choose not to engage in activity that
care to the residents suffering from dementia. Banner et al (2009 as cited in Lee J.et al.2012)
Can patients with Alzheimer’s disease participate in clinical research? Theoretically, two radically opposite views regarding this issue can be posited. The first one, which is rather “conservative” could, in principle, argue that because of pervasive cognitive impairments AD patients are vulnerable and not capable of giving informed consent with a similar degree of responsibility as that of healthy individuals. When a surrogate’s decision is required for participation in research, this decision can never be equivalent with the actual patient’s decision, since no one can know exactly what the patient desires. This generates important issues concerning the participation of these patients in research especially under the light of the ethical principle of autonomy. There are a number of cases when this position is relevant: research involving health risks for the patient, minimal benefits compared with the risks, or the use of placebo.
Upon growing older there are many decisions to be made. Among one of the most difficult and perhaps most important decisions is where the elder person will live and how long-term care needs will be met when he/she is no longer capable of doing so independently due to the incapacity that accompanies many with old age. Nursing homes seem to be the popular choice for people no matter the race, gender, or socioeconomic status with 1.5 million Americans being admitted to them yearly.[3] Because nursing homes are in such a high demand and are not cheap, $77.9 billion was spent for nursing home care in the United States in 2010 alone, they are under criticism of many professions including the legal profession, which is in the process of establishing elder law as a defense to issues with in the elder community. Nursing homes have a duty to provide many things to the elderly including medical, social, pharmaceutical, and dietary services so that the individual may maintain the highest well-being possible.[4] Stated another way 'a nursing facility must care for its residents in such a manner and in such an environment as will promote maintenance or enhancement of the q...
Butler, R. (2008). The Carers of People with Dementia. BMJ: British Medical Journal , 336, 1260-1261.
Nerney, C. (2014, April). Dementia. Lecture conducted from Massachusetts’s College of Liberal Arts, North Adams, MA.
Long-term care read: Toward an ideal system, Ethical issues in long-term care, Technology in long-term care, Into the future: Trends to watch
Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.
People with life-limiting illness may prefer a variety of needs, and access to those needs is significant especially in promoting their quality of life. These needs may include comfort, cultural and spiritual as reflected on Dorothy’s desires. However, ethical issues arise when a person decided to withdraw life-long treatment and at the same time, respecting an individual’s values and wishes and what it means by quality of life to the person. Therefore advance care planning is vital.
In a nursing home there is a wide variety of different types of people. These people live in the facility, under the authority of the nursing home administrator. The residents, of the nursing home, have the ability to make their own decisions to an extent but still have to follow the decisions made by the nursing home employees and
Baughman et al ‘s article focused more on community based setting and care planning of older adults it emphasis on nurses ethical dilemma dealing with advance directives due to lack of knowledge and training( p. 57),on the other hand, the position statement form CNA reflects all age groups nursing values and need to seek education or support (p. 2). Both articles elaborate need of education for nurses in the field of Advanced Care Planning and improve patient’s autonomy. CAN statement emphasis on advocacy and symptom management in palliative care and Baughman. et. Al’s article expresses care managers working with patients in the community described “a common feeling of discomfort, fear, or inadequacy” (p. 59); lowers psychological and financial burden and serves the interests of patients, families and medical care providers, alike. Timely advance care planning allows health care providers and patients to effectively plan patients’ desired care and satisfy their end of life needs, such as dying with
What has the same value as life? Quality of care is essential in building, maintaining, and promoting life. The quality of care has the same value as life due to the scope and objective in bettering life. Therefore, norms and values should be enforced with the quality of care in society. Today, society is implementing what is known as “Dignity in Social Care” based on norms and values by society to encourage a specific level on the quality of care with the elders. “Dignity in Social Care” is good practice or best practice in health and social care. “Dignity in Social Care” is important to society because it enforces a code of conduct for other human beings in institutions, companies, and society. The purpose of the paper is to provide