Long-Term Care - Ethical Issues and Political Issues Long-term care involves providing a wide range of complex medical and social services for the disadvantaged and elderly Americans or the disabled. These services range from daily life assistance to daily life (such as bathing, eating and flowing), to various family health and community services, to the institutionalization of nursing homes. The huge and rapidly growing population and potential demand for these services highlight the urgency of the problem (Agich, 2003). By the end of 2030, the elderly population will grow four times as fast as the population, and more than two-thirds of Americans over 65 will need some long-term care before they die. 77m baby boomers are already …show more content…
retiring. As a result, their children and grandchildren are, in fact, facing enormous challenges for every unborn taxpayer (Agich, 2003). Ethics and Long-Term Care In the process of long-term nursing decision-making, there will be many medical problems and challenges to patients and their families. For patients and families, these challenges are no different for everyone. The need for geriatric care, chronic diseases and psychosis, as well as a shortage of family doctors, could affect the nursing problem. In addition, some problems get more attention than others. And it affects the decisions of different family health care professionals. Long-term care decisions in terms of ethics, should fully consider the seniors and family members to the problems in the process of decision-making, and in the health and social service professionals in support of these ethical problems.
There is no easier way to solve the problem directly. In ethical issues, decisions on long-term care are often compromised, a complex compromise involving the elderly and family members. And it's a long-term decision, but it shouldn't be seen as permanent. In addition, health and social factors can be changed in the formation of long-term care policies. The old man's condition could be better or worse. The ability or willingness of informal caregivers to provide long-term care can be changed and policy constraints may change. As a result, the elderly, family members, health care and social services professionals should be aware of the life of old people and support degree of change depends on any long-term care planning and arrangement (Robert E. …show more content…
2013). This is a long-period test, due to its own nature, which cannot be known in advance. Therefore, as the situation changes, in order to adapt to the changing conditions, it is sometimes necessary to repeat the long-term nursing decision-making process. Reality tends to depress and pain the elderly and family members, so long-term care needs professionals, especially long-term care professionals who are involved in long-term sustainable support. The Policy Challenges Due to the government and the long-term care providers and patients between complexity, and due to the various local governments have the right to focus on specific issues, decision makers tend to choose door to solve long-term care service demand and supply.
Many citizens and beneficiaries are even more confused by the results of state and federal regulations. They often don't know what the various types of solutions contain. At the same time, caregivers often face the struggle for hardship, different compensation and regulatory requirements. The exercise of state power is mainly in the private long-term care insurance market. They are also responsible for all supplier licenses and health care standards. The long-term care policy is announced through the state licensing authority. Long-term care services need to be further diversity, can adapt to disabled young people to the frail elderly, nursing, etc. all kinds of a wide range of conditions, so simple of unified standards of the country is not realistic. The integrity of federal funds is one thing; a high standard implementation, the standard is another thing. But without it, innovative financing and delivery problems continue to be addressed to ensure continued inefficiency, inefficiency and waste (Robert E.
2013). A streamlined, streamlined federal government department, including streamlined management and oversight, established and improved practice systems. In the course of its long development, the United States has been entitled to the implementation of Medicaid and project management. , of course, abide by the provisions of the federal government under the condition of federal funding is the primary condition, but when more flexibility, innovation, and promote service selection or more imaginative is needed, it must have required the exemption from the existing rules, although sometimes it may not be approved. As Moody said, States and federal authorities that do have a better division of labor will provide better services for beneficiaries (Moody, 1992). National responsibility should be focused on financing, and national authorities should focus on the formulation and implementation of innovative policies to ensure high quality medical services (Moody, 1992). Conclusion Finally, as a summary, I think the elderly population growth and to care to take care of the needs of the likely in the coming decades to our ethical culture and the related political priorities to produce more beneficial effects. So we should confront and solve these urgent problems with a positive attitude.
I will discuss how LTC contributes to the U.S. Healthcare System, the targeted clients, employees that work within the long-term setting, the benefits and services offered within LTC, and the expected outcomes for individuals in a long-term facility. I will discuss the legalities and regulatory issues faced within the LTC setting along with ethical issues that may impede successful facilitation of a long-term facility.
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 non-maleficence 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
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...
After reviewing the current state of the long-term care policy from the United States, it
Long term care facilities are for patients looking for 24 hour care, these are sometimes referred to as nursing homes. Providing safety and quality of life with nursing as well as endless supervision. Long term care facilities are held through profit or non profit organizations. Long-term care facilitates are generally classified by ownership: Proprietary (for profit) meaning owned by individual or corporation and run for profit. Religious, meaning owned and operated by a religious organization, lay/charitable meaning owned and operated by a voluntary, non governmental and non religious body. (non profit). And others would be municipal, regional, provincial and federal. “Ontario carries 17% For profit facilitates, 46% government owned, 18% not for profit, and 19% Religious facilities for long term care. That is a 48.4% rate of not for profit homes with a 51.6% rates of profit organizations” (Banerjee, An Overview of Long-Term Care in Canada and Selected Provinces and Territories). Through the whole of this research paper, the terms will be grouped looking through for profit facilities and not for profit facilities of Ontario. This paper also has the intention to promote the need for maximizing priorities in long term care facilities as they lack the funds needed to fully produce the mission of quality. “Take away the public relations spin and it is clear that even the for-profit association admits that cutting on food and staff costs, and charging higher fees is the practice to maximize profit taking from the homes. Conversely, municipalities are pouring funding into the operational budgets of the facilities to improve care. Non-profits fundraise to provide activities and amenities. They act ...
Nelda McCall (2001). Long Term Care: Definition, Demand, Cost, and Financing. Chicago: Health Administration Press, pg. 19.
This paper will review the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care.
An aging population is indeed a problem for the society and will possibly cause many social and economic difficulties in the future. According to David Foot (2003), professor of Economics at University of Toronto, an effective birth rate of 2.2% against current 1.75% will be necessary to replace the current work force in the near future and the government’s policy of bringing in more immigrants will eventually fail (Foot, 2003, 2). However some people predict that the increased size of an aging population will drive growth in the home, health care, and many other industries resulting in job creation and economic growth (Marketwire, 2013, 1). Majority of the people are of the opinion that the issue will be mainly in the health care and economic activity. As humans age, they start to develop health problems, leading to more visits to a medical clinic putting extra burden on health care system.
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...
African American senior citizens face a health care crisis too. They have worked all of their lives to secure retirement, but their retirement has been threatened because of the rising cost of long-term medical care. Insurance companies have failed to provide affordable long-term care, protection that most senior citizens need. This lack of long term care and affordability has been a serious problem for the health care system. In some cities, the shortage of hospital beds is so serious that it is common for patients to stay in emergency rooms before they can be admitted to an inpatient room (Drake 109). More than one thousand hospital beds are occupied by people who could be better care for in nursing homes or through home health care (Drake 110). Of the disabled elderly 1.3 million reside in nursing homes (Drake 10). These patients are unable to perform two or more of the basic activities of daily living without assistance.
Nursing homes who receive federal funds are required to comply with federal laws that specify that residents receive a high quality of care. In 1987 Congress responded to reports of widespread neglect and abuse in nursing homes during 1980’s, which enacted legislation to reform nursing home regulations and require nursing homes participating in the Medicare and Medicaid programs to comply with certain requirements for quality of care. The legislation, included in the Omnibus Budget Reconciliation Act of 1987, which specifies that a nursing home “must provide services and activities to attain or maintain the highest practicable phys...
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.
With the aging population growing faster every year many families must make a difficult decision whether their loved ones should live in assisted living or nursing home facilities. I can relate because I made the decision to care for my mother at my home. Some people do not have the money or resources to care for their parent so they must live in a facility for health and safety reasons.
As the population of the United States ages and lifespan increases, the U.S. is being faced with challenges that could either hurt the country or benefit it if plans are executed correctly. By the year 2050, more than thirty-two million Americans will be over the age eighty and the share of the 80-plus generation will have doubled to 7.4 percent. Health care and aging population has become a great deal considering the impact it is having on the U.S. The United States is heading into another century with an outstanding percentage of people within the aging population. Today’s challenges involving health care and the aging populations are the employees of health professions being a major percentage of the aging population, the drive into debt, and prevention and postponement of disease and disability.