Dementia Ethical Issues

Improved Essays
According to articles in the Toronto Star, thousands of Ontario seniors are receiving powerful antipsychotic drugs such as olanzapine and quetiapine to treat dementia. As we are currently learning these drugs are claiming the lives of our seniors’ at an alarming rate. Ethel Geraldine Anderson was unfortunately one of those victims who died four month later after receiving an increased dose of Zyprexa. Are health care providers including doctors not abiding by the code of ethical conduct and standards whereby providing the best possible care for their clients, are they upholding the principle of non-maleficence, are doctors relying too heavily on nurses for assessment of patients? Throughout this paper I will be discussing the unethical practice …show more content…
During my research It was noted that an “increased efforts are needed to enhance clinical training and knowledge in psychopharmacology among trainees and practicing clinicians”. (Gardner, 2014) these medications are not being prescribed for the actual intended use, safety warnings by pharmaceutical manufactures known as the black box labelling are put in place to notified the patients of their deadly side effects (Toronto Star, 2014). The adverse effects heavily outweigh the temporary benefits of what the health care providers are seeking to achieve. ‘These antipsychotic medications are not approved by health Canada for treating seniors with dementia they are used to sedate clients in nursing homes who are sometimes aggressive, wonder’s off and are easily agitated.“(Toronto Star 2014) these acute symptoms are treated without taking into consideration or totally ignoring the deadly side effects such as “falls, bedsores, blood clots and direct adverse reactions to the drugs themselves, which can sometimes be fatal,” (Toronto Star …show more content…
So I think that a more hands on approached with the Doctors will be beneficial when prescribing antipsychotic medication. I do believe that sedating patients minimizes the work load of the nurses, and also represents a significant cost containment method by the nursing homes. This on unethical and in humane I believe that they are acting in the best interest of themselves and of the facility instead of the patients. According to the nurses’ union of Canada “the system lacks the nimbleness to adjust available nursing hours to changes in patient acuity, and the political will to create systems that acknowledge that matching staffing level to patient needs saves lives”(Nurses Union,

Related Documents

  • Improved Essays

    Psychopharmacology is the logical investigation of the impacts drugs have on mind-set, sensation, consideration and conduct. The connection amongst medications and wrongdoing has a long history and is a pillar of fiction, broadly recorded in media reports and the subject of considerable logical examination. Medications are not generally illicit and their purchase and use does not generally prompt to wrongdoing. However, medications and wrongdoing are identified with each other in no less than three ways. To begin with, the prompt impact of medications on the psyche and body may make mental or physical states that by one means or another encourage animosity or robbery.…

    • 921 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Risperidone Tabla Paper

    • 2549 Words
    • 11 Pages

    The target symptoms for this medication act by antagonizing dopamine and serotonin in the central nervous system and decrease symptoms of psychosis, specifically auditory hallucinations and delusions. Some major nursing concerns are an increase in suicidal thoughts, aggressive behavior, dizziness, extra pyramidal side effects as well as anticholinergic effects such as dry mouth, dry nasal passageways, dehydration and insomnia. Monitor CBC frequently during initial months from those with pre-existing low white blood cell count (Deglin et al., 2013, pg. 1112). The patient is also on Abilify, the target symptoms for this medication initiates at the dopamine and serotonin receptors and opposes activity at the 5-HT12.…

    • 2549 Words
    • 11 Pages
    Superior Essays
  • Superior Essays

    Ethics in Long Term Care Administration Introduction The motivation behind the Code of Ethics for Long Term Health Care Administrators is to serve as an aide for individual behavior in the act of the calling. The South Carolina Board of Long Term Health Care Administrators perceives the obligation of the Administrator under the watchful eye of the inhabitants of nursing homes and group private consideration offices (Thomas, Jefferson & Lasserson, 2013). Keeping in mind the end goal to advance the most astounding nature of execution in the act of LTHC Administration, the Board has built up the accompanying basic standards for the direction of the calling.…

    • 1459 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    such as meals, bed time, entertainment, and visitors. Long term care facility should make sure that the living environment of the residents is pleasant and homelike. The facility should create more opportunities to do their own things like for example a choice in how they live as possible (Pratt, 2015, p. 110). End-of-Life Issues It is very common in nursing facility to deal with death of their residents.…

    • 1273 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Martha Rogers Case Summary

    • 1172 Words
    • 5 Pages

    A major role of practicing healthcare professionals in today’s society is their moral and ethical approaches to a patient’s overall care. In this specific case, Martha Rogers, an 85-year-old gerontology patient, was admitted to a psychiatric unit of the hospital due to confusion and increasing irritability. Following evaluation, healthcare providers found she was dehydrated which may have caused some of the symptoms that she was undergoing; Mrs. Rogers, however, became calm and cooperative with the staff after the administration of fluids. After Martha Roger’s episode was temporarily contained, it was important to identify the next steps in her medical process. A healthcare team, consisting of a registered nurse, an occupational therapist,…

    • 1172 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    During an anonymous Methadone addiction study, a participant articulated experiences with addiction stigma: “They look at you like you’re a drug addict and then they look at you like they can treat you any way they want. You know what I mean. You’re a drug addict. Well, you’re lower than I am if you use drugs.”…

    • 978 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    The ethical dilemma here is that the patient is still lucid and not in a terminal state, should the medical staff ignore the DNR on a chart and hospitalize the patient with an intubation and ventilator or go with the patient's wishes? Since the patient is still lucid and understands the conditions, should the medical staff asks the patient's opinion if option if he/she will like to be hospitalized and incubated? Another ethical dilemma most common in the long-term care facility are the ethical dilemmas faced by the medical staff (nurses' aide, licensed practical nurses, registered nurses) in the use of restraints on dementia…

    • 105 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    PICOT: For psychiatric mental health staff nurses providing direct care to patients with mental health conditions and or dementia-related syndromes, would a set protocol for treatment approach, atypical second generation antipsychotics pharmacology program and screening tool for complications, during routine second generation antipsychotics medication management, increase nurse efficacy in SGA patient management. Research vs. Evidence-Based Practice Advanced-practice registered nurses(APRNs) are expected to take part in new knowledge that is identified and supported by evidence to promote optimal care delivery to patients while supporting the professional practice of nursing. The healthcare system has been moving toward evidenced-Based Practice…

    • 505 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Advanced Practice Summary

    • 840 Words
    • 4 Pages

    There are laws specific to each state in the country regarding the prescribing of medications and therapeutic devices by medical professionals. The state of Ohio allows Advanced Practice Registered Nurses (APRNs) the ability to prescribe under specific conditions. The Certified Nurse Practitioner (CNP), Clinical Nurse Specialist (CNS), Nurse Midwife (CNM) and Nurse Anesthetist (CRNA) may obtain a certificate to prescribe after successfully completing a graduate degree in the specialty that leads to national certification from an organization recognized by the Ohio Board of Nursing (Ohio Board of Nursing, 2016). In Ohio, the APRN with a certificate to prescribe must have entered a standard care arrangement of collaboration with a physician…

    • 840 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Dementia Syndrome Essay

    • 1042 Words
    • 5 Pages

    There is a mother out there who does not recognize her own children. She does not even realize that she has grandchildren, possibly even great-grandchildren. She has forgotten that her husband has passed away. She spends her days wandering around aimlessly. She knows she has somewhere she needs to be, though she is unsure of where that is.…

    • 1042 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Wrongful Death

    • 449 Words
    • 2 Pages

    Four Reasons Why the Death of an Elderly Person Can Create a Wrongful Death Lawsuit Often when people think of a wrongful death lawsuit they picture in their mind an auto accident or a defective consumer product, but one area that can result in wrongful death is with the elderly. The most common places that this will happen is in a hospital or retirement home. The following are four reasons why an elderly person can die wrongfully.…

    • 449 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    In the world of psychiatry nearly all drugs in use today were created between 1950 and 1969. It’s hard to imagine with so many drug commercials on TV revealing new and groundbreaking products, that the same products being advertised today were actually created based on chemistry performed more than 60 years ago (Klein, p.259, 2014). The reason behind this is simple. The creation of new drugs based on finding new molecular entities is extremely costly. For the Federal Drug Administration (FDA) to approve a new drug to market costs can exceed 5 billion dollars and can take as long as 15 years to satisfy the criteria for safe and effective (Marston, 2013).…

    • 2380 Words
    • 10 Pages
    Improved Essays
  • Superior Essays

    Prescription Drug Analysis

    • 1545 Words
    • 7 Pages

    The likelihood that the elderly patient has a family member come by often and is aware of their medications is very high. With that, the family members now have access to a dangerous drug, and they have no way of being monitored by medical professionals when and if they consume the medication, putting themselves in a highly dangerous…

    • 1545 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Elderly people with dementia may suffer from harm, abuse and neglect. (Society, 2017) they are at a higher risk due to their disabilities, poor health and increased frailty. (de Chesnay and Anderson, 2008). They are also vulnerable to abuse as they may find it hard to share their feelings and experiences or recall what happened to them.…

    • 455 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    INTRODUCTION When providing care to elders, their geriatric health conditions are often overlooked by their families, communities, and healthcare providers. This is mainly one of the notions being insisted and believed by most researchers who have conducted surveys which reveal that most elders – from both nursing and residential homes as a whole – suffer from dementia and/or geriatric health conditions such as urinary incontinence, including bladder problems; dizziness; a tendency to fall; and vision as well hearing problems. Also, most geriatric-related studies show that common geriatric conditions trigger elders to performing their normal daily activities such as taking a shower, putting on clothes, and fixing beds. Having their geriatric…

    • 677 Words
    • 3 Pages
    Improved Essays