HCR ManorCare is a leading healthcare provider in the United States that specializes in skilled nursing care. Along with providing the best care for our patients, HCR ManorCare, as stated in the “Standards of Business Conduct” expects nothing less than the best from its employees. This document covers everything they expect ethically and professionally from its employees while providing the information they need to ensure they are informed of the repercussions if the policies are not followed. KEY POINTS HCR ManorCare lists four key points that ensure that their employees maintain and ethical and honest work environment, which will lead to an ethical and honest company. First is “you should not ever knowingly falsify any documents or give…
According to Ed 's physician, if he is not placed on a ventilator, he will die within a few days from pneumonia and lung congestion causing low levels of oxygen. These situations are ethically tough to evaluate, as their is never a right or wrong answer, but more so using one 's best clinical judgement if the patient still holds the capacity to make sound decisions. If the physician believed as if Ed 's symptoms are effecting his decision making ability, then I believe Dr. Goldstein 's act of calling Bert was ethically sound. "It is a patient 's written directive to continue or to withhold treatment or to administer painkilling drugs if the person has incurable disease, illness, or condition via which the patient has become incompetent and…
ETHICAL ISSUES IN HEALTH WORKERS IN PRIMARY HEALTH CARE G.Panova, B.Panova, N.Panov, N.Velichkova FMN-University, Goce Delcev''-Stip, Macedonia www.gordana.panova @ ugd.edu.mk Introduction: The medical ethics as an important part of clinical practice, and its application in practice in primary health care facilities. Aims: The ethical dilemma is part of everyday clinical practice in health institutions in R.Makedonija. Purpose the paper is to determine the existence of ethical dilemmas in primary care and use of the content Bioethical science.…
Hi Tammy, I enjoyed reading your discussion post on the ethical dilemma in ambulatory care. Living wills and advance directives can be great tools when used. Your resources and citations were very relevant to the topic. Many years ago I was fortunate to work in a skilled nursing facility with a full-time chaplain. As a result, I wondered if a faith-based representative would be another resource for this patient’s daughter.…
A mother Chelsea Reed and her son Justin were rushed into the hospital after they were injured in a car accident. Mrs. Reed has a head laceration and a fractured wrist. Her son is suffering from internal bleeding and needs to have emergency surgery to stop the bleeding. The doctor informs Mrs. Reed that Justin has lost thirty percent of blood volume and will be transfused before going into surgery to make sure he does not bleed out on the operation table. As a single mother, Mrs. Reed solely responsible for informing the doctor that she does not want blood to be used to increase the blood volume in her son.…
Unfortunately, I have encountered a situation where there was suspicion of sexual abuse of a child. An employee of mine reported a situation they felt was inappropriate. The employee was working with a young man who received our services who had an accident while in the community. The employee returned the young man to the home to change clothing and found the grandfather of the child laying in bed with the younger 5 year old sister. The employee reported he could not verify any wrong-doing was occurring, however, neither the grandfather nor the girl stepped out from underneath the covers.…
In 2016, almost 600 patients from the Tomah, WI VA clinic were tested for hepatitis and HIV after a dentist used unsterile tools on patients (Hubbuch, 2016). The violation and blatant disregard for human health was reported when another dental tech stood in for the dentist’s main assistant and noticed the same drill bits being used on patients. The Tomah VA was already under a Congressional investigation for high opioid prescriptions and mistreatment of employees. The Tomah VA was found guilty of “clear and inexcusable lack of leadership,” having already caused deaths of veterans (Hubbuch, 2016). Ethical decision making and following the code of ethics are imperative in the healthcare system.…
These ethical considerations regarding developmental capacity to give assent and consent suggest that intensive treatments should focus on older children and adolescents and that all decision-makers (parent, child, and physician) need to reach a consensus before beginning intensive treatment. Additionally there is concern over insurance coverage that is often unavailable or inadequate for obesity services, even if recommended by professional and governmental organizations. This issue raises questions of distributive justice, since barriers preventing payment may intensify existing socio-demographic disparities in obesity (Cuttler et al.,…
“The delegating physician, the practice, and the medical assistant can be sued for negligence if the medical assistant does not perform a duty up to the standard of care of a reasonably competent medical assistant,”(Balasa, JD, NBA, 2015 (UPDATED)). This quote sets the tone of law and ethics in the medical field. Some aspects of our minds we control ; that we are aware of. However, some aspects of it are ticking in normality and we don’t even have to think about them, these are mechanisms of the medulla oblongata, the control center of basic motor functions. All our decisions of right and wrong, our conscious decisions are our ethics, in the medical field we make a promise to ourselves and others to do what's right.…
The clinic in downtown Centerville is closing. A new hospital will open soon in suburban Centerville in attempt to deliver health care in an effective manner by serving a low-risk, mostly privately insured population. But the downtown population, twice the size of the suburban population, contains a large percentage of Medicare recipients who are a higher risk demographic. Although the overall services in in Centerville will increase with the new hospital, there is a decrease to the access to health care for the vulnerable downtown population.…
Many nurses are faced with ethical and legal dilemmas constantly in the health care setting. We as nurses need to understand the laws that pertain to our scope of practice and respect our patient’s decisions whether they interfere with our own personal views. Ethical dilemmas become more problematic when you take into consideration that each nurse has their own personal set of ethics depending on what they see as wrong and right. Nurses spend a lot of time with the patient and it allows them to have a deep connection which makes it hard to not get involved. We become our patients advocate so much that it can also be our greatest weakness because we do not know when to let go.…
What would you say or do to resolve the patient's issue? This is the question that flows through all of our minds at any given day, and it is the basic concept of ethics. What exactly are ethics though? At its core, ethics can be defined as a system of moral principles that teach us the basic ideas of right and wrong. Ethics can be perceived in many different forms because it is the basic perception on how one can morally interpret acceptable and unacceptable behaviour within our society through means such as religion, a personal life experience, or even in our humanistic instincts.…
There are situations that exist throughout every facet of life where ethics can be applied. Although ethical decisions must be made all throughout the life; however, some of the most complex ethical decisions are associated with the medical field and involve the patients and treatment. Ethical theories address these issues and provide you with justifiable principles that can be utilized to assist in guiding a person in making these decisions1.These theories give justification of a person’s actions and are deemed appropriate professional conduct. Furthermore, a person’s morals form the basis of the reasoning behind the decisions that need to be made. Morals are derived from a religious organization or can be formed from nonreligious philosophical…
Ethical Responsibility of Health Professionals in Allocating Resources As defined by Scheunemann and White, rationing in healthcare is the distribution of scarce resources in a way that necessitates denying some individuals treatments that carry potential benefits (Scheunemann). Rationing in healthcare settings is inevitable because resources are finite. In this paper, the focus will be on allocation of resources in situations that involve shortages of a drug and the ethical responsibilities of physician’s in making decisions regarding which patients will receive the scarce drug. There are three main reasons for drug shortages in the United States: difficulties at manufacturing facilities of sterile injectable medications, setbacks in the…
There was this time that the caregivers told the hospice staff not to tell the patient that they are on hospice care. The caregivers told the chaplain to say he is a local preacher visiting and they told the social worker to say she was sent by the nurse/doctor to visit. I asked them what they did and they both said they played along. I can see probably why the chaplain did since he doesn’t follow the code of ethics. I was surprised that the social workers played along because she does follow the code of ethics.…