Long Term Care Ethical Dilemmas

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

Related Documents

  • 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

    The fact is that most of the residents in the long-term care facilities will live their till the day they die. Healthcare administrators and staffs of long term care facilities must be prepared to address the wishes of their residents to forgo life-sustaining treatment or to otherwise dictate how they want to spend the last few months of…

    • 1273 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Health Care Ethics

    • 911 Words
    • 4 Pages

    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…

    • 911 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Alabama ISSUES AND TRENDS 2 Roles, Ethical Considerations, and Effectiveness of the Adult Gerontological Acute Care Nurse Practitioner In all healthcare fields the providers are bound by a moral code of ethics that are defined within the ethical principles and serve to guide the care of all individuals. According to Hamric, Hanson, Tracy, and O’Grady (2014) ethical principles are a set of core values that are fundamental obligations that healthcare professionals use to guide all care provided in the medical field. Ethical Principles The Adult Gerontological Acute Care Nurse Practitioner (AGACNP) is guided by a set of ethical principles that help provide the kind of care every individual deserves.…

    • 1256 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    Most of the time the child was crying due to pain. He was not getting adequate management for pain. Hammes BJ, Cain JM (1994) said that many national guidelines reported the ethical issues related to pain management and the main problem is in the application of these standards into practice. The child’s pain control can be achieved by means of initiating patient control analgesics concept and complementary therapy like music therapy also an initiative to reduce the pain. Palliative care has a great implication in nursing field.…

    • 158 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Nurse leaders work under very stressful situations and these stressful situations can lead to ethical dilemmas which can create the potential for moral distress. Inadequate nurse leaders often fail to address ethical dilemmas which can put patients and their staff members in danger. True nurse leaders will have the courage to challenge people when they see healthcare violations. They are the ones that are able to see in ways that are out of the norm and then find solutions to help resolve these challenges. They must not be afraid to take the first steps in being a role model or help develop and practice moral courage in the nursing profession.…

    • 130 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    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.…

    • 97 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Jackie_initial reponse If I were the communication advisor to Tina, I think, several ethical communication issues from Tina's perspective are there: First, she should listen to more staffs in different levels about the reasons of referrals dwindled, at least she should check it after the two middle managers told her. Since she wants to be a leader who is more involved, making sure to get a whole scope of accurate information is necessary for right decision making. Secondly, the initial purpose of the birth of Hospice Care is needed to be kept in mind.…

    • 694 Words
    • 3 Pages
    Decent Essays
  • Great Essays

    An Analysis of Legal and Ethical Issues in Long-Term Care In taking care of the elderly, ethical issues are brought up, one way or the other. Healthcare administrators continually find themselves in different situations where they are needed to make the right decision for the well-being of their patients (or clients), and their organization. Various things bring about ethical issues in long-term care, and religious commitment is not a very rare one in long-term care. Even though the United States recognize the right to exercise religious freedom, but if that right will lead to breaking another law, or becomes harmful to others, or the society at large, then the religious freedom is re-addressed.…

    • 1534 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    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.…

    • 363 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Long- term care refers to the continuum of medical and social services designed to meet the needs of people diagnosed with chronic diseases. Such diseases affect their personal lives and their ability to perform daily activities. Sometimes long-term care involves medical practitioners who help the patient in issues concerning their health and their basic tasks. Patients diagnosed with chronic diseases such as diabetes and high blood pressure require ultimate care while healing.…

    • 292 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Healthcare Ethical Issues

    • 611 Words
    • 3 Pages

    In addition to ethical issues faced in healthcare organizations, are legal issues. According to Pozgar (2016), laws are enacted to regulate human behavior for the benefit of society. Laws are a basis for conduct in our society and if breached can lead to serious implications. Public policy is the principle of law that holds that no one can do that which tends to be injurious to the public or against the public good (Pozgar, 2016, p. 240). Though not directly involved with patient care, a health services administrator should enhance the overall quality of life and well being of individuals under their organizations care.…

    • 611 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Every day there are many people around the world, specifically in Canada that undergo abuse whether it be emotional, physical, sexual or more. It is ongoing daily without people even realizing it happening before their eyes. It isn’t only child abuse or spousal abuse, but a more recent discovery of abuse is among the elderly. One of the most startling facts is that the horrible events of abuse seem to be happening under the eyes of caregivers in long term care facilities. This is a problem especially with the amount of elders around us.…

    • 991 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In this scenario, there is a living will that clearly specifies the patient does not want ventilator support or other artificial life support in the event of a permanent unconscious condition or terminal condition, and it has been determine by the primary physician that are condition is permanent. I will advise the husband that the condition is permanent and allow him time to grief the loss of the loved one, then I will put forward the desire of the healthcare organization to follow the instructions specified in the living will and withdraw the life support. Legal/Ethical issue 3 : Due to the present condition of the patient of not been able to care for herself, I will tell the husband that he is the only person who can honor the wish of the patient by withdrawing the life support. I will also tell him that by so doing, he respects the patient and helped her reduce the suffering she will go through in the process of been placed on ventilator.…

    • 920 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Is it ethical to withhold the truth from terminally ill patients? What would you do if you were to be given an close “expiration date” due to a disease such as cancer or HIV? Would it be better to be living in ignorance and bliss or be in sorrow and in a state of confusion? Like many doctors agree it is unethical to withhold medical information from a dying or terminally ill patient. By defining the importance of having candor and speaking the truth to the patient, by refuting those who claim to believe it is truly ethical to lie to the patient and give false hope, by presenting presenting strong evidence of the ethical reasoning of showing candor to the patients, One will persuaded to speak the truth to dying patient.…

    • 856 Words
    • 4 Pages
    Improved Essays