1. The baby boomers are those who were born following up during World War II and there was a brief increase of the birth rates. The baby boomers play an important role in the long term care because not only do baby boomers encompass one of the largest populations but also possible to live couple years longer than the parents themselves. With the cost of long term is increasing with the age factor, obtaining insurance for it will be economical before retirement. Another reason is the fact that the baby boomers wish to remain independent while living in their own home and reinventing themselves.
2. The components of the accessibility to long term care services would be the availability of the services that are provided meaning easy access, coverage over any financial issues, location of the facility, and the complication of obtaining a patient’s needs. If a patient cannot afford the facility, then the facility would be able to provide information where the patient could receive financial help for their medical conditions and in order to receive medical treatment. Location also plays a role because it factors where customers can find the facility. Finally, providing the patient the treatment they need and complying their needs to make them feel comfortable.
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The ethical issues that are being faced in nursing facilities are privacy, group living, and independence. Elders like to consider themselves independent while they still have their motor skills and ability to do things without any help or assistance. If someone takes away their independence, then the elders would feel helpless and feel they cannot do anything like they used to. Privacy is one of the most important meanings to the elders. They deserve the respect and dignity. Group living is having all the patients together and sees how they adapt to one another while dealing with their medical
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
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.
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
The four ethical virtues of health care must be shown, compassion, discernment, integrity and trustworthiness. Respecting a person’s autonomy understanding and acting on the belief the people have the right decision to make decisions and take action based on their beliefs and value systems. The ethical issues that would be encountered will be to treat each person with passion and respect regardless of sex, race, and religious preference. The environment has no human rights violations, sustains nursing ethical
Ethical nursing and care is essential in nursing homes .There are a lot of cases of unethical practices in nursing homes. Whether nursing homes are safe or not is questionable, nursing homes are supposed to take care of the elderly, the ones that can no longer be taken care of at home. Many residents considered nursing homes as their home. Nurses are responsible for ethical care of a patients health, Nursing homes should be Ethical care in nursing homes should include ethical awareness by nurses, the autonomy of patients and Family Caring . According to one Article “Ethical problems are regularly arise during daily care in nursing home. These include violation of patient’s right to autonomy and to be treated with respect”. (“Merethe”1)
As primary NPs care for undeserved, ethnically diverse, and an aging population, they may encounter ethical issues as well. For instance, some ethical challenges arise when patients refuse an appropriate treatment and make inappropriate requests. Other ethical demands involve, informed consent, pressure to see high patient loads, conflicts between colleagues, allocation of resources, etc (Ulrich, Zhou, Hanlon, Danis, & Grady, 2014).
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.
The code helps them identify different situations and gives them professional ways to manage them. Most importantly, the code sets the guidelines for the nursing profession. This paper will summarize some of the aspects of the code of ethics for nurses including: Privacy and Confidentiality, Respect for Human dignity, Delegation of nursing activities, Health needs and concerns, and Responsibilities to the public. Nurses play an important role in the recovery and assurance of a patient’s health. They need to make sure patients are safe and advocate for their rights.
Nursing ethics are guided by six ethical principles; beneficence, nonmaleficence, autonomy, justice, veracity, and fidelity (Chitty, 2005, p. 528). The
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
In conclusion there needs to be an increase in government funding for long term care facilities to convey maximum ability to provide quality of care to elders and equal accessibility too homes and care. Ways that can produce this outcome are increases in staff funding for training and recruitment, as well as for equipment to help increase care. Government funding should also help elders decrease the cost of living in nursing homes and allow equal accessibility to homes and care in homes.
Randers, I., & Mattiasson, A. (2004). Autonomy and integrity: upholding older adult patients' dignity. Journal Of Advanced Nursing, 45(1), 63-71. DOI:10.1046/j.1365-2648.2003.02861.x
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
In every nurse's career, he or she will face with legal and ethical dilemmas. One of the professional competencies for nursing states that nurses should "integrate knowledge of ethical and legal aspects of health care and professional values into nursing practice". It is important to know what types of dilemmas nurses may face
Ethics asses the values, morals, and principles of nurses. Legal codes or laws are rules established by our government. It’s important that nurses have a clear and comprehensive understanding of ethical and legal codes within their career. The understanding of these codes is essential for nurses to safely practice and to protect their patients. Nurses must abide by these principles or face the consequences of legal action. These principles include autonomy, utilitarianism, confidentiality, and many others. Autonomy is the agreement to respect ones right to determine a course of action, while utilitarianism is what is best for most people as defined in American Nurses Association. In order to give you a