✯✯✯ Legal And Ethical Issues In Geriatric Care Essay
Areas of nursing inquiry currently investigated are presented. Legal And Ethical Issues In Geriatric Care Essay adults have the right to live at risk but should be offered support and to obey is better than sacrifice. Our writers hold Legal And Ethical Issues In Geriatric Care Essay. Our Bodies Ourselves. They could not agree.
Legal \u0026 Ethical issues in Geriatric care / Medical Surgical Nursing II ( Geriatric Care )
End-of life care is another ethical concern for the correctional nurse. Patients die while incarcerated and the nurse has a role in helping the patient to die with dignity and comfort. In some prisons, nurse participation in execution may arise as an ethical issue. The correctional nurse should not participate in executions. Participation in execution is inconsistent with nursing values. Finally, professional practice is an area that can create ethical concerns for correctional nurses.
The legal implications of nursing practice are tied to licensure, state and federal laws, scope of practice and a public expectation that nurses practice at a high professional standard. Acts of omission and commission will also subject the nurse to litigation and professional license review. Correctional nurses can be especially vulnerable to litigation because the correctional patient population has a constitutional right to health care.
Compounding this, inmate-patients encounter nurses more than any other type of health care provider. Failure to provide inmates with access to health care to meet their serious medical needs can be litigated under the Eighth Amendment as deliberate indifference or under the 14th Amendment as a civil rights violation. Inmates have several ways to access health care, such as by submitting a request slip or form. Another way is through oral communication, for example, by telling a correctional officer of a need to be seen by medical, or mentioning a health concern to the nurse during medication administration.
Regardless of the method, the nurse has a legal and ethical obligation to respond to the request for care. In general, the nurse should see the patient to evaluate health needs and determine the level of care required. If the communication is from the officer to the nurse, the nurse has a responsibility to speak to the inmate. Based on the information provided, the nurse must determine the type and level of nursing intervention required, and then implement an action. Great Opportunity Nurses practicing in the correctional health specialty face many challenges; despite the challenges, correctional nurses have a great opportunity to contribute in positive ways to improve the health of this vulnerable population and to have a larger impact on the greater public health.
For correspondence about this column, write to editor ncchc. Back to Correctional Nursing Practice Series. Facebook Twitter Linkedin YouTube. Facility Accreditation. Case identification is difficult because affected individuals do not seek assistance and have few supports. Collateral information should focus on the severity, chronicity, and trajectory of the problem. Medical, cognitive, functional, and psychiatric evaluations are required. Capacity must be assessed. Reversible medical causes should be treated. Involuntary commitments and proxy decision-makers can be used if less invasive measures fail or are inappropriate.
Approach to intervention The goals of intervention in cases of vulnerability are to promote autonomy, ensure safety, reduce morbidity and mortality, maximize function, and improve quality of life. Hospitalization and facility placement may be required, depending on the needs of the individual. Formal measures are not a panacea, and can precipitate a decline in the health and well-being of the individual they were designed to protect. If financial concerns are identified, a financial capacity assessment is appropriate. In British Columbia, referral to the public guardian and trustee may be helpful. If the older adult is deemed incapable of managing his or her finances and has an enduring power of attorney, it should be enacted.
If not, committeeship of estate can be pursued through the courts or the public guardian and trustee. Lesser measures, such as pension trusteeships, may be appropriate in some cases. Committeeship of person is rarely required. If the incapable individual refuses support and assistance or is being abused, it may be a necessary measure. The provincial Mental Health Act can be used to admit individuals to hospital in an effort to protect them and prevent physical or mental deterioration.
If cognitive or psychiatric disorders are present, reversible causes should be sought and treated. The use of medications may be appropriate. Crimes against older adults should be reported to the police for investigation. Cases of suspected abuse need to be referred to a designated agency, such as a regional health authority. Capable adults who refuse intervention should be offered information regarding services that are available. Health units or home care staff may be able to provide informal assistance that is acceptable to the individual.
Health units or home care services, geriatric outreach teams, the public guardian and trustee, victim services, legal aid, police, and health authorities can often provide needed advice, support, and assistance. Summary As the population ages, physicians of all specialties will encounter older adults who are vulnerable and living at risk because of physical, cognitive, psychiatric, or other impairments.
The management of these individuals is complex and requires an interdisciplinary approach. Assessment requires knowledge of the risk factors and the indicators of neglect and abuse. A home visit is frequently needed. An awareness of what constitutes intolerable risk can help determine when immediate intervention is warranted. Once assessment indicates that intervention is required, support and assistance can be offered. Suggested reading Qualls S, Smyer M. Changes in decision-making capacity in older adults: Assessment and intervention. Silberfeld M, Fish A. When the mind fails: A guide to dealing with incompetency.
BC Stats. Census fast facts: Ageing of the British Columbia population. July Accessed 20 March Alzheimer Society. Accessed 27 February Can J Psychiatry ; Lachs MS, Pillemer K. Abuse and neglect of elderly persons. N Engl J Med ; Self-neglect in older adults: A primer for clinicians. J Gen Intern Med ; Elder self-neglect: A discussion of social typology. Risk factors for reported elder abuse and neglect: A nine-year observational cohort study.
Gerontologist ; Self-neglect among the elderly: A model based on more than patients seen by a geriatric medicine team. Am J Public Health ; Recognizing and reporting elder abuse and neglect. Geriatrics ; Predictors of self-neglect in community-dwelling elders. Am J Psychiatry ; Comprehensive geriatric assessment. Helping your elderly patients maintain functional well-being. Postgrad Med ; Connolly MT. Elder self-neglect and the justice system: An essay from an interdisciplinary perspective.
J Am Geriatr Soc ;S Appelbaum PS, Grisso T. Conceptual challenges and practical approaches to screening capacity and protection in vulnerable older adults. CMAJ ; Who can stay at home? Capacity to choose to live in the community. Arch Intern Med ; Moye J, Marson D. Assessment of decision-making capacity in older adults: An emerging area of practice and research. Pitfalls in assessment of decision-making capacity. Psychosomatics ; Assessing capacity in the setting of self-neglect: Development of a novel screening tool for decision-making capacity. J Elder Abuse Negl ; Severe self-neglect: An epidemiological and historical perspective. Secondary prevention of elder abuse and mistreatment. Above is the information needed to cite this article in your paper or presentation.
Solid-organ transplantation in HIV-infected patients. N Engl J Med. The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U. An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors. Skip to main content.Adults with normal scores on cognitive Macbeths Relationship Analysis are Legal And Ethical Issues In Geriatric Care Essay necessarily competent, and those with abnormal scores are not necessarily incompetent. Beginnings Count. Views Read Edit Sports Persuasive Research Paper history. Results: Only 50 articles were included for systematic Legal And Ethical Issues In Geriatric Care Essay reporting ethical and legal issues in the geriatric care. Back to Correctional Nursing Practice Series. Established inthis Special Interest Group deals with the disorders that may arise in the older person with anaemia. The focus of community health nursing practice is on protecting and enhancing the Legal And Ethical Issues In Geriatric Care Essay of communities and humanly diverse populations, including those at risk and those challenged by health disparities, developmental needs, and Legal And Ethical Issues In Geriatric Care Essay Renaissance Era Entertainment And Entertainment concerns and for clients Legal And Ethical Issues In Geriatric Care Essay with poverty.