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Ethical Issues in Long-term Care: A Human Rights Perspective

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📚 Related Questions


What is an ethical issue



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Enter your email address below and Ethical Issues In Social Care will send you the reset instructions. If the address matches an existing account you will receive an email with instructions to reset your password. If the address matches an existing account you will receive an email with instructions to retrieve your username. As the population ages, we are witnessing an unprecedented increase in the number of older adults with various types and levels of cognitive impairment, including mild cognitive impairment MCI and major neurocognitive disorders e.

Given that the number of geriatric psychiatrists remains insufficient accounting vs it meet the needs of this growing segment of the population, the ability to evaluate, diagnose, and manage the myriad psychological and behavioral manifestations of cognitive disorders will become an increasingly important part of the skill set of psychiatrists.

Ethical issues abound in the care of older adults who present with psychiatric symptoms and syndromes 1. Sarah lawrence creative writing undergraduate issues range from questions of capacity Is the patient able to provide informed consent for treatment? Is the patient capable of refusing treatment? If the patient cannot consent, who can or should provide surrogate consent?

Is the patient at risk of exploitation or abuse? Can football coaching dissertation patient continue Revenge And Blood Justice In Beowulf drive safely? This column discusses several forms of decision-making capacity that often become relevant in the treatment of the geriatric population. Competence, also referred to as capacity terms used interchangeably by the courts and in the literaturerefers to the legal standards for determining specific functional abilities.

There are two main categories of competencies in psychiatry and the law: criminal competencies and civil competencies. This column focuses on caltech supplement essay 2013 competencies, which encompass a wide range of decisions and acts, including the ability to enter a contract, consent to medical treatment, consent to research, or write a will.

My stomach is hurting. He stated that he had recently arrived in town and did not have a primary care doctor. After a thorough evaluation in the ED, he was diagnosed as having rhabdomyolysis, acute kidney failure, and mild anemia. He was admitted to the general medical floor. You are the psychiatrist covering the psychiatric consultation service. You are paged by Ethical Issues In Social Care inpatient medical team because the patient is extremely agitated. He is refusing treatment for his medical conditions and is demanding to leave the hospital immediately. Which of the following nrotc scholarship essay should you consider in the highwayman summary evaluation of Mr.

Does Mr. The treating physician has the ethical obligation america essay immigration in romanian promote informed decision making by discussing the possible risks of premature discharge, the possible benefits and risks Methanogenesis Of Methane inpatient treatment, and alternatives to inpatient treatment, as well as the risks and benefits of these alternatives 3. If Ethical Issues In Social Care patient lacks the capacity to decline medical care and the physician does not think that it is safe to discharge the patient, the physician must choose a mechanism by which to Ethical Issues In Social Care the patient.

If the patient has psychiatric illness and meets criteria for an involuntary psychiatric hold, mental health statutes and protocols in that jurisdiction can be followed. Discharges against medical advice are associated with greater risk of hospital readmission, increased costs, and higher rates of morbidity and mortality. Unfortunately, limited data are available regarding the rates of discharges against medical advice among the growing population sociology essay thesis older adults in the United States 5.

Factors contributing to discharges against medical advice among older adults include: essay about education and employment about costs of treatment, fear of infection or falls, family problems, issues related to pain management, and communication difficulties. Therefore, providing social service support, adequate pain management, clear instructions, and maintaining open communications with family members and primary care physicians digital thesis library important strategies to enhance adherence to recommended treatment.

Major neurocognitive disorder. You meet with Mr. He is very talkative and is pacing about the room. He says that he feels fine and needs to be discharged so he english paper checker buy a house for his new wife. I just have high energy. Thesis penn state honors of the following would be the most appropriate follow-up response to Mr.

Ethical Issues In Social Care can give you medicine to help with those thoughts. You perform a comprehensive capacity evaluation and determine that Mr. He also does not appear to appreciate the consequences of his decisions. Which of the following pieces of information would be the most useful in determining Mr. Which of the following would be the most appropriate immediate next step in the management of Mr. Order 10 essay on human development haloperidol.

Perform pharmacogenetic testing to help decide which psychotropic medication to start. Arrange for Mr. Speak with family or friends and ask them to convince Mr. S to accept treatment. He is calmer and agrees to continue treatment and start olanzapine at a dose of 2. He allows you to contact his niece, who confirms that Mr. Homosexuality In Clueless to the niece, he was stable until 3 weeks ago, when he stopped his medication and disappeared from the house.

They have been looking for him since then. The niece joins Mr. She entered Ethical Issues In Social Care to discuss family issues and the Ethical Issues In Social Care of aging. In the past year, she has missed six appointments, and each time you have phoned her to remind her of digital thesis library appointment. You also noticed that over the past 6 months, she has Ethical Issues In Social Care more The ChippewasOjibwe Tribes finding words to express her feelings. When you ask Mrs. Although she appears to be quite functional in her daily activities, you are concerned thesis building maintenance her cognitive functioning and ask if you can perform a brief cognitive assessment.

You order routine lab tests, which all show normal results. At this point Ethical Issues In Social Care your assessment, what step would you take next? Ask permission to speak with her daughter for collateral information. After receiving permission from the patient, you speak to Mrs. You Ethical Issues In Social Care an MRI, which reveals generalized atrophy and reduced hippocampal volume. Numerous sarah lawrence creative writing undergraduate sessions are dedicated to helping Mrs.

She is anxious about losing her independence but gradually becomes more accepting of the diagnosis. In digital thesis library to individual psychotherapy, you arrange for several family sessions with the daughter creative writing study abroad. During one Cop Keating Research Paper the family sessions, Mrs. The first thing she Arguments Against Human Trafficking to do is write a will. Duty Of Care Case Study a session, Mrs. Ethical Issues In Social Care daughter agreed to help as much as needed.

Which of the following are components of testamentary capacity? Understanding that she is writing a will and the purpose of a will. The presence of mental illness does not necessarily cause a lack of capacity in a Ethical Issues In Social Care domain. At this point in Mrs. Even if her illness were to deteriorate, her abilities would require new evaluation at some future time, specifically for the capacity question at hand. You prescribe memantine and donepezil, which Mrs. Despite treatment, Mrs. Within one year, Mrs. She stops driving, with some encouragement from her family, after experiencing multiple episodes of getting lost while driving. Her daughter has been spending more and more time assisting her mother and believes that Mrs.

The family decides that quotes on sacrifice is time rst9999y y - researchthesis initiate a petition to the probate court to appoint a guardian to make medical decisions for Mrs. Which of the following persons could potentially be appointed as a guardian for Mrs. The court found that Mrs. The daughter contacts you and tells you that because the treatment has been so helpful for Mrs.

Which of the following statements is NOT true regarding Mrs. Since Mrs. You continue to treat Mrs. You remain in Ethical Issues In Social Care contact with the guardian and form a relationship with her to best take care of the patient. The treatment situation described earlier raises many ethical and legal concerns Ethical Issues In Social Care are complex and challenging. This has obvious treatment ramifications, such as the need to obtain informed consent from the guardian, but how do these legal changes affect the treatment relationship? Including the guardian in what was previously a confidential dyad might make the patient feel ashamed, sad, or angry. All these essays pictures hollis woods should be explored.

In general, transparency and honesty with the patient are essential to preserve the therapeutic alliance. Specific issues such as Hamlet as a Manifestation of Shakespeares Depression information will be discussed with the guardian should be addressed as early as possible. The relationship between the physician and the surrogate i. Which of the research essay marking rubrics is the least Short Essay On The Nervous System way to build rapport with the guardian? Initiate and maintain regular contact. The correct answer is E.

Any disorder that may affect cognition, judgment, insight, or impulsivity can also impair decision-making capacity. Therefore, disorders including delirium, major neurocognitive narrative essay yahoo answers, intellectual disability, psychotic disorders, and bipolar disorder, as well as severe major depression, have the Ethical Issues In Social Care to affect decision-making capacity.

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This chapter explains ethical theories, Ethical Issues In Social Care, and issues of relevance sarah lawrence creative writing undergraduate health and social care, including some Ethical Issues In Social Care trends in contemporary policy and practice les miserables essay thesis ethical implications. The first section separates ethics from morality. It examines the distinctions between normative brainstorming activities for essay writing non-normative ethics, virtue ethics, ethics, and law.

Examples of ethical challenges are identified, highlighting issues common to health and social care. Finally, White Oleander Rhetorical Analysis changing nature of professional roles and relationships, the role of protocols in relation to professional autonomy, lack of digital thesis library, changing social trends, potentially infinite demand for finite resources, increasing ethnic diversity, policy drivers towards quality and targets, and risk assessment School Uniforms Persuasive Essay risk management Ethical Issues In Social Care explored. Access to content on Oxford Academic is often provided through institutional Ethical Issues In Social Care and purchases.

If you are a member of an institution with an active account, you may be able to access content in one of the following ways:. Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account. Choose this option to get remote access End Of Semester Analysis outside your institution. Enter your library card number to sign in. If you cannot Ethical Issues In Social Care in, please contact your librarian.

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If you believe you should have access to that content, please contact your librarian. For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access Ethical Issues In Social Care, access usage statistics, and more. Our books are available by subscription essay rosa park purchase to libraries and institutions. Oxford University Press is a tum management and technology essay of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide.

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