Ethical Issues In Care

EMTALA would apply in the sense that the hospital would have to give the patients every opportunity to obtain treatment at the hospital at which they are located. They need to explain to these patients that if they leave they might be putting their health at jeopardy. They also need to ask the patients why they want to re locate to a new facility. Do they feel they are not getting adequate treatment, are they being ignored? They should also have them sign a paper saying they are leaving against medical advice. You don't want patients health declining if the hospital is refusing or unable to care for these patients. (Centers for Medicare & Medicaid Services, (n.d.), ncbi.nlm.nih.gov)

Ethics of care is to maintain relationships by compromise and accommodation for the well-being of a care-givers and care-receivers in a network of social relations. The meaning of care involves meeting the needs of ourselves and others. Which refers to the ideas of concerning both the nature of morality and normative ethical theory. But does this mean that the care receiver does exactly what the care-giver desires in all situations?

Typically the most considered factor when deciding on long term health care is the individual’s financial status. Patients without any resources may qualify for long term care as long they meet certain requirements set by Medicaid payment. Normally this kind of patient is in need of extended 24-hour care and has expended all of their means. Medicaid does not start until all of their financial gains are gone, including savings and for a single adult, their home. If the patient receives monthly payments such as Social Security, this goes to pay the Medicaid bill of the long term care. Hospital care is paid through the patient’s Medicare or Medicaid if they are under the age for Medicare.

This is another problem the United States faces by not having Universal healthcare. Formosa Post stated, “ It should be considered a basic human right, in which the nation ensures that every person is covered by equal healthcare, regardless of age, gender, or income.” When insurance companies determine what health care is covered, that can be very limiting to people who need the care or could die. Having Universal healthcare, the government would pay for the services, which would prevent medical bankruptcies, because the people are not paying. Procon.org states, “ About 62% of all US bankruptcies were related to medical expenses in 2007, and 78% of these were filed by people who already had medical insurance.” This is a huge problem that the government needs to

Ethics are statements written that mirrors the principles of society it reflects society’s views of what is right or humanitarian. However, morals are not written and are codes setting out what is thought to be good enough or offensive behaviour.

Long-term care assists individuals who cannot adequately perform their routine activities of daily living. These activities include dressing, bathing, walking, meal preparation, and taking medications ( Batnitzk,A.,Hayes,D.,& Vinall,P.E. 2014,(c. 5.1). These services are typically for clients over the age of 65 years old and is used to promote independence and security for those who cannot take care of their needs due to illness or debility (c.6.1). The type of provider will depend on the type of care a client needs. For instance, some elderly people that need help with food preparations or everyday activities will request to stay at home and have a family member take care of them. This is one way that long-term care is rendered but is unpaid.

In this essay I will be elucidating and explaining the legal and ethical issues relate to health and social care. Legal and ethical issues are usually involved individuals having to abide, practise of law. Though, in most cases there will be a consequence for not abiding by the law. Within the health care setting, professionals practice, there are many regulating, jurisprudence and criterion of practice. Performing an abortion is legal, may not be considered ethical by other health care professionals or member of employers.

Ethics are a set of moral principles that serve as a guiding philosophy for behavior. Consequently it is not a surprise that ethical dilemmas occur daily in the health care setting. Any nurse who refuses to provide care for a patient faces an ethical dilemma (Kuhn, 2012, pp. 412-418). The reasons given for refusal range anywhere from a conflict of personal values to fear of personal risk of injury. Nurses do have the right, at times, to refuse patient care assignments. The decision to accept or reject an assignment must be based upon a judgment by the nurse of the nurse 's ability to provide competent patient care. This paper aims to show both sides of the argument when it comes to nurses refusing a patient assignment. One side believes that nurses has the right to refuse patient assignment, as they must be true to themselves if they want to perform their best on the job. On the other hand, the other side believes that it is the nurse’s responsibility to care for all patients and, therefore nurses cannot simply refuse a patient.

Anyone who has ever worked in a long term care facility will tell you that at times it can be very difficult. Working with individuals who are suffering from dementia and other kinds of cognitive impairment that come with age can be emotionally draining. We know that this is not the way that it is supposed to be. These individual are a fathers, mothers, and friends who had rich incredible lives. Now they have lost the ability to care for themselves and at times are not even able to recognize the one that they love. The inability to express their thoughts and feelings in a way that others can understand and connect with them leads to a great deal of frustration. The feeling of not being in control of their own lives leads to agitation. At one

Lack of covered care leads the uninsured to local emergency rooms for varied health concerns. This issue will end up weakening the quality of care needed by individuals who are actually in need of emergency care because the care centers may become over populated and under staffed. In the US, there are fewer physicians per person than in most other OECD (Organization for Economic Co-operation and Development) countries. A statement in an article written on PBS’ website, states “In 2010…the U.S. had 2.4 practicing physicians per 1,000 people- well below the OECD average of 3.1.”. Facts like these are quite unsettling, considering tax dollars are still being spent on high medical costs.

Care Ethics (Feminist Ethics) is the importance of caring relationships in life whether its human or animal related. The main goal of care ethics is to maintain and promote caring relationships. Care ethics involves helping both yourself and the world around you. It gives you the motivation to care for others beside yourself. Care ethics according to the article is more a “general approach” than a theory in regards to other ethical practices. The goal of care ethics is to show that women have the same equal rights as men and that they both have freedoms of their own. This is important as this is helping to address equality among the human race. Care ethics as a whole revolves around emotions.

The health and well-being of society is ultimately impacted by the integrity of scientific records, such as the value, accuracy, and completeness (Horner & Minifie, 2011). As a result, researchers are obligated and entrusted to use the highest standards possible when proposing, reviewing, performing, or reporting research (Horner & Minifie, 2011). Consequently, there may be ethical concerns for a variety of different research topics and/or types of research. The purpose of this paper is to prepare an ethics paper for the intended research topic regarding elder abuse in nursing homes.

Pat should have taken the time to show more empathy towards Mr. Sanchez when he was looking for help. Pat was more concerned about getting to the party, she just brushed off Mr. Sanchez. If Pat would have taken the time to get the interpreter before he left for the evening, Mr. Sanchez would have been able to make clear his medical need instead of having to make an emergency return trip. Pat could have easily stopped this from occurring if she was more patient centered care driven.

For Lucy to demonstrate the best caring practice she must provide presence by being attentive to Mrs. Miller by sitting down and making eye contact. Mrs. Miller is alone and crying, offering a reassuring presence is a patient’s perspective of caring. “Patients value the affective dimension of nursing care.” (Potter, Perry, Stockert, & Hall, 2013, p. 83) Providing presence for Mrs. Miller is physical, but also includes communication and understanding. Lucy is “being there” for Mrs. Miller and may not even say a word to her, but is helping to calm her down.

However, most of America has also experienced the overcrowding of emergency rooms and have personally experienced the long wait times. Though no research finds a direct cause between EMTALA and overcrowding, long wait times are inevitably discussed any time the EMTALA policy is brought up. However, it certainly does not help that the U.S. has 45 million uninsured individuals who do not have access to primary care and are forced to turn to the emergency department for any kind of medical attention (Monga, Keller, & Venters, 2014). Additionally, of