Download 09. Ethical and bioethical issues

DHSR Approved Curriculum-Unit 5
1
Ethical and Legal Issues
Introduction
As a member of the health care
team, the nurse aide will frequently
be faced with ethical and legal
decisions that govern his or her
actions.
A knowledge of ethical standards,
resident’s rights and legal issues are
important for the protection of nurse
aides, employers, and residents.
DHSR Approved Curriculum-Unit 5
2
DHSR Approved Curriculum-Unit 5
3
5.0 Define ethics.
5.1 List at least six basic rules of
ethics for the nurse aide.
DHSR Approved Curriculum-Unit 5
4
Ethics
• Discipline concerned with right or
wrong conduct
• Guides to moral behavior
• Making choices or judgments
DHSR Approved Curriculum-Unit 5
5
Nurse Aide Ethical Standards
• Show respect for each resident as an
individual
• Understand the limits of role
–Perform only acts for which
adequately prepared
–Perform acts only within legal scope
of nurse aide
DHSR Approved Curriculum-Unit 5
6
Nurse Aide Ethical Standards
(continued)
• Carry out assignments to best of
ability
• Be loyal:
–Maintain a positive attitude toward
institution that employs you
–Support co-workers
DHSR Approved Curriculum-Unit 5
7
Nurse Aide Ethical Standards
(continued)
• Be responsible citizen at all times
–Respect others
–Respect values that differ from
yours
DHSR Approved Curriculum-Unit 5
8
5.1.2 Identify the kind of information
that should be kept confidential.
DHSR Approved Curriculum-Unit 5
9
Nurse Aide Ethical Standards
(continued)
DHSR Approved Curriculum-Unit 5
10
Nurse Aide Ethical Standards
(continued)
• Resident information should be kept
confidential (continued)
– Refer questions about resident’s
death to supervisor
– Respect personal religious beliefs
DHSR Approved Curriculum-Unit 5
11
Nurse Aide Ethical Standards
(continued)
• Respect privacy of others:
– while dressing
– while performing personal hygiene
– during examination or treatment
– during visits with clergy
– during visits with spouse or
significant other
DHSR Approved Curriculum-Unit 5
12
Nurse Aide Ethical Standards
(continued)
• Put resident’s needs ahead of your
own
• Be sincere, honest and trustworthy in
performance of duties
– caring and concerned
– “golden rule”
DHSR Approved Curriculum-Unit 5
13
Why Employ
Ethical Principles?
DHSR Approved Curriculum-Unit 5
14
5.1.3 Explain why nurse aides should
not accept monetary tips for a
health care service.
DHSR Approved Curriculum-Unit 5
15
Nurse Aide Ethical Standards
(continued)
• Do not accept monetary tips
– Residents are paying for service
– You are paid to provide service
– Do not discriminate regardless of
race, creed, color, age, financial
resources
– Provide care based on need
DHSR Approved Curriculum-Unit 5
16
Nurse Aide Ethical Standards
(continued)
• Do not accept monetary tips
(continued)
– Display tactful and courteous refusal
of tips
– Display continued desire to be
helpful
DHSR Approved Curriculum-Unit 5
17
Husted’s Formal
Ethical Decision
Making Model
DHSR Approved Curriculum-Unit 5
18
DHSR Approved Curriculum-Unit 5
19
5.2 Demonstrate skills supporting age
appropriate behavior by
encouraging the resident to make
personal choices, and by providing
and reinforcing other resident’s
dignity.
DHSR Approved Curriculum-Unit 5
20
Age Appropriate Behavior
• Dependent elderly residents
are not children
– If resident seen as a child
– If resident treated as a
child
– Then resident behaves as
a child
DHSR Approved Curriculum-Unit 5
21
Age Appropriate Behavior
(continued)
• Residents are treated as adults in
manner appropriate to person’s age
• Age-appropriate considerations:
– Style of dress – Recreational
activities
– Hair style and
– Social activities
grooming
DHSR Approved Curriculum-Unit 5
22
Age Appropriate Behavior
(continued)
Guidelines
for Nurse
Aide
• Address resident
in a dignified way
• Listen to what
resident has to
say
• Converse with
resident in an
adult manner
• Respect
resident’s privacy
DHSR Approved Curriculum-Unit 5
23
Age Appropriate Behavior
(continued)
Guidelines
for Nurse
Aide
(continued)
• Don’t ignore or
humor resident
• Explain what
care you are
going to give
• Promote resident
independence
• Treat resident as
you would want
to be treated
DHSR Approved Curriculum-Unit 5
24
Age Appropriate Behavior
(continued)
• Guidelines for Nurse Aide (continued)
– Encourage resident to make
choices:
• select clothing to wear
• select books to read
• select television programs to
watch
DHSR Approved Curriculum-Unit 5
25
Age Appropriate Behavior
(continued)
• Guidelines for Nurse Aide (continued)
– Encourage resident to make
choices:
• select food and nourishments
• select activities of interest
• select friends
DHSR Approved Curriculum-Unit 5
26
Age Appropriate Behavior
(continued)
DHSR Approved Curriculum-Unit 5
27
Bioethics - what is it
• Bioethics is a specific discipline that probes the
reasoning behind our moral life within the context of the
life sciences; how we decide what is morally right or
wrong bioscience
• Ethics is different from morals. Ethics tries to probe the
reasoning behind our moral life, by examining and
analyzing the thinking used to justify our moral choices
and actions in particular situations
DHSR Approved Curriculum-Unit 5
28
Bioethics – what is it
• Bioethics is normative ethics applied to the practice of
science and medicine. It falls under the general group of
applied and professional ethics
• It is predicated on an assumption that some solutions to
the ethical problems that arise in science and medicine
are more moral than others and that these solutions can
be arrived at by moral reasoning and reflections
DHSR Approved Curriculum-Unit 5
29
Bioethics – what is it
• It is a branch of knowledge like mathematics, and
thinking in this field is not wholly different from thinking in
those other fields, however it cannot be reduced to them.
• Bioethical conclusions cannot be unambiguously proved
like mathematical theorems
• Research ethics or more specifically health research
ethics is the branch of bioethics that deals with issues
relating to the ethical conduct of research
DHSR Approved Curriculum-Unit 5
30
DHSR Approved Curriculum-Unit 5
31