Nurse Aide Ethics and Resident Rights: A Comprehensive Guide, Slides of Sociology

Download Nurse Aide Ethics and Resident Rights: A Comprehensive Guide and more Slides Sociology in PDF only on Docsity! Ethical and Legal Issues Docsity.com 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. Docsity.com Ethics • Discipline concerned with right or wrong conduct • Guides to moral behavior • Making choices or judgments Docsity.com 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 Docsity.com 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 Docsity.com • Resident information should be kept confidential – Discuss only in appropriate places – Discuss only with proper people – Refer questions from residents about their condition to supervisor Nurse Aide Ethical Standards (continued) Docsity.com • Resident information should be kept confidential (continued) – Refer questions about resident’s death to supervisor – Respect personal religious beliefs Nurse Aide Ethical Standards (continued) Docsity.com • 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 Nurse Aide Ethical Standards (continued) Docsity.com • 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 Nurse Aide Ethical Standards (continued) Docsity.com • Do not accept monetary tips (continued) – Display tactful and courteous refusal of tips – Display continued desire to be helpful Nurse Aide Ethical Standards (continued) Docsity.com Age Appropriate Behavior Age Appropriate Behavior (continued) • Residents are treated as adults in manner appropriate to person’s age • Age-appropriate considerations: – Recreational activities – Social activities – Style of dress – Hair style and grooming Docsity.com 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 Docsity.com 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 Docsity.com Age Appropriate Behavior (continued) • Guidelines for Nurse Aide (continued) – Recognize value of past experience – Praise age appropriate accomplishments – Encourage adult behavior Docsity.com Docsity.com 5.3 List six legal responsibilities of a nurse aide. Docsity.com Legal Issues (continued) • No fear of breaking laws if nurse aide: – follows facility policy – does no harm to residents or their belongings • Laws designed to protect public welfare Docsity.com 5.3.1 Give examples of malpractice and negligence. Docsity.com Legal Issues: Civil Law Examples Of Torts • Malpractice – Giving care for which you are not allowed legally to do – Providing improper care Docsity.com Legal Issues: Civil Law Examples Of Torts (continued) • Negligence – Example: brakes on a wheelchair not locked and resident falls – Example: defective equipment not reported and resident is harmed Docsity.com • Assault – Care or treatment without proper consent (intentional) – Threatening to injure a resident or co- worker Legal Issues: Civil Law Examples Of Torts (continued) Docsity.com • Assault – Example: rough treatment of residents during care – Example: performing procedure resident has refused – Example: threatening to restrain resident Legal Issues: Civil Law Examples Of Torts (continued) Docsity.com • Battery – Get informed consent • Written – safest • Verbal • Gesture Legal Issues: Civil Law Examples Of Torts (continued) Docsity.com • Invasion of privacy – Unnecessary exposure of individual – Revealing personal information without consent Legal Issues: Civil Law Examples Of Torts (continued) Docsity.com • Invasion of privacy – Example: giving news media information without resident’s permission – Example: giving information to insurance company without permission Legal Issues: Civil Law Examples Of Torts (continued) Docsity.com • Defamation – False statements that cause a resident to be ridiculed or cause damage to their reputation • Example: slander – spoken • Example: libel – written Legal Issues: Civil Law Examples Of Torts (continued) Docsity.com 5.3.2 Identify the responsibilities of the nurse aide when a resident wishes to make a will. Docsity.com Wills • Legal document giving direction on how resident wants property distributed after death – Refer requests to prepare will to supervisor – Nurse aide may witness signing of will • Check facility policy • Discuss with supervisor Docsity.com Residents’ Rights • Basic Human Rights – Protected by Constitution – Laws clarify these rights: • Right to be treated with respect • Right to live in dignity • Right to pursue a meaningful life • Right to be free of fear Docsity.com Residents’ Rights (continued) • Basic Human Rights (continued) – Behavior that infringes on these rights: • addressing residents as children • using demeaning nicknames for residents • leaving door open during bath • threatening a resident with harm Docsity.com 5.4.1 Describe the Resident’s Bill of Rights. Docsity.com • Residents have the right to (continued): – Refuse treatment to extent permitted under law – Privacy of resident’s body, record, care and personal affairs – Confidential treatment of all records – Reasonable response to request for service Residents’ Rights (continued) Docsity.com – Examine bill and receive explanation of charges – Be informed of any facility rules and regulations • Residents have the right to (continued): Residents’ Rights (continued) Docsity.com 5.4.2 Demonstrate behavior which maintains residents’ rights. Docsity.com 5.4.3 Give needed assistance in going to and participating in resident and family groups and activities. Docsity.com • Help meet emotional/spiritual/social needs. – Encourage socialization (meal-time) – Assist to activities/meetings/church Behavior That Maintains Residents’ Rights (continued) Docsity.com • Help meet emotional/spiritual/social needs (continued) – Participate in planned activities – Help with phone calls, cards, mail Behavior That Maintains Residents’ Rights (continued) Docsity.com • Treat all residents equally • Promote positive attitudes • Report errors to supervisor immediately Behavior That Maintains Residents’ Rights (continued) Docsity.com 5.4.5 Explain the purpose and value of a Resident Council. Docsity.com Resident Council : advisory group • Provides opportunity for discussion • Recommendations may be made for: – Facility policies – Decisions regarding activities – Exploration of concerns – Resolving grievances Docsity.com 5.5 Administer care which maintains the residents free from abuse, mistreatment, neglect, diversion of drugs, fraud, or misappropriation of property. Docsity.com Mistreatment of the Elderly Federal and State Definitions Abuse means willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or mental anguish. Docsity.com Mistreatment of the Elderly Federal and State Definitions (continued) Neglect means a failure to provide goods and services necessary to avoid physical harm, mental anguish or mental illness. Docsity.com Mistreatment of the Elderly Federal and State Definitions (continued) Drug means any chemical compound that may be used on or administered to humans or animals as an aid in the diagnosis, treatment or prevention of disease or other condition or for the relief of pain or suffering or to control or improve any physiological pathologic condition. Docsity.com Mistreatment of the Elderly Federal and State Definitions (continued) Fraud means an intentional deception or misrepresentation made by a person with knowledge that deception could result in some unauthorized benefit to himself or some other person. It includes any act that constitutes fraud under applicable Federal or State Law. Docsity.com Mistreatment of the Elderly Resident’s Right To Be Free From Abuse • Physical • Verbal • Sexual • Mental • Corporal Punishment • Involuntary Seclusion Docsity.com Mistreatment of the Elderly Examples of Abuse (continued) • Leaving resident in soiled linen or clothing • Yelling angrily at or making fun of resident • Refusing to reposition or give treatment • Not answering call signal Docsity.com Mistreatment of the Elderly Examples of Abuse (continued) • Humiliating resident • Making disparaging, derogatory remarks • Sexual coercion • Sexual harassment • Verbal harassment Docsity.com Mistreatment of the Elderly • Identification of residents at risk for abusing other residents – Residents with history of aggressive behavior Docsity.com Reporting Abuse • If observed, stop abuse and report immediately to supervisor • Cause for immediate dismissal of perpetrator and posted on NA I Registry if proven • Know state law • Not reporting abuse is aiding and abetting Docsity.com Docsity.com 5.6 Assist in resolving grievances. Docsity.com Advocates Resident’s Right to Voice Grievances • Regarding services furnished • Regarding services not furnished • With respect to behavior of others • Nurse aide must report grievances to supervisor Docsity.com Advocates Facility policy components for resident grievance • Acknowledgment • Prompt attempt to resolve • Resident kept apprised Docsity.com Grievance Procedures Personal Possessions 5.8 Promote care and security of residents’ personal possessions. Docsity.com Residents’ Personal Possessions • Protect personal items • These possessions may be all they have • Items may be impossible to replace • Report observed thefts Docsity.com