Ethical and bioethical issues

1. Ethical and bioethical issues DHSR Approved Curriculum-Unit 5

2. Ethical and Legal IssuesIntroduction 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

3. Ethics DHSR Approved Curriculum-Unit 5

4. Objectives 5.0 Define ethics. 5.1 List at least six basic rules of ethics for the nurse aide. DHSR Approved Curriculum-Unit 5

5. Ethics • Discipline concerned with right or wrong conduct • Guides to moral behavior • Making choices or judgments DHSR Approved Curriculum-Unit 5

6. 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

7. 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

8. Nurse Aide Ethical Standards(continued) • Be responsible citizen at all times • Respect others • Respect values that differ from yours DHSR Approved Curriculum-Unit 5

9. Objective 5.1.2 Identify the kind of information that should be kept confidential. DHSR Approved Curriculum-Unit 5

10. Nurse Aide Ethical Standards(continued) DHSR Approved Curriculum-Unit 5

11. 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

12. 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

13. 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

14. Why Employ Ethical Principles? DHSR Approved Curriculum-Unit 5

15. Objective 5.1.3 Explain why nurse aides should not accept monetary tips for a health care service. DHSR Approved Curriculum-Unit 5

16. 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

17. 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

18. Husted’s Formal Ethical Decision Making Model DHSR Approved Curriculum-Unit 5

19. Age Appropriate Behavior DHSR Approved Curriculum-Unit 5

20. Objective 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

21. 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

22. 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 DHSR Approved Curriculum-Unit 5

23. Age Appropriate Behavior(continued) DHSR Approved Curriculum-Unit 5

24. Age Appropriate Behavior(continued) DHSR Approved Curriculum-Unit 5

25. 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

26. 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

27. Age Appropriate Behavior(continued) DHSR Approved Curriculum-Unit 5

28. 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

29. 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

30. 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

31. THANK YOU! DHSR Approved Curriculum-Unit 5