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Everyday Ethical Issues in Long-term Care Jeff Sumpter HPAA 140.

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Presentation on theme: "Everyday Ethical Issues in Long-term Care Jeff Sumpter HPAA 140."— Presentation transcript:

1 Everyday Ethical Issues in Long-term Care Jeff Sumpter HPAA 140

2 Everyday Ethical Issues in Long-term Care Issues that long-term care Place to live: A home Autonomy a major concern for elderly people Sense of independence and self- worth related to their ability to influence their lives in long-term care facility “It requires care, not cure philosophy.” John R. Pratt

3 Everyday Ethical Issues in Long-term Care Choices and Decisions in Daily life Food, social life, activities, schedule (eating, sleeping) Well-being and Meaningfulness Respect Dignity Purpose Elderly should not have to give up essential qualities of a good life.

4 Everyday Ethical Issues in Long-term Care Quality Living and Care for Elderly Food and activities Safe and clean facilities Neglect and abuse Privacy Restraints Quality of health care: pain management, preventing bedsores, etc. Quality of daily life involves health care and many other issues.

5 Everyday Ethical Issues in Long-term Care Nursing Home Quality Initiative One-fifth of nursing homes cited for “serious deficiencies involving actual harm or immediate jeopardy to residents” Data shows improvements in quality of care 38% decline in the prevalence of chronic pain in nursing homes since 2002; number of nursing homes penalized for violations of federal standards declined by 18% in a three year period, from “Yo-yo pattern” of inspection Federal government’s effort to improve daily lives of elderly in long- term care is mixed.

6 Everyday Ethical Issues in Long-term Care More of a Say in Ontario Health Minister increased resident and their families influence over the way long-term care facilities were run Mandatory independent councils give residents more control over their lives Families and residents take their concerns about quality of care and conditions at long-term care facilities directly to the Health Minister of Ontario With no influence, people “feel like corks being buffeted in a malevolent ocean” Pat Prentice, Director of Residents’ Council

7 Everyday Ethical Issues in Long-term Care Communities, facilities, and individuals will have to take on responsibility of improving daily lives of elderly in long-term care Sooner or later the federal government will have to make meaningful contributions to improvements in lives of elderly Where is the debate on ethics? Questions or comments? Do family values include ethics?

8 References Castellanos, Victoria Hammer. (2004). Food and nutrition in nursing homes. Food and Nutrition for Healthier Aging, Condon, Garret. (2004). Nursing home effort pays off, reducing pain. Hartford Courant, B1. Lueck, Sarah. (2003). Nursing homes improve quality, but not enough. Wall Street Journal, D2. Henderson, Helen. (2005). More say for those in long-term care. Toronto Star, L08. Pear, Robert. (2002). U.S. begins issuing data on individual nursing homes’ quality of care. New York Times, A26. Pratt, John R. (2004). Long-term care: Managing across the continuum (pp ). Boston: Jones and Bartlett Publishers. Slettbo, Ashild, & Bunch, Eli Haugen. (2004). Solving ethically difficult care situations in nursing homes. Nursing Ethics, 11(6),


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