1. ETHICS INSERVICE Bonnie Meyer, DMin, BCC Director of Bereavement and Spiritual Care

2. WHAT DO WE MEAN BY “ETHICS”? HOW TO ACT IN SITUATIONS HOW TO ACT IN SITUATIONS STANDARDS OF BEHAVIOR STANDARDS OF BEHAVIOR

3. WHAT DO WE MEAN BY “ETHICS”? NOT BASED ON: NOT BASED ON: FEELINGS FEELINGS RELIGION RELIGION FOLLOWING THE LAW FOLLOWING THE LAW FOLLOWING CULTURALLY ACCEPTED NORMS FOLLOWING CULTURALLY ACCEPTED NORMS SCIENCE SCIENCE

4. WHAT DO WE MEAN BY “ETHICS”? ETHICS IN HEALTHCARE ARE BASED ON: ETHICS IN HEALTHCARE ARE BASED ON: ETHICAL PRINCIPLES ETHICAL PRINCIPLES COMPARABLE CASES COMPARABLE CASES PROFESSIONAL GUIDELINES PROFESSIONAL GUIDELINES CONSCIENTIOUS PRACTICE CONSCIENTIOUS PRACTICE

5. ETHICAL PRINCIPLES IN HEALTHCARE BENEFICENCE BENEFICENCE NONMALEFICENCE NONMALEFICENCE AUTONOMY AUTONOMY JUSTICE JUSTICE VERACITY VERACITY

6. ETHICAL DILEMNA: CONFLICT AMONG BASES FOR ETHICS ETHICAL PRINCIPLES ETHICAL PRINCIPLES BENEFICENCE BENEFICENCE NONMALEFICENCE NONMALEFICENCE AUTONOMY AUTONOMY JUSTICE JUSTICE VERACITY VERACITY PROFESSIONAL GUIDELINES PROFESSIONAL GUIDELINES CONSCIENTIOUS PRACTICE CONSCIENTIOUS PRACTICE COMPARIBLE CASES COMPARIBLE CASES

7. WHAT DO WE DO? FIRST: CONSULT WITH TEAM MEMBERS FIRST: CONSULT WITH TEAM MEMBERS NEVER ACT ALONE WITH ETHICAL DILEMNA NEVER ACT ALONE WITH ETHICAL DILEMNA IF NEEDED, CONSULT WITH SUPERVISOR IF NEEDED, CONSULT WITH SUPERVISOR NEVER TAKE QUESTIONABLE POSITION WITHOUT INVOLVING SUPERVISOR NEVER TAKE QUESTIONABLE POSITION WITHOUT INVOLVING SUPERVISOR IF NEEDED, CONSULT WITH ETHICS COMMITTEE IF NEEDED, CONSULT WITH ETHICS COMMITTEE IF SITE DIRECTOR FEELS ADDITIONAL CONSULTATION AND SUPPORT IS NEEDED IF SITE DIRECTOR FEELS ADDITIONAL CONSULTATION AND SUPPORT IS NEEDED

8. COMMON ETHICAL ISSUES IN HOSPICE STAFF SAFETY STAFF SAFETY PATIENTS/CGS WHOSE CHOICES AND ACTIONS MAKE “GOOD CARE” DIFFICULT PATIENTS/CGS WHOSE CHOICES AND ACTIONS MAKE “GOOD CARE” DIFFICULT BOUNDARIES BOUNDARIES DISCONTINUATION OF CARE DISCONTINUATION OF CARE FUTILE CARE FUTILE CARE PALLIATIVE SEDATION PALLIATIVE SEDATION IMPLANTED CARDIO DEFIBRILLATORS IMPLANTED CARDIO DEFIBRILLATORS

9. ETHICS PAGE ON HOB INTRANET YOU ARE INVITED TO CHECK OUT THE ETHICS PAGE ON THE HOB INTRANET YOU ARE INVITED TO CHECK OUT THE ETHICS PAGE ON THE HOB INTRANET LISTS OF RELEVENT JOURNAL ARTICLES LISTS OF RELEVENT JOURNAL ARTICLES ETHICS CASES, WHICH STAFF CAN DISCUSS ON A BLOG ETHICS CASES, WHICH STAFF CAN DISCUSS ON A BLOG

10. HOB ETHICAL VALUES ARE CONSISTENT WITH HOB CORE VALUES IN MISSION STATEMENT COMPASSION COMPASSION EXCELLENCE EXCELLENCE TEAMWORK TEAMWORK RESPECT & DIGNITY RESPECT & DIGNITY DIVERSITY DIVERSITY INTEGRITY INTEGRITY INNOVATION INNOVATION SUSTAINABILITY SUSTAINABILITY