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REHAB NURSING CRRN PREP III

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Kassie clary

on 23 May 2014

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Transcript of REHAB NURSING CRRN PREP III


A SET OF PRINCIPLES OF RIGHT CONDUCT
THE STUDY OF MORAL STANDARDS AND HOW THEY AFFECT CONDUCT
THE DISCIPLINE DEALING WITH WHAT IS GOOD AND BAD AND WITH MORAL DUTY AND OBLIGATION
MORAL DEFINITION
ETHICS
STUDY OF THE NATURE AND JUSTIFICATION OF GENERAL ETHICAL PRINCIPLES THAT CAN APPLY TO SPECIAL AREAS WHERE THERE ARE MORAL PROBLEMS.
BIOETHICS
THE STUDY OF THE RELATIONSHIP BETWEEN BIOLOGY, MEDICINE, TECHNOLOGY AND SCIENTIFIC ADVANCEMENTS AS RELATED TO ETHICAL ISSUES.
ETHICAL MODELS
DEONTOLOGY
UTILITARIANISM
OBJECTIVISM
SOCIAL EQUALITY AND JUSTICE
IDEAL OBSERVER
MODELS OF ETHICAL & MORAL DECISION MAKING
REHAB NURSING CRRN PREP III
ETHICS DEFINITION
ETHICAL, MORAL AND LEGAL CONSIDERATIONS
TRADITIONS OF BELIEF ABOUT RIGHT AND WRONG, MORAL CONDUCT
MORALITY
CHANGES WITH SOCIAL CHANGES
CONCERNED WITH THE JUDGEMENT OF THE GOODNESS, BADNESS OR HUMAN ACTION AND CHARACTER
RELATING TO PRINCIPLES
OF RIGHT AND WRONG
IN BEHAVIOR
YES, IT IS JUDGEMENTS ABOUT DECISIONS TO ACT
REHAB NURSING ETHICS
?
OR THE PERCEPTION OF THE REHAB NURSING PRACTICE
AND SUBSEQUENT ACTIONS BASED ON THE RULES OF CONDUCT
DEONTOLOGY
THEORIST KANT
ALSO KNOWN AS DUTY BASED ETHICS
DECISIONS DERIVED FROM MORAL RULES AND UNIVERSAL VALUES THAT DO NOT CHANGE; THERE IS A CATEGORICAL IMPERATIVE
CONSEQUENCES OF DECISIONS ARE LESS IMPORTANT THAN FOLLOWING THE RULES
UTILITARIANISM
THEORISTS BENTHAM & MILL
ALSO KNOW AS SITUATIONAL ETHICS
BASED ON THE ASSUMPTION THAT ACTIONS LEAD TO MAXIMIZING THE OVERALL GOOD
THE END JUSTIFIES THE MEANS
OBJECTIVISM
THEORIST ST THOMAS AQUINAS
ACTIONS ARE CONSIDERED MORALLY RIGHT WHEN THEY ARE IN ACCORD WITH OUR NATURE
PROMOTE GOOD & AVOID EVIL
SOCIAL EQUALITY AND JUSTICE
THEORIST RAWLS
SUPPORTS JUSTICE & EQUAL RIGHTS FOR ALL BY THE DEVELOPMENT OF POSITIONS THAT USE A "VEIL OF IGNORANCE" SO THAT DECISIONS ARE NOT COLORED BY THE SPECIFIC DETAILS OF THOSE INVOLVED, ALLOWING THE DISADVANTAGED TO RECEIVE THE SAME SOICAL & ECONOMIC BENEFITS AS OTHERS
IDEAL OBSERVER
THEORIST FRITH
DECISIONS SHOULD BE MADE BY AN IMPARTIAL OBSERVER FULLY INFORMED OF THE SITUATION & THE POTENTIAL CONSEQUENCES OF THE DECISION
ETHICAL MODELS
NURSING PROCESS
3 STEP ACT MODEL
SAVAGE MODEL FOR FACILITATING ETHICAL DECISIONS
JOSEPHSON INSTITUTE OF ETHICS DECISION MAKING MODEL
NURSING PROCESS & ACT
NURSING PROCESS
IDENTIFY THE PROBLEM
GATHER DATA
IDENTIFY OPTIONS
MAKE A DECISION
ACT
ASSESS
3 STEP ACT MODEL
A = ANTICIPATE OBSTACLES TO ACTION
C= CLARIFY POSITION RELATED TO PLANNING ACTION
T= TEST CHOICE
SAVAGE MODEL FOR FACILITATING ETHICAL DECISION MAKING
GATHER FACTS OF THE CASE & UNDERSTANDING OF THOSE PARTIES INVOLVED
IDENTIFY THE QUESTIONS & GOALS
ORGANIZE A MEETING WITH KEY PLAYERS
PROVIDE INFORMATION, REFERALS, EDUCATION & EMOTIONAL SUPPORT TO FAMILY
PARTICIPATE IN IMPLEMENTATION OF DECISION, IF APPROPRIATE
REIVIEW THE PROCESS, EVALUATE YOUR ROLE & REVISE PROCESS AS NEEDED
JOSEPHSON INSTITUTE OF ETHICS & DECISION MAKING MODEL
ALL DECISIONS MUST TAKE INTO ACCOUNT & WELL REFLECT A CONCERN FOR THE INTEREST & WELL BEING OF THE STAKEHOLDERS
ETHICAL VALUES & PRINCIPLES ALWAYS TAKE PRECEDENCE OVER NON ETHICAL ONES
IT IS PROPER TO VIOLATE AND ETHICAL PRICNCIPLE WHEN IT IS CLEARLY NECESSARY TO ADVANCE A TRUE ETHICAL PRINCIPAL, WHICH ACCORDING TO THE DECISION MAKERS CONSCIENCE, WILL PRODUCE THE GREATEST BALANCE OF GOOD IN THE LONG RUN
AIKEN & CATALANO 1994
COLLECT, ANALYZE, & INTERPRET DATA
STATE DILEMMA CLEARLY
CONSIDER CHOICES FOR ACTION
CONSIDER & WEIGH CHOICES
ANALYZE ADVANTAGES & DISADVANTAGES OF EACH CHOICE
MAKE DECISION FOR CHOICES
BLANCHARD & PEALE
ASK, "IS IT LEGAL?"
YES, THEN STOP
NO, GO TO ITEM 2
ASK, "IS IT BALANCED?"
FAIRNESS
ASK, "HOW WILL THIS DECISION MAKE ME FEEL?"
PERSONAL STANDARDS
MORALITY
ETHICAL DECISION MAKING MODELS
WHAT INFLUENCES ACTIONS OF A NURSE?
CHOICES BASED ON PERSONAL BELIEF
PERSONAL BOUNDRIES
COMPLICATED DELEMMAS
CULTURAL DIVERSITY
FAMILY BURDEN OF CARE
LEGAL SCRUTINY
MUST MAKE A CHOICE
EQUALLY UNATTRACTIVE ALTERNATIVES
AWARENESS OF ALTERNATIVES
MAY HAVE TO DEFEND DECISIONS
UNCERTAINTY OF ACTION
ETHICAL PRINCIPLES COMMON IN A REHAB SETTING
AUTONOMY
AN INDIVIDUALS ACTIONS ARE INDEPENDENT FROM THE ACTIONS AND THE WILL OF OTHERS. INDIVIDUALS HAVE THE ABILITY TO FORM THEIR OWN PERSEPCTIVES ON RIGHT, WRONG & VALUES
NONMALEFICENCE
THE CONCEPT OF DOING NO HARM
VERACITY
RESPONSIBILITY TO SPEAK THE TRUTH
QUALITY OF LIFE
CONSENT
CONFIDENTIALITY
RESPONSIBILITY TO KEEP INFO PRIVATE
MORAL DILEMMA
MORAL UNCERTAINTY
MORAL DISTRESS
MORAL CONFLICT OCCURS WHEN A CHOICE MUST BE MADE BETWEEN 2 EQUAL POSSIBILITIES
DEFINING ATTRIBUTES OF A DILEMMA
BENEFICENCE
THE CONCEPT OF DOING GOOD FOR OTHERS
ADVOCACY
LOYALTY, CHAMPIONING THE NEEDS AND INTERESTS OF OTHERS
CARE
PROVIDING FOR & MEETING THE NEEDS OF OTHERS FOR COMPASSION, EMPATHY & GOOD
SANCTITY OF LIFE
VALUE OF LIFE, RIGHT TO LIVE
CONDITION IF ONES LIFE BASED ON ASSESSMENT OF CORRELATION BETWEEN LIFE &PARTICIPATION & VALUED ACTIVITIES & INTERESTS
VOLUNTARY AGREEMENT WITH A PROCEEDURE, PROCESS, OR TREATMENT
COMPETENCE
THE ABILITY OR LEGAL RIGHT TO MAKE APPROPRIATE DECISIONS
VALUES
WORTHWHILE OR POSITIVE QUALITIES HELD ON AN OBJECT OR OUTCOME THEESE SHOULD BE CHOSEN CAREFULLY, BUT FREELY
RIGHTS
ETHICAL RIGHTS
RIGHTS ARE THE BASIS OF PROFESSIONAL, REGULATORY, AND LEGAL CODES AND JUDGMENTS
PATIENTS-SELF DETERMINATION ACT
1990-DANFORTH AMENDMENT
PATIENT HAVE THE OPPORTUNITY TO DECIDE ON LIFE SUPPORT OPTION
PATIENTS BILL OF RIGHTS (1973) AHA
CONFIDENTIALITY
PRIVACY
INFORMED CONSENT
UPDATED IN 1992 TO REFLECT THE RESPONSIBILITIES OF HEALTHCARE PROVIDERS AND REINFORCE COLLABORATIVE CARE
REWRITTEN IN 2003
CALLED THE PATIENT CARE PARTNERSHIP
ENCOURAGED PATIENTS TO GET INVOLVED IN THEIR CARE AND ASK QUESTIONS
FEDERALLY MANDATED PATIENT RIGHTS
RECENTLY ADDED "RIGHT TO EFFECTIVE PAIN MANAGEMENT"
THE STATE OF BEING UNABLE TO FOLLOW THE RIGHT COURSEOF ACTION DUE TO INSTITUTIONAL BARRIERS
THEY REFLECT WHAT SOCIETY BELIEVES A PERSON IS ENTITLED TO
RIGHTS CAN COME INTO CONFLICT WITH VALUES
LEGAL ISSUES
LIVING WILLS AND LIFE-PROLONGING DECLARATIONS
INFORMED CONSENT
INCOMPETENCE
GUARDIANSHIP
ESTATE PLANNING
LEGAL DEATH OR BRAIN DEATH
DURABLE POWER OF ATTORNEY
ALLOW PEOPLE TO MAKE THEIR WISHES KNOWN BEFORE HOSPITALIZATION REGARGING MEDICAL CARE, ILLNESS, OR CONDITIONS RESULTING IN INCOMPETENCE
ENABLES A COMPETENT PERSON TO APPOINT A SURROGATE DECISION MAKER WHO IS EMPOWERED TO ACT LEGALLY FOR THE PATIENT
A POSITION OF RESPONSIBILITY GRANTED A PERSON BY THE COURT TO MAKE A DECISION FOR THE INCAPACITATED PERSON'S LIFE
A COURT DECISION BASED ON CLINICAL OPINION OF THE PERSON'S MENTAL OR COGNITIVE FITNESS
FULL DESCRIPTION OF THE RISKS AND CONSEQUENCES OF AGREEING OR REFUSING TO HAVE AN OPERATION OR PROCEEDURE
LONG TERM PLANNING FOR FUTURE CARE AND EXPENSES
LEGAL PARAMETERS DEFINING WHEN LIFE CEASES
WITHHOLDING OR WITHDRAWING TREATMENT
DO NOT RESUCITATE
RESEARCH ON HUMANS
ETHICAL FOUNDATIONS OF HEALTHCARE REFORM
DIAGNOSIS AND PROGNOSIS
COLLABORATIVE DECISION MAKING AND EFFECTIVE COMMUNICATION
ACUTE CARE VS LONG TERM CARE
ALLOCATION OF RESOURCES
ETHICAL REHABILITATION
EFFECTIVENESS
QUALITY
EFFECTIVE MANAGEMENT
PROFESSIONAL INTEGRITY
TEAM ISSUES
ETHICAL ISSUES RELATED TO ALTERNATIVE MEDICATION
ETHICAL IMPLICATIONS OF CARING
UNIVERSAL HEALTHCARE FOR EVERY AMERICAN WITH OUT A COST BARRIER
COMPREHENSIVE BENIFITS (PRIMARY, PREVENTITIVE, AND SPECIALTY
FAIR PROCEEDURE
CHOICE (PROVIDER, PLANS, TREATMENT)
EQUAILITY OF CARE (BASED ON NEED NOT THE INDIVIDUAL
FAIR DISTRUBUTION OF COSTS ACROSS THE COMMUNITY
PERSONAL RESPONSIBILITY
INTERGENERATIONAL JUSTICE
WISE ALLOCATION OF RESOURCES
LOCAL RESPONSIBILITY
FUTURE CONSIDERATIONS
END OF LIFE ISSUES
GENETIC RESEARCH
BEGINNING OF LIFE ISSUES
RESOURCE ALLOCATION
BALANCING MEDICAL AND REHAB NEEDS THAT PRESENT MORAL QUANDARIES

ACCESS TO REHAB SERVICES REGARDLESS OF CLIENTS DISABILITY OR FUNDING LEVEL
ISSUES THAT REHAB PROFESSIOALS MUST ADDRESS
TEAM CONTRIBUTIONS TO DECISION MAKING WITH REGARD TO SERVICES TO CLIENTS AND CLIENT'S PROGRESS AND OUTCOMES
DEFINITIONS OF QUALITY OF LIFE ISSUES
LEGAL REQUIREMENTS FOR PROVIDING REHAB
CLIENT DECISIONS TO ADHERE OR NOT TO ADHERE TO RECOMMENDED REGIMENS AS DEFINED BY THE REHAB TEAM
SEE YOU NEXT TIME
Full transcript