This course explores the ethical basis for certain core Hospice Conditions of Participation. Seen from the perspective of our ethical ideals, our compliance with these regulations is not a submissive response to these CoPs. Instead following the regulations can be viewed as living in accord with many of our cherished values.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Ethics in Healthcare
Ethics Defined
Health Care Ethics, Medical Ethics, or Bioethics
Laws vs. Regulations vs. Ethics
Principles of Healthcare Ethics
Review
Summary
Section 3: Human Rights and Hospice Regulations
The Universal Declaration of Human Rights
Hospice CoPs: Abuse and Neglect (418.52)
Hospice CoPs: Further Support for Human Rights (418.52)
Informed Consent
Elements of Informed Consent
Review
Summary
Section 4: Balancing Ethics, Culture, and Compliance
The Obligation for Informed Consent
Cultural Sensitivity vs. Informed Consent
Beneficence, Nonmaleficence, and Patient Values
Patient Wishes
Challenges for Hospice Staff
Documenting Compliance
Review
Summary
Section 5: Broad Frameworks to Guide Ethical Decision Making
Views on the Ethical Process
The Utilitarian Framework
The Rights Framework
Fairness and Justice Framework
The Virtue Framework
A Process for Ethical Decision-Making
Ethics Committees
Review
Summary
Section 6: Conclusion
Summary
Course Contributor
Resources
References
Susan Heinzerling earned a Bachelor of Science in biology and a Bachelor of Science in nursing from the University of North Carolina at Chapel Hill as well as a Master of Life Sciences in physiology from North Carolina State University. She became a doctoral candidate in immunology at the University of South Alabama. Her research experiences in the biomedical sciences led to an interest in evidence-based practices. Ms. Heinzerling began her nursing career as a medical/surgical nurse. Renal patients in acute care with multiple chronic conditions and repeated hospitalizations inspired her practice of hospice nursing. She has worked as a hospice admissions nurse and a hospice RN case manager in both a large urban setting and a rural community. Disclosure: Susan Heinzerling, BSN, RN, CHPN has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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