Ethics is a branch of philosophy that has important applications to the work that nurses do. Understanding ethics and applying ethical principles in palliative care is fundamental in our work and aligns with practices that support the older adult in their final journey. The cornerstone of ensuring “a good death” for older adults is to provide care that is consistent with the older adult’s or family’s values and goals through identifying, communicating, and honoring these goals and values. The goal of this course is to provide nurses with knowledge of ethics in palliative care for older adults.
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Florida Board of Nursing (CEBroker Provider #50-290)
Georgia Board of Nursing (CEBroker Provider #50-290)
South Carolina Board of Nursing (CEBroker Provider #50-290)
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
New Mexico Board of Nursing (CEBroker Provider #50-290)
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Mississippi Board of Nursing (CEBroker Provider #50-290)
North Dakota Board of Nursing (CEBroker Provider #50-290)
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Basic Ethical Concepts
Ethics, Morality, and the Law
Ethics and the Moral World
Ethical Principles
Ethical Dilemmas
Review
Summary
Section 3: Goals of Care and Advance Directives
Ascertain the Goals of Care
Historical Developments
Key Roles for Nurses
Explore Values, Beliefs, and Priorities
Discuss Possible Scenarios and Treatment Options
Advance Directives
Types of Advance Directives
Five Wishes®
POLST/MOLST
The Status of Advance Directives
Advocacy and Advance Directives
Review
Summary
Section 4: Decision-Making and Capacity
Decisional Capacity
Decision-Making in the Absence of Capacity
Establishing Capacity
Maximizing Capacity
Standards for Surrogate Decision-Making
It’s a Process
Review
Summary
Section 5: Ethical Decision-Making
Ethical Dilemmas and Advance Directives
Ethical Dilemmas: Your Role
When Ethical Dilemmas Occur
Medically Administered Nutrition and Hydration
Review
Summary
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
The content for this course was revised by Carol O. Long, PhD, RN, FPCN, FAAN.
Dr. Carol O. Long is a national expert in community-based healthcare and has assumed varied nursing and consulting positions in research and education. Dr. Long has numerous articles, monographs, book chapters, and books related to community-based care, end-of-life care, hospice, and pain management. She has presented end-of-life and palliative care for advanced dementia training nationally and internationally. Her research centers on outcome indicators in advanced dementia care and staff knowledge and attitudes relative to palliative care interventions. Dr. Long has been an ELNEC (End-of-Life Nursing Education Consortium) trainer since the course’s inception. She is a Fellow in the Hospice and Palliative Nurses Association and the American Academy of Nursing. Dr. Long is a Transcultural Nursing Scholar with the Transcultural Nursing Society of America. She holds a BSN from Marquette University, an MS from the University of Michigan and PhD at Arizona State University.The content for this course was created by The ELNEC Project Team.
Disclosure: ELNEC Geriatric 2021 has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
The ELNEC Project, which began in 2000, is a collaboration between the American Association of Colleges of Nursing (AACN), Washington, DC and the City of Hope, Duarte, CA. For more information about ELNEC, go to www.aacnnursing.org/ELNEC.
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