The purpose of this course is to familiarize the learner with ethical principles related to caring for persons living with dementia. Information about the ethical principles of autonomy, beneficence, justice, and non-maleficence is presented. The course engages the learner in distinguishing how to apply these principles in the care setting.
Relias Learning, LLC is approved as a Curriculum Developer by the Washington State Department of Social and Health Services. This activity is approved for 1.0000 contact hours for all WA State Direct Care Workers. Training Provider Code: WA0624. CE Approval Code: CO1933702
Florida Board of Nursing Home Administrators (CEBroker Provider # 50-290)
Georgia Nursing Home Administrators Board (CEBroker Provider # 50-290)
59A-36.011 Staff Training Requirements. Location: Online
Relias, LLC is approved by the California Department of Social Services as a Continuing Education Training Program Vendor to provide Continuing Education training courses to administrators of residential care facilities for the elderly.
Vendor/Provider # 2000224-740-2;
Approval # 224-0149-32662.
This activity is approved by the California Department of Social Services for 1.00 contact hours.
This course is approved by the North Carolina Department of Health and Human Services Division of Facility Services - Group Care Licensure Section (NC-DHHS)
Program Sponsor ID #032316
This activity is approved for 1.0000 contact hours.
Relias, LLC is an approved provider of continuing education by the California Department of Public Health, Provider # NAC7001.
The certificate must be retained by the licensee for a period of four (4) years after the course is completed.
This learning activity meets the definition of *** ONLINE *** CEUs. This activity is approved for 1.00 contact hours.
Relias, LLC is approved by the California Department of Social Services as a Continuing Education Program Vendor to provide Continuing Education training courses to administrators of Adult Residential Facilities.
Vendor/Provider # : 2000224-735-2
Approval # 224-0149-32603
This activity is approved by the California Department of Social Services for 1.0000 contact hours.
This activity is approved for 1.0000 contact hours.
This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 1.0000 clock hours. If you have any feedback regarding the NAB approved continuing education programs, send your email to the following address: [email protected]
This educational offering is approved by the California Nursing Home Administrator Program (NHAP) as a Patient Care/Aging ("P" credit) course. Provider # CEP 1701; Course Approval # 1701001-8989/P. This activity is approved for 1.0000 contact hours.
Learning activity approved by the Tennessee Department of Health, Bureau of Health Licensure and Regulation as continuing education for Residential Homes for the Aged and Assisted Care Living Facility administrators. This activity is approved for 1.0000 contact hours.
3.Bill of rights
4.Code of ethics
II.What are ethics?
A.How to live a good life
B.Rights and responsibilities
C.Right and wrong
D.Good or bad
E.Finding the right ethical response
F.Ethics in care settings
1.Laws protect residents
2.Ethics protect residents
G.What is autonomy?
1.Independence in thoughts and actions
2.Freedom in decision-making
a.Promote and protect rights
b.Encourage choices even for the person living with dementia
1.Situation and context specific
I.Evaluating decision-making capacity
1.Will it cause harm to self or others?
2.Can the person understand possible risks and benefits?
3.Is there consistency across time?
2.Offer respect and support
3.What would your loved one want?
4.Reflect on history and preferences
L.Case study-Jim and Mary
1.Jim's choice to live where he wants to even though his daughter wants him to move
2.Ethical decision-making considerations
a.Who has the authority and right to make the decision?
b.The role of healthcare surrogate
c.What should the staff of the care setting do?
d.What other underlying issues may be present?
2.Prevents harm and suffering
1.Autonomy versus beneficence
2.Things to consider
a.The right level of autonomy supports beneficence
b.Encouragement versus control
3.Autonomy and beneficence
a.Find the right strategy
i.Least restrictive alternative
a)Limits are no greater than is necessary
c)Individual assessment and strategies
i.Beneficence versus autonomy:fell and didn't want to go to the hospital for care
a)What is best for Eleanor?
b)Ethical principals involved
c)Was the ethical decision made?
d)Why is applying ethical principles so complex?
e)What was the outcome?
1.Fair, equitable standard of care
2.Rooted in democracy
a.Dignity and respect
d.Free from abuse or neglect
c.A form of discrimination
6.Burden to society
a.History of discrimination
h.Checkpoint:Fill in the blank
a.Safe living environment
b.Consideration and respect
c.Control of private property
e.Community services and activities
f. Manage financial affairs
g.Share room with spouse
h.Exercise civil and religious liberties
i.Access to appropriate care
j.To be notified in advance of a move
k.To express grievances
11.Oversight and monitoring
a.To ensure the ethical principle of justice is put in practice
12.Ethical principle of justice
a.Case study-Laura and Mark, residents who like being in each other's company; Mark has a wife who lives at her own home and wants him kept away from Laura
i.What should the staff do?
ii.What staff members are involved in this ethical concern?
iii.What are the ethical concerns and principles?
iv.Is wandering a consideration?
v.Should Laura have to move?
vi.What else could be tried?
1.First, do no harm
2.Autonomy versus beneficence and non-maleficence
3.Case study-Mrs. Delgado, living with dementia, takes a medication that helps her anxiety; she is refusing the medication, and staff members want to hide the medication in ice cream
a.What should the staff do?
b.Risks and guidelines
III.Summary and conclusion
A.Consider the ethical principles of autonomy, beneficence, justice, and non-maleficence
B.People living with dementia have rights and can still enjoy life
C.Balance safety and freedom
D.Focus on care that is person centered
Catherine Zimmerman is a licensed independent clinical social worker who has a private practice providing counseling services to people of all ages and all stages of their lives. She is a freelance healthcare writer and speaker specializing in mental health, ethics, hospice and palliative care, gerontological topics, substance misuse, caregiving, stress and trauma. Zimmerman received her master's degree from Portland State University thirty years ago and is certified in clinical social work-Gerontology. Zimmerman supervises and mentors therapists seeking licensure in Oregon or Washington states. She is the current President of the Washington chapter of the National Association of Social Workers and has provided public presentations on over twenty topics and has numerous published works.Instructor: Cynthia McDaniel, MSN, RN
Cynthia McDaniel MSN RN, is a nurse and administrative consultant in long term care. She is the CEO of ElderWise Inc, a senior living consulting and education group. Cynthia has worked as a nurse consultant for the States of Oregon and Washington, a geriatric care manager, a regional director of clinical operations for a senior living company, and an assistant professor at Oregon Health & Science University School of Nursing. Her research in assisted living focused on the characteristics of residents in assisted living communities and the role of the nurse in assisted living. Cynthia holds a Master's of Science in Nursing from Gonzaga University in nursing education. She is a Fellow of the Sigma Theta Tau/John A. Hartford Foundation Geriatric Nursing Leadership Academy.
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