Ethical and Legal Issues in Nursing Home Care
Hayley, Deon Cox
Cassel, Christine K.
Rudberg, Mark A.
Archives of Internal Medicine. 1996 Feb 12; 156(3): 249-256.
Physicians who provide care for nursing home residents are regularly challenged by ethical and legal issues. Because nursing home care is complicated by numerous regulations and because nursing home residents have complex medical and social problems, some issues are unique to the long-term care setting and others present in unfamiliar ways. Some issues frequently encountered in this context are discussed: advance directives, competence and decision-making capacity, decisions about life-sustaining treatment, resident abuse, restraints, psychotropic medications, risk management, participation in research, and ethics committees. With knowledge of the legal and ethical framework and understanding of some of the common, complicated issues that arise, physicians should be better equipped to provide optimal care for nursing home residents.
Advance Care Planning; Advance Directives; Aged; Allowing to Die; Artificial Feeding; Autonomy; Behavior Control; Beneficence; Communication; Competence; Comprehension; Confidentiality; Consent; Decision Making; Dementia; Drugs; Ethics; Ethics Committees; Evaluation; Family Members; Home Care; Human Experimentation; Informed Consent; Institutionalized Persons; Justice; Knowledge; Legal Aspects; Life; Long-Term Care; Misconduct; Negligence; Nursing Homes; Paternalism; Patient Admission; Patient Advocacy; Patient Care; Patient Participation; Patients; Patients' Rights; Physical Restraint; Physician Patient Relationship; Physicians; Privacy; Psychoactive Drugs; Research; Resuscitation; Rights; Risk; Risk Management; Social Problems; Third Party Consent; Treatment Refusal; Withholding Treatment;
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