Ethics and Ageing Flashcards
why are ethics important to this population group?
- more reluctant to speak up for themselves because of fear of being treated poorly or ostracized
- population aging
- health care resource: when elders get pushed down the wait list because younger people take priority. Deciding who gets the resources. Ageism
- living older, using more health care resources. Who gets the resources?
The Nature of Ethics
- Relationships
- Context
- Values and beliefs
- Ethical principles
what is an Ethical Violation?
incompetent care or deliberate wrong doing
What is an Ethical Distress?
feelings of guilt, concern or distaste arise out of actions or inactions imposed on a person
What is an Ethical Dilemmas?
tension between two or more actions of equal moral
worth
Nature of ethics: relationships
- how are we will patients, colleagues, families organizations and society. Ethics shaped by our current relationship. DIfferent justifications
- Relations ethics takes into account power and authority, values, beliefs, and wishes of those involved in the ethical decisions. What is the power struggle? your patient is the head of neurology, you may treat them better.
Nature of Ethics: Context
in the hospital the clients supplies for care are all covered and applied by health care services. ie catheters or dressings. Then they go home and now they have to pay for it on their own. Where might they get supplies? can they afford it? is it clean?
Financial resources
what is a value?
- is defined as that which is desirable or esteemed for its own sake; something we prize or hold dear. ie your integrity, you can value your beliefs
What are beliefs?
Don’t confuse with faith. is defined as the conviction that
something is true.
what are the four ethical principles?
- Autonomy: they right to chose for yourself
- Distributive Justice: equality regardless of situation
- Beneficence: duty to benefit others
- nonmaleficence: duty to do no harm
difference between equality and equity
equality: everyone gets the same amount of stuff
equity: everyone gets just what they need
Relational practice
how do you chose to show compassion and respect to the client you currently have a relationship with.
qualities of a nurse: relational ethics
- capable of working with uncertainty and ambiguity
- engaging with complex ambiguious experiences and knowing that we do not have all the answers
- authenticity, responsiveness, mutuality in interactions
- honouring of differences
what is elder abuse?
- Defined as maltreatment of older adults
- Can be intentional or unintentional
- Can result from the actions or inaction of others
WHO definition of elder abuse
“…single or repeated acts, or lack of appropriate action, occurring within a relationship where there is an expectation of trust, which causes harm or distress of an older person”
Cultural and Socioeconomic Factors
- Frail, weak and dependent
- Erosion of bond: no family connections anymore
- Restructuring
- Distribution of power
- Migration
- Paternalistic societies