Week Nine Flashcards
The CNA Code of Ethics recognizes what about dignity?
Relate to ALL people with respect
Support for: people, families, communities
Take into account unique values, customs, and spiritual beliefs AS WELL as social and economic circumstances
Intervene and report when others fail to respect the dignity of a person receiving care
Respect privacy and be discreet with care
Use care when considering use of restraints
Maintain appropriate and professional BOUNDARIES – do not abuse relationships for financial gain or enter into personal relationships
Work to relieve pain and suffering
Support a dignified and peaceful death
Treat each other, colleagues, and STUDENTS with respect
Nurses and Dignity
Nurses recognize and respect the intrinsic worth of each person
What make’s consent informed and legal?
To be legally valid:
The client must have the legal and mental capacity to make a treatment decision.
The consent must be given voluntarily and without coercion.
The client must understand the risks and benefits of the procedure or treatment, the risks of not undergoing the procedure or treatment, and any available alternatives to the procedure or treatment.
What is required for informed consent?
- A brief, complete explanation of the procedure or treatment.
- Names and qualifications of people performing and assisting in the procedure.
- A description of any possible harm, including permanent damage or death, that may occur as a result of the procedure.
- An explanation of therapeutic alternatives to the proposed procedure/treatment, as well as the risks of doing nothing. Clients also need to be informed of their right to refuse the procedure/treatment without discontinuing other supportive care and of their right to withdraw their consent even after the procedure has begun.
What the CNA has to say about informed consent
The process of giving permission or making choices about care. It is based on both a legal doctrine and an ethical principle of respect for an individual’s right to sufficient information to make decisions about care, treatment and involvement in research. In the code, the term informed decision-making is primarily used to emphasize the choice involved.
How consent is obtained?
A signed form is required for all routine treatment, hazardous procedures, and some other treatments.
Provisions must be made for disabled patients, those with literacy challenges and those for whom English is not the first language.
The Code of Ethics says about Informed Consent
Nurses, to the extent possible, provide persons in their care with the information they need to make informed decisions related to their health and well-being. They also work to ensure that health information is given to individuals, families, groups, populations and communities in their care in an open, accurate and transparent manner
Nurses respect the wishes of capable persons to decline to receive information about their health condition
Nurses recognize that capable persons may place a different weight on individualism and may choose to defer to family or community values in decision-making.
Nurses ensure that nursing care is provided with the person’s informed consent
Nurses are sensitive to the inherent power differentials between care providers and those receiving care. They do not misuse that power to influence decision-making.
Nurses advocate for persons in their care if they believe that the health of those persons is being compromised by factors beyond their control, including the decision-making of others.
When family members disagree with the decisions made by a person with health-care needs, nurses assist families in gaining an understanding of the person’s decisions
Labonte (1993)
Created a multidimensional conceptualization of health (not just an ideal state of well-being):
Feeling vitalized and full of energy Having satisfying social relationships Having a feeling of control over life Being able to do things you enjoy Having a sense of purpose Feeling connected to community
Levels of Disease Prevention
Primary
Secondary
Tertiary
Historical approaches to health in Canada
Medical
Behavioural
Socioenviromental
What is Health Promotion?
Health promotion is “directed toward increasing the level of well-being and self-actualization” (Pender et al., 2006)
Ottawa Charter views health promotion as the overarching concept, defined as “the process of enabling people to increase control over, and improve, their health”
Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals, but also action directed towards changing social, environmental and economic conditions so as to alleviate their impact on public and individual health. Health promotion is the process of enabling people to increase control over the determinants of health and thereby improve their health. Participation is essential to sustain health promotion action.”
The Ottawa Charter
Strengthen community action
Develop personal skills
Build healthy public policy
Create a supportive environment
Enable
Mediate
Advocate
Reorient health services
Health Promotion Principles
- Health promotion addresses health issues in context.
- Health promotion supports a holistic approach.
- Health promotion requires a long-term perspective.
- Health promotion is multi-sectoral.
- Health promotion draws on knowledge from social, economic, political, environmental, medical, and nursing sciences, as well as from first-hand experiences.
Health Promotion Strategies (Ottawa Charter)
Build healthy public policy Create supportive environments Strengthen community action Develop personal skills Reorient health care
Nurses role in health promotion
Nurses work with people to enable them to attain their highest possible level of health and well-being (CNA, 2008). This can be done by: Information dissemination Health risk appraisal Lifestyle and behavior change programs Environmental control programs
