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Ethical Challenges Facing Case Managers Essay

1964 Words8 Pages

Patients in healthcare settings require all caregivers to work cooperatively on their behalf to provide excellent, high-quality care and treatment on a consistent basis. This process is instrumental in shaping a healthcare dynamic which focuses on the needs of patients and which supports the continued growth and development of activities in the practice setting to meet these requirements. However, nurse case managers may face ethical challenges when advocating for their patients when payers may view the circumstances in a different light. It is the responsibility of all case managers to make decisions which are ethically responsible and which provide patients with the best possible care under specific conditions. They play a critical role in this process and must advocate for rather …show more content…

Case managers must adhere to a code of conduct which regulates their behavior and requires them to make decisions which are in the best interests of their patients on a routine basis, and they must “practice only within the boundaries of their role or competence, based on their education, skills, and appropriate professional experience” (Commission for Case Manager Certification, 2015, p. 4). This is of critical importance because it provides a framework for case managers to follow in each decision that is made and to refrain from going beyond the scope of their knowledge and training, even when they believe that they have the knowledge to address a different set of circumstances effectively (Commission for Case Manager Certification, 2015). As a case manager, it is essential that patients who require services are evaluated in a timely manner and that insurance issues are addressed as quickly as possible to prevent health-related complications and other

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As a result, I will focus on the machines on the patient, but also the patients on the machine. Conclusion Ethical decision-making begins with a nurse aspiring to become a nurse leader. A nurse leader cannot provide the best care for a patient without proper communication. Communication allows the patient, nurse, and other healthcare team members to work coherently for the best plan of care.

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Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,

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As the role of case management becomes apparent so are legal and liability claims. It makes no matter what practice setting a case manager is in they can be held for damages if their actions fall below the normal accepted standards of care and if the patient has a bad outcome. The case manager needs to be aware of the standards of care and document all intervention done. When preparing to case management a client gather information that appropriated health care history from admission to discharge. So, that appropriate plan of care can developed among the health care team to ensure positive outcome for this episode of care.

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The morals worried inside medicinal services office is set up from the official ethics, which is a subject of structure similarity, duty and culture. Legislative ethics are utilized while building up the advancement and deals strategy to both the metro and the social insurance vocation of the approach. The human services segment has an obligation to world prosperity that goes well past their returns. In a few cases, for example, discharge medicinal trials information, a more responsible and moral procedure to business may at last prompt bigger fortune. A move towards all the more ethnically based organizations may leave this, from which we will all profit.

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Provision one, a provision in the American Nurses Association Code of Ethics for Nurses, entails that nurses should pursue their nursing career with empathy and respect towards all patients. In other words, patients should be viewed as separate individuals with separate values and beliefs. Nurses and other healthcare professionals should respect their individual decisions, whether they agree with them or not. This code of ethics provision relates to the ethical dilemma of a patient refusing medical treatment. Although nurses are trained to do all that they are capable of doing to save patients’ lives, sometimes nurses reach a dilemma that puts a strain on their practice.

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In order to effectively address this issue, she would need to refer to the American Nurses Association (ANA) code of ethics for nurses. Provisions of the code of ethics are established statements that provide nurses with guidance when faced with ethical and professional dilemmas in the place of employment (ANA, 2015). Not only that nurses provide direct care, but they also speak on behalf of the patients when their needs are not met. Nurses are committed to the patient well-being and safety. In provision 3 of the code of ethics, “the nurse promotes, advocates for, and protect the health, rights, and safety of the patient” (Westrick, 2013, p. 16).

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Future research should examine both advocacy and paternalism to overcome ethical dilemma of autonomy and wellbeing to help nurses make ethical decisions. A better understanding of the issue of advocacy and paternalism help in determining the development of more effective interventions for patients with dementia. Lastly, it is important that the health care professional evaluates and decides what level of supports the client requires to find the fine line between the advocacy and understanding of paternalism to make ethical decision for nursing care (Sjöstrand et al.,

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Moral decisions are not always easy decisions to make. However, necessary means are often provided to fulfill these difficult decisions. In health care, there are certain ethical principles or guidelines that help us make the appropriate choice when it comes to giving the best care to a patient, and they help justify the purpose for providing the best care to a patient. These principles are relevant in our health care system today in order for patient care to be as appropriate and as effective as possible.

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In the field of nursing practice nurses frequently experience situations which encourage them to think about ethical and legal aspects to make decisions. In this case study author will examine different ethical principles and legal possibilities which could be applied to make decision. In this case, a nurse is suffering from debilitating motor neuron disease. She realise that disease is progressive and in short time she will be in last stage of disease. She is worried about emotional and financial effects of disease on her family.

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Background The ability to recognize, understand and treat symptoms related to illnesses, along with crafting the right questions in order to promote optimal care is considered a fine art in the field of healthcare. However, sensitive and time-critical conditions can pose questions that could challenge the status quo in relation to healthcare policy and decision making. Challenging circumstances often call for drastic measures that make difficult to decide right vs wrong. An ethical dilemma defines this decision-making process.

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During the research process, students must successfully overcome various tasks. One of the most important tasks is ethical principles. Throughout the doctoral candidacy, students are held to certain standards of conducting themselves with integrity and originality. At the end of the doctoral program, students must submit a research that contributes to a theory of their specialization. This paper reviews several articles that provide issues involved in ethical misconduct during the research/dissertation process.

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Ethical issues may arise in the workplace no matter how big or small the facility. It can originate from a single act or come from the top down through culture. In general we learn from a young age what is right from wrong; therefore one would think that everyone thinks the same and all should be running smoothly. One must always advocate for the client as we as carers are there to care for and assist those who cannot for themselves and ensure their safety. To ensure safe practice is carried out at all times to ensure safety of the client also safety for the staff.

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776 Words | 4 Pages

As the demand for services increase, healthcare leaders will need to ensure caregivers provide ethical treatment for patients, regardless of their insurance status. According to the Shortell &Kalunzy’s (2010) text, the American Hospital Association simplified the Patient’s Bill of Rights into a brochure titled, “Understanding Expectations, Rights, and Responsibilities” (Burns et al., 2012, p. 420). The rights include, “high quality hospital care, a clean and safe environment, involvement in your care, protection of our privacy, help when leaving the hospital, and help with your billing claims” (Burns et al., 2012, p. 420). These patient rights are important because some providers have been known to treat patients poorly, especially when Medicare and Medicaid are involved.

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1610 Words | 7 Pages

The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to

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893 Words | 4 Pages

Nurses should advocate for patients at all time and determine the goals that will maintain stability while encouraging honesty and

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