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Theory of utilitarianism
Theory of utilitarianism
Theory of utilitarianism
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John Hardwig is a professor at East Tennessee State University teaching philosophy and medical ethics. The thesis of his article is “I feel strongly that I may very well someday have a duty to die.” He makes the case that many older people and young people say that they do not want to be a burden to their family once their illness comes to full-time care. Then they decide to euthanize themselves. He gives many examples of how full- time care can be a positive thing.
Which under the current design addresses long- term care for a limited amount of time, such as for rehabilitation purposes. These services cannot be received outside of a Medicare-approved facility, which means the person cannot reside in their home and receive the long-term care assistance under the current system. Therefore, we propose to amend this portion of the program to extend the funding for long-term care to include home care. Which consist of the relatives receiving monetary compensation for their care. Under the current policy, 41% of the Medicare budget of $50,000,000,000 is being advocated this particular area.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Many people are supported in their homes by people who work along side the health and social care service such as social workers,nursers ,doctor and care givers or they may get support from their family members and friends. An elderly person may choose to stay in their own homes instead of a residential care home while seeking help and support from others,however this can lead to potential opportunities for abuse happening to the person who Is being looked after. When an individual is getting support at home by a carer, the individual being cared for is vulnerable and defenseless and therefor this makes them a target for abuse,another example is abuse by strangers,when an elderly person lives alone they are at risk of people calling at the door and then gaining access to their homes,they may steal items from them or mistreat them or cause intimidation. A person who is vulnerable and living alone are at risk of physical and sexual because there is no one there to stop this abuse from happening.
The team has the knowledge and expertise to address a wide range of senior lifestyle needs and is committed to providing expert guidance and support to clients and their families in all aspects of their care. 3. Exceptional Care for Optimal Health: Eva's Home Care takes a holistic approach to caregiving, using innovative solutions to meet the unique needs of each client. Our caregivers promote wellness by encouraging healthy habits like proper nutrition, exercise, and mental stimulation. We believe that the best possible care is achieved when clients follow medical advice and receive support for their spiritual well-being, which we see as essential to overall health and happiness.
Individuality: all service users receiving care should be able to maintain their individuality by been able to choose what they were, who and when they socialize, the activities they join in with and maintain their own views and opinion. Choice: all service users receiving the care should be able to make their own choices from little things like mealtimes to when they get dressed to when they get out of bed but in different circumstances such as limited mental capacity sometimes choices can be made for them, but these are always in the best interests of the service user. By working with these values care workers have a good understanding of what is right and what is wrong in their job role, this is both best practice and embedded in legislation.
Nurses in Complex Continuing Care Encountering Ethical Dilemmas of Autonomy and Wellbeing When Patient with Dementia Wants to go Home Bhakti Amin Student # A0622083 Professor S. Cairns NURS 2047 23 March 2018 Introduction Dementia continues to grow as a condition diagnosed among elderly females, researchers have hypothesized that this is due to longer female life expectancy (Podcasy & Epperson, 2016). Allowing a client with dementia to stay in their own can have several benefits such as joy, comfort, socially connected, maintain identity, and have meaning in life; however, in many cases, clients with dementia require complex continuous care (CCC) to support their health and wellness needs and the needs of their family (Lilly
Life and Death in Assisted Living Facilities Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities.
However, the care worker may abuse this power and if a service user had unacceptable behaviour they may be punished rather than being told what their doing wrong, because most care workers complain about their salary, they choose not to do specific things as they complain about “not being paid enough for this” this can lead duty of care being appaling as they may leave individuals who may need support in changing leave them be in an uncomfortable situation for a long duration of time. Respect and Dignity can also be harshly discriminated as care homes may serve bacon to service users who are muslim which is forbidden,this can happen with individuals who have dementia as they may not remember their beliefs. In an old care home, most individuals are capable of doing activities individually, however if they are always helped , they can feel less in control and lack in free choice. When safeguarding is not properly practised people will feel unprotected making them lack sleep as they become frightened at night. When service users are not being treated properly they can become unhappy with the setting and eventually depressed lacking in self image and self
Problem Identification Currently, the world faces a shortage of medical professionals as the population continues to increase and with more incidences of chronic illnesses. With the increased the cost of healthcare, telehealth offers an efficient tool for delivery of quality care. The problems that prompted the development of telehealth include: • Large population increase in the U.S. With a 20 percent estimated rise between years 2008 to 2030 (Hein, 2009). • The constraint in number of educated, trained as well as licensed healthcare professionals •rise in chronic diseases incidences globally, such as diabetes and heart failures •the obligation to offer quality care to the elderly, and the home-bound, as well as the physically disabled population
Tom Kitwood (1997) cited in (The Open University, 2017) supports the approach of seeing and treating people as individuals, he calls this ‘person-centred care’. This approach looks at the physical, social and psychological needs of the individual. Person-centred care encourages people to have more involvement in making decisions about their care so they get the support and service they need. There are three main types of long-term care settings such as residential care homes which offer different degrees of personal care, Nursing homes offer care which requires the skills of qualified nursing staff and long-stay hospitals which offer a more specialised medical care. (The Open University, 2017).
Since nursing homes tend to provide care to a vulnerable population they can be taken advantage of, overlooked or mistreated by staff and with residents potentially underreporting these incidents due to fear of retaliation by staff identifies this as significant ethical issues among nursing homes. The use of restraints that restricts a resident, whether physical or chemical applies to the ethical considerations within a nursing home as it not only impacts the resident, it can affect staff members and other resident’s safety. There is always the conflict between providing the resident with a fair amount of decisions regarding their activities of daily living, special accommodations, and independence. However, there is also the reflective issue of whether these freedoms impact the safety and the ability to comply with the institution's policy and how they are handled to deliver ethically appropriate customer service to those
A number of problems surround the second question; the most obvious of which are limited time, the limited capacity of human foresight to calculate the maximum number of happiness, and the inability of the theory to advise on the time frame utilitarianism is to be applied to; how do you know the maximum number of happiness for the next 10 years doesn’t mean greater overall unhappiness in the next 50 years, so what time period should one keep in mind when considering an issue from a utilitarian stand point, 1 year, 5 years, 10, 20? This lack of clarity further adds to the impractical nature of the ideology. There are a myriad number of situations which seem very difficult to resolve without employing utilitarian principles and a very good example is the widespread use of utilitarian principles in bioethics. The best example here would obviously be the famous case of the conjoined twins Mary and Jodie. The facts in front of the court indicated that Mary was the parasitic twin who shared a heart with Jodie.
Every decade our population gets older and a whole new generation of seniors comes along with a new set of attitudes and expectations as to what they want from an assisted living facility. And now that people are living longer, there is a much greater need for these facilities. They can provide a refuge to many family members that may become severely burdened by the arduous task of taking care of a loved one who can no longer take care of themselves. When simple tasks such as bathing and feeding become near impossible to manage alone, not to mention driving to the store and shopping, decisions about placement into a home become paramount. Most important to the family members is the ability of the facility to provide the adequate care that is needed for their loved ones.
Utilitarianism and Deontology are two major ethical theories that influence nursing practice. Utilitarian principles of promoting the greatest good for the greatest amount of people parallels the nursing tenet of beneficence. Deontological principles of treating individuals with dignity, and promoting the well-being of the individual parallels the nursing tenet of non-maleficence. Utilitarian and Deontological principles can be utilized to resolve ethical dilemmas that arise in the nursing profession. The purpose of this paper is to define utilitarianism and deontology, discuss the similarities and differences between the two, and to address an ethical dilemma utilizing utilitarian and deontological principles.