Ethical and legal issues in nursing home care

被引:31
作者
Hayley, DC
Cassel, CK
Snyder, L
Rudberg, MA
机构
[1] MT SINAI MED CTR,DEPT GERIATR & ADULT DEV,NEW YORK,NY 10029
[2] AMER COLL PHYSICIANS,DEPT HLTH PUBL POLICY,PHILADELPHIA,PA
关键词
D O I
10.1001/archinte.156.3.249
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:249 / 256
页数:8
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