Hartman's Nursing Assistant Care Long-
Term Chapter 3.
Ethics
Ethics are the knowledge of right and wrong
Laws
Laws are usually based on ethics. Governements establish laws to help people live peacefully together
and to ensure order and safety.
OBRA
Due to reports of poor care and abuse in long-term care facilities, the U.S. government passed the
Omnibus Budget Reconciliation Act (OBRA) in 1987. OBRA set minimum standards for nursing assistant
training.
MDS
Minimum Data Set (MDS). The MDS is a detailed form with guidelines for assessing residents.
Resident's right
Resident's right relate to how residents must be treated while living in a facility. They provide an ethical
code of conduct for healthcare workers.
Quality of life
Residents have the right to the best care available. Dignity, choice, and independence are important
parts of quality of life.
Services and activities to maintain a high level of wellness
Residents must receive the correct care. Their care should keep them as healthy as possible every day.
The right to be fully informed about rights and services
Residents must be told what care and services are available. They must be told the fees for each service.
They must be made aware of all te legal rights.
The right to participate in their own care
Residents have the right to participate in planning their treatment, care, and discharge. Residents have
the right to refuse medication, treatment, care, and restraints.
Informed consent
is the process by which a person, with the help of a doctor, makes informed decisions about his or her
health care.
, The right to make independent choices
Residents can make chocies about their doctors, care, and treatments.
The right to privacy and confidentiality
Residents can expect privacy when care is given.
The right to dignity, respect, and freedom
Residents must be respected and treated with dignity by caregivers.
The right to security of possessions
Residents' personal possessions must
Rights during transfers and discharges
Location changes must be made saefely
The right to complain
Residents have the right to make comlaints and voice grievances without fear of punishment.
Rights with social services
The care facility must provide residents with access to social services, including counseling, assistance in
solving problems with others, and help contacting legal and financial professionals.
Neglect
means harming a person physically, mentally, or emotionally by failing to provide neede care.
Active neglect
is purposely harming a person by failing to provide needed care.
Passive neglect
is unintentionally harming a person physically, mentally, or emotionally by failing to provide needed care.
Negligence
means actions, or the failure to act or provide the proper care for a resident, that result in unintened
injury.
Malpractice
occurs when a person is injured due to professional misconduct through negligence, carelessness, or lack
of skill.
Abuse
means purposely causing physical, mental, or emotional pain or injury to someone.
Physical abuse
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