Provide, for example, drug-specific educational interventions and cultural competence strategies. Include evidence that you have to support your selected strategies. Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care. Explain the rationale for coordinated care plans based on ethical decision-making. Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision-making.

Provide, for example, drug-specific educational interventions and cultural competence strategies. Include evidence that you have to support your selected strategies. Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care. Explain the rationale for coordinated care plans based on ethical decision-making. Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision-making.

Key Ethical and Policy Issues Affecting the Coordination and Continuum

Several ethical and policy issues affect the coordination and continuum of care. The lack of resources and informed consent are some ethical challenges in nursing homes. The nursing code of ethics guides the clinical decision-making process in nursing homes, thus helping nurses in these facilities navigate these challenges. Lack of resources is another challenge that may affect operational efficiencies in these care institutions. Policy issues affecting nursing homes are those on preserving patients’ rights and funding these institutions. HIPAA and Residents Rights in Nursing Home Act aims to protect the privacy of residents of these care homes, and Medicare programs fund these institutions through reimbursements.

Summary

In summary, nursing homes maintain significance in providing physical care and emotional support for patients with AD and other forms of dementia. They are, however, subject to policy regulations. Policies such as HIPAA and the Residents Rights in Nursing Home Act play a role in providing the necessary oversight in these care institutions. These policies aim to direct funding and protect the welfare of residents of these institutions. The implementation of these policies may, however, raise ethical questions such as informed consent. Nonetheless, the nursing code of ethics may help nurses navigate these ethical challenges.

References

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Jakobsen, R., Sellevold, G. S., Egede-Nissen, V., & Sørlie, V. (2017). Ethics and quality care in nursing homes: Relatives’ experiences. Nursing Ethics, 26(3), 767–777. https://doi.org/10.1177/0969733017727151

Moore, W., & Frye, S. (2019). Review of HIPAA, part 2: Limitations, rights, violations, and role for the imaging technologist. Journal of Nuclear Medicine Technology, 48(1), 17–23. https://doi.org/10.2967/jnmt.119.227827

SDOH. (2020, March 16). Healthy People 2020 – social determinants of health. NCEAS. Retrieved December 19, 2022, from https://sdoheducation.org/resources/ealthy-people-2020-social-determinants-of-health/

 

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