CNA Chapter 4

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CNA Chapter 4
2013-02-15 22:15:41
Ethical legal considerations

Ethical and legal considerations
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  1. Ethics
    Guidelines for right or wrong behavior are called ethics.

    Doctors, nurses, and other health care workers have developed standards for their profession called medical ethics.

    • Nursing assistants must also behave in an ethical manner:
    •  Respect each patient as an individual
    •  Protect the patient from harm
    •  Protect the patient's privacy
    •  Be honest and trustworthy
    •  Avoid spreading gossip
    •  Be aware of the limits of your role
    •  Perform your job to the best of your ability
  2. Legal issues and laws
    Assault: a threat to do bodily harm is called assault.(There is no physical contact)

    Battery: touching another person's body without permission is called battery.(Patients have the right to refuse any treatment or procedure)

    False imprisonment: restricting or restraining a person's movements without proper consent is called false imprisonment.

    Invasion of privacy:falling to protect the privacy of the patient's body or privacy of personal information is invasion of privacy.

    Negligence: failure to give proper care, which results in harm to the patient or the patient's property is called negligence.

    Slander and libel:Injuring the name and reputation of another person by making a false statement is called slander. Slander that is put in writing is called libel.

    Legal accountability:accountability is taking responsibility for your own actions. Legal accountability means that you are legally responsible for your own actions.

    Wills: a patient or a family member may ask you to witness or help prepare a will. you should politely refuse and direct the person to nurse.
  3. Advance directives
    An advance directive is a document that gives instruction as to the patient's desires about health care treatment. The directive becomes effective only if the patient is unable to make decisions or state his or her wishes.

    A living will is a document that leaves instructions about whether or not you want your life prolonged by artificial means if you become terminal ill.
  4. The patient's bill of rights
    A patient's bill of rights is a list of the basic rights to which all patients are entitled.

    The right to be treated with consideration and respect

    The right to full disclosure 

    The right to make decision

    The right to privacy and confidentiality

    The right to appropriate care

    the right to refuse

    The right to be free from harm and abuse

    The right to be free from physical or chemical restraints

    The right to personal choice

    The right to participate in group activities

    The right to personal belongings

    The right to privacy for married couples
  5. Patient abuse
    Persons who are abused are usually not physically or mentally able to defend themselves.

    Physical abuse can include hitting or handling a patient roughly.

    Emotional abuse involves verbal statements that frighten or threaten the patient

    Sexual abuse can involves actual physical contact or threats of physical contact.

    Material abuse involves misuse of the patient's personal possessions.

    Protecting the patient from abuse: one of the best ways to protect the patient from abuse is by being observant. Be observant for changes in the patient's personality and report any unusual patient behavior to the nurse.