Ethico-Legal Considerations for Older Adults
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Questions and Answers

Why is it important to explain a procedure to a patient before obtaining consent?

  • To allow the patient to fully understand the risks and benefits. (correct)
  • To make the patient feel more comfortable during the procedure.
  • To ensure the patient can take legal action.
  • To fulfill legal requirements.

Who is typically responsible for providing consent if a patient is mentally incompetent?

  • The hospital administration.
  • The patient's physician.
  • A court-appointed guardian. (correct)
  • The patient's friends.

What does a durable power of attorney enable?

  • Only financial decision-making power.
  • Continuation of authority even when the individual becomes incompetent. (correct)
  • Immediate revocation of all powers granted.
  • Exclusive control over medical decisions only.

What is included in informed consent before a procedure?

<p>Alternatives and expected consequences of the procedure. (D)</p> Signup and view all the answers

What does the term 'guardianship' refer to?

<p>The right to give medical consent for another person. (D)</p> Signup and view all the answers

What should nurses recommend regarding guardianship and power of attorney?

<p>That patients seek legal counsel for proper guidance. (C)</p> Signup and view all the answers

What type of guardianship allows decision-making about both personal and property matters?

<p>Plenary guardianship. (C)</p> Signup and view all the answers

What is a major responsibility of gerontological nurses?

<p>Supervising unlicensed personnel. (D)</p> Signup and view all the answers

What is the age defining a senior citizen or elderly in the Philippines?

<p>60 years old (B)</p> Signup and view all the answers

Which of the following areas does elder law cover?

<p>Estate planning (D)</p> Signup and view all the answers

What key ethical aspect is recognized in the care of geriatric patients?

<p>Respect for older persons (C)</p> Signup and view all the answers

Which of these is NOT a component of elder law?

<p>Medications prescriptions (A)</p> Signup and view all the answers

What should be minimized to reduce legal issues in gerontological nursing practice?

<p>Prescription errors (A)</p> Signup and view all the answers

How do personal values affect the care of older adults?

<p>They can shape attitudes and expectations about aging. (A)</p> Signup and view all the answers

Which of the following best describes elder abuse as addressed by elder law?

<p>Physical, emotional, and financial abuse (A)</p> Signup and view all the answers

What is a primary objective of understanding the laws affecting senior citizens?

<p>Ensure legal protection and benefits for elderly (B)</p> Signup and view all the answers

Which of the following is NOT a recognized type of elder abuse?

<p>Physical neglect (A)</p> Signup and view all the answers

What is a common indicator that an older adult might be experiencing abuse?

<p>Delay in seeking necessary medical care (B)</p> Signup and view all the answers

Which of the following could potentially signal exploitation of an older adult?

<p>Sudden changes in banking habits (C)</p> Signup and view all the answers

Which of the following is a type of elder abuse related to neglect?

<p>Inappropriate administration of medications (A)</p> Signup and view all the answers

Which factor may contribute to elder abuse going undetected?

<p>Isolation from others (B)</p> Signup and view all the answers

What should nurses familiarize themselves with to protect their legal rights in the workplace?

<p>Laws governing their specific care agency and state nurse practice act (D)</p> Signup and view all the answers

What emotional signs might indicate elder abuse?

<p>Suspiciousness and anxiety (A)</p> Signup and view all the answers

Which of the following emphasizes the importance of nursing practice related to elder care?

<p>Familiarizing with laws and agency policies (C)</p> Signup and view all the answers

What is the recommended frequency for the influenza vaccine for older adults?

<p>Annually starting at age 65 (A)</p> Signup and view all the answers

What screening tool is used to identify potentially inappropriate medications for older adults?

<p>STOPP (D)</p> Signup and view all the answers

Which vaccination is recommended only once for individuals over the age of 60?

<p>Herpes zoster (C)</p> Signup and view all the answers

Which of the following statements reflects a key ethical principle in geriatric care?

<p>Patients have the right to self-determination in their care. (A)</p> Signup and view all the answers

What is the primary purpose of assessing an older adult's medication list?

<p>To determine if polypharmacy is present (D)</p> Signup and view all the answers

Which stakeholders are involved in health policy formation?

<p>Patients/consumers, nurses and providers, government, and organizations (D)</p> Signup and view all the answers

What is one primary purpose of the National Alzheimer’s Project Act?

<p>To enhance coordination of research and services related to Alzheimer's (C)</p> Signup and view all the answers

Which provision does the PPACA address specifically regarding older adults?

<p>Provisions aimed at reducing healthcare disparities (B)</p> Signup and view all the answers

How can nurses advocate for those who are uninsured or underinsured?

<p>By joining nurse organizations to amplify their voice (A)</p> Signup and view all the answers

What type of intervention is essential for older adults during healthcare transitions?

<p>Client- and family-specific interventions (A)</p> Signup and view all the answers

What is the minimum age defined for a person to be considered a senior citizen in the Philippines?

<p>60 years old (B)</p> Signup and view all the answers

Which of the following is NOT a benefit entitled to senior citizens in the Philippines?

<p>Free educational programs for all ages (B)</p> Signup and view all the answers

What discount do senior citizens receive on medicines and essential medical supplies?

<p>20% discount with a VAT exemption (D)</p> Signup and view all the answers

What is one of the responsibilities of employees supervising senior care mentioned in the content?

<p>Refuse to work in unsafe conditions (D)</p> Signup and view all the answers

Which of the following transportation services is NOT subjected to a 20% discount for senior citizens?

<p>Domestic airline tickets (B)</p> Signup and view all the answers

What is a legal requirement for employees overseeing senior care in uncertain legal situations?

<p>Seek administrative or legal guidance (D)</p> Signup and view all the answers

Which of the following benefits are NOT included under the 20% discount for senior citizens?

<p>Discounts on luxury items (C)</p> Signup and view all the answers

Which of the following best describes the coverage of free medical services for seniors?

<p>Both government facilities and private hospitals (C)</p> Signup and view all the answers

Flashcards

Senior Citizen

A person aged 60 years or older in the Philippines.

Elder Law

Legal practice area covering planning for older adults, elder abuse protection, and related issues.

Elder Abuse

Physical, emotional, or financial harm to older adults.

Goals of Care

Desired outcomes for treatment or care.

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Geriatric patients

Older adults requiring medical care or treatment or specific conditions related to aging.

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Ethical Principles

Moral guidelines for decision-making in care.

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Estate planning

Planning for the management and distribution of an estate (assets) upon a person's death.

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Legal Safeguards for Nurses

Rules and guidelines to protect nurses in clinical practice and ensure legal compliance.

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Patient Consent

The permission given by a patient for a procedure after understanding the procedure, its purpose, alternatives, expected consequences, and risks.

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Patient Competency

The ability of a patient to make informed decisions regarding their healthcare.

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Incompetent Patient

A patient who lacks the mental capacity to understand and make informed healthcare decisions.

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Guardian Appointment

A court's decision to appoint a guardian for an incompetent person to make healthcare decisions on their behalf.

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Guardian of Person

A guardian with authority to make decisions concerning medical treatment for an incompetent patient.

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Durable Power of Attorney

A legal document appointing someone to make decisions for an individual if they become incapacitated.

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Limited Power of Attorney

A legal document authorizing a person to make decisions for another, but only for specific matters, like finances.

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Staff Supervision (Gerontological Nurses)

Gerontological nurses oversee other staff, emphasizing the importance of skilled care of elderly patients.

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Who's a Senior Citizen in Philippines?

Anyone living in the Philippines who is 60 years old or older.

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Senior Citizen Benefits

Senior citizens in the Philippines get various benefits, including tax exemptions, free medical services, and discounts on goods and services.

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20% Discount for Seniors

Senior citizens are entitled to a 20% discount on various goods and services like medicines, transportation, entertainment, and more.

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Discount on Transportation

Senior citizens get a 20% discount on land, sea, and domestic transportation, including jeepneys, buses, taxis, and MRT.

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Discount on Entertainment

Senior citizens receive a 20% discount on movie tickets, concerts, and amusement parks.

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Funeral Discount

Senior citizens are eligible for a discount on funeral and burial services when they pass away.

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Report Unusual Occurrences

Nurses are expected to report and document any unusual occurrences in their patient's care.

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Refuse Risky Situations

Nurses have the right to refuse to work in situations that threaten patient safety.

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Elder Abuse Types

Different forms of mistreatment of older adults, including physical, emotional, sexual, exploitation, neglect, and abandonment.

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Physical Abuse (Elder Abuse)

Using physical force against an older adult, causing harm or injury.

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Emotional Abuse (Elder Abuse)

Emotional mistreatment, such as verbal aggression, insults, or intimidation, targeting an older adult.

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Signs of Elder Abuse

Indicators of potential abuse or neglect, observed during interactions with older adults, e.g., delay in medical care, malnutrition.

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Neglect (Elder Abuse)

Failure to provide essential care and support for an older adult, leading to harm or risk of harm.

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Exploitation (Elder Abuse)

Taking advantage of an older adult's vulnerability for personal gain, such as financial fraud or abuse of trust.

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Nurse's Role in Elder Abuse

Nurses must be aware of potential abuse, report concerns, and use assessments like the Elder Mistreatment Assessment to identify and address it.

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Nursing Practice Legal Protections

Nurses need to understand agency rules, state nurse practice acts, and labor laws; remain within scope of practice.

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Health Policy

Rules and guidelines that shape the health system, affecting healthcare access, cost, and quality.

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STOPP Screening

A tool used to identify potentially inappropriate medications for older adults, focusing on preventing adverse drug events.

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START Screening

A screening tool used to identify medications that are under-prescribed in older adults, helping ensure they receive necessary treatments.

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Health Disparities

Unequal access to healthcare and health outcomes based on factors like age, race, or socioeconomic status.

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PPACA

The Patient Protection and Affordable Care Act, aiming to expand health insurance coverage and address disparities.

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Ethical Conflict in Geriatrics

A situation where there are two equally valid choices in the care of an older adult, creating a moral dilemma.

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Autonomy in Geriatric Care

The ability of an older adult to make independent decisions about their care, even as cognitive ability changes.

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Advocacy

Supporting and speaking up for those facing barriers to healthcare, especially the uninsured and marginalized.

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Care Transition Models

Structured plans to support patients moving between healthcare settings, ensuring smooth and safe transitions.

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Influence of Personal Values on Care

How individual beliefs and attitudes about aging affect decisions and actions in elder care.

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Study Notes

  • Senior citizens are individuals 60 years of age or older.
  • Philippine laws provide benefits for senior citizens, including dual citizens if they meet specific residency requirements.
  • Senior citizens are respected members of society with dignity and pride.
  • This module discusses laws affecting senior citizens, medications for older adults, ethical principles, and long-term care.

LAWS AFFECTING SENIOR CITIZENS/OLDER PERSONS

  • Elder law is a legal field covering estate planning, care arrangements, social security, retirement benefits, protection against abuse (physical, emotional, financial), and support for older adults.
  • Baby boomers are individuals born after World War II, experiencing a significant increase in birth rates.
  • Senior citizens are often retired and living on pensions.
  • Durable power of attorney is a legal document appointing someone to make decisions if the signer becomes incapacitated.
  • Elder abuse encompasses physical, emotional, or financial harm, or neglect, by family members, caregivers, or others.

MEDICATIONS OF OLDER ADULTS

  • Goals of care influence medication choices.
  • Ethical constructs are central to geriatric patient care.
  • Personal values, attitudes, and expectations about aging impact care.
  • Legal issues in gerontological nursing practice should be minimized.
  • Legal safeguards for nurses are outlined.

ETHICAL PRINCIPLES

  • Ethics in geriatric care is complex and challenging.
  • Autonomous decisions are vital; consider changing capacities.
  • Ethical conflicts involve difficult choices.
  • Moral distress occurs when nurses want to do the right thing, but factors limit them.
  • Moral uncertainty involves uncertainty regarding the ethical issue.
  • Moral principles guide professional conduct (e.g., beneficence, nonmaleficence, justice, autonomy).
  • Informed consent is essential for procedures.

LONG-TERM CARE AND OTHERS

  • Assistive technologies enhance older adults' independence and safety.
  • Technologies include assistive devices, communication aids, emergency response systems, and environmental controls.
  • Internet access and Web-based services aid in health and care for older adults and their families.

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Related Documents

Unit 8: Ethics and Legal Considerations in the Care of Older Adults (Philippines PDF)

Description

This quiz explores the ethical and legal frameworks surrounding the care of older adults, particularly in the context of Philippine laws. It covers critical issues such as elder law, rights, and the provision of benefits to senior citizens. Participants will enhance their understanding of the ethical dilemmas and legal protections relevant to this demographic.

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