Identifying Ethical And Legal Issues in Elder Care Essay Assignment

Child and Elder Abuse Reporting

This summary is about the ethical and legal concerns that have to be taken into account when reporting child or elder abuse for psychiatric mental health nurse practitioners (PMHNPs). It points out four different scholarly articles, two on ethical and legal issues for children/adolescents and two on ethical and legal issues for adults/elders. It further explains how this information could apply to my clinical practice in North Carolina. Identifying Ethical And Legal Issues in Elder Care Essay Assignment

Ethical Considerations for Children/Adolescents

An article by Broaddus-Shea et al. (2021) on the initial response of healthcare to child and adolescent sexual abuse exposes important ethical concerns for psychiatric-mental health nurse practitioners (PMHNPs). The main findings highlight appreciation of minors’ freedom, observing privacy and confidentiality, and provision of compassionate services that are trauma-informed at suitable places. This relates to the PMHNP moral obligation of non-maleficence which means that they should ensure patient’s best interests are met while minimizing further harm. However, beneficence has also to be reconciled with reporting duty as per law regarding abuse cases. In addition, as advocates for the child/adolescent their empowering role should be these reports shall be in compliance with mandatory reporting requirements. Child trauma-informed care expertise alongside unceasing ethical analysis on multifaceted decisions involved in child abuse response can enable PMHNPs to make kind-hearted choices that honor the dignity of a child/adolescent and emotional aspects but also activate legal actions and protections. Identifying Ethical And Legal Issues in Elder Care Essay Assignment

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Legal Considerations for Children/Adolescents

The article written by Narang et al. (2020) highlights the abusive head trauma issue, emphasizing the absolute necessity of informed legal decision-making and advocacy to safeguard children. For psychiatric-mental health nurse practitioners (PMHNPs) in North Carolina who provide care for patients suffering from suspected abusive head trauma, it is legally required that they report such cases to local Department of Social Services (DSS) Child Protective Services as stipulated by North Carolina General Statute 7B-301. When DSS receives allegations which include law enforcement, it would also conduct an investigation and decide whether further court action is needed in order to take away the child from caregivers that might deter more damage and enhance safety. PMHNPs must play their part by necessitating state statutory safeguards through immediate referral of abuse suspicions to DSS according to their role as defenders for at-risk children. The child protection partners have been well-trained on how to navigate expertly through child abuse reporting procedures so as to uphold justice while using this kind of legal recourse available in North Carolina for PMHNP’s who need help in any case where there has been maltreatment. Identifying Ethical And Legal Issues in Elder Care Essay Assignment

Ethical Considerations for Adults/Elders

The article entitled, “Identifying ethical and legal issues in elder care” by Podgorica et al. (2021), presents core ethical issues that are relevant to PMHNPs when they are treating geriatric patients. Some of the major findings indicated include non-patient-centered practices such as un-informed decision making, inadequate disclosure of health status and disrespecting living wills. When a person is made to feel like they cannot make decisions concerning their own welfare, then it means that their rights have been violated. The study calls for more training on ethical principles in the healthcare profession. PMHNPs should act as advocates for vulnerable elderly patients. This involves mastery of elder care ethics and self-evaluation of personal ethical decision-making process among PMHNPs who intend to remain honest while offering assistance. Identifying Ethical And Legal Issues in Elder Care Essay Assignment

Legal Considerations for Adults/Elders

Podgorica et al. (2021) in their article “Abusive head trauma in infants and children” discuss significant legal concerns that are pertinent to psychiatric-mental health nurse practitioners (PMHNPs) attending to geriatric patients within North Carolina. Although the law is vague regarding elder rights, this is not a clear situation in Albania hence impacting the implementation of such laws. Moreover, there are clearly defined laws concerning elder rights and autonomy that PMHNPs must abide by in North Carolina. This encompasses reporting any suspected violation of elderly adults’ rights as per the directive of North Carolina General Statute 108A-102. There are also issues dealing with end-of-life directives and advance treatment preferences for individuals aged 18 or older as regulated by living wills applicable in NC, Health Care Power of Attorney papers, Physician Orders for Life-Sustaining Treatment (POLST) forms, among others. Identifying Ethical And Legal Issues in Elder Care Essay Assignment

My PMHNPS Practice in North Carolina

In my PMHNP practice in North Carolina, clear understanding of ethical codes and state laws is essential to guide decision making around abuse reporting for both child and adult patients. There are statutory requirements in NC General Statute 7B-301 that all persons or entities who believe a minor is being abused, neglected or is dependent must adhere to. Suspected disabled or older adults abuse should be reported under NC GS 108A-102 for adults. Any suspicion of maltreatment would necessitate immediate reporting while at the same time upholding the privacy of those being cared for and maintaining therapeutic alliance with them. To safeguard vulnerable patients lawfully and ethically according to North Carolina’s state laws, I could involve social work and legal colleagues using an inter-professional approach. So as to infuse legal and ethical foundations into my daily PMHNP practice, it will be important for me to continue learning about the current best practices, regulatory policies, and ethical analysis thereof. Identifying Ethical And Legal Issues in Elder Care Essay Assignment

References

Broaddus-Shea, E. T., Scott, K., Reijnders, M., & Amin, A. (2021). A review of the literature on good practice considerations for initial health system response to child and adolescent sexual abuse. Child abuse & neglect, 116, 104225. https://doi.org/10.1016/j.chiabu.2019.104225

Narang, S. K., Fingarson, A., Lukefahr, J., Abuse, C. O. C., Sirotnak, A. P., Flaherty, E. G., … & Palusci, V. J. (2020). Abusive head trauma in infants and children. Pediatrics, 145(4). https://doi.org/10.1542/peds.2020-0203

Podgorica, N., Flatscher-Thöni, M., Deufert, D., Siebert, U., & Ganner, M. (2021). A systematic review of ethical and legal issues in elder care. Nursing ethics, 28(6), 895-910. https://doi.org/10.1177/0969733020921488

Podgorica, N., Pjetri, E., Müller, A. W., & Deufert, D. (2021). Identifying ethical and legal issues in elder care. Nursing ethics, 28(7-8), 1194-1209. https://doi.org/10.1177/0969733020981761

ETHICAL AND LEGAL FOUNDATIONS OF PMHNP CARE

Child and elder abuse reporting. Identifying Ethical And Legal Issues in Elder Care Essay Assignment

TO PREPARE
Locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents. Identifying Ethical And Legal Issues in Elder Care Essay Assignment

Discussion post
Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state ( North Carolina ). Attach the PDFs of your articles. Identifying Ethical And Legal Issues in Elder Care Essay Assignment