safe & dependent or unsafe & independent: the ethical challenge of providing services to the...
TRANSCRIPT
SAFE & DEPENDENTor
UNSAFE & INDEPENDENT:The Ethical Challenge of Providing
Services To the Mentally Competent Consumer Experiencing Physical Decline
Jennifer J. Strayer, LMSWLaura Remmel, RN
GENERAL OVERVIEW
Introductions of Presenters
The Home Health Care Team and Patient Safety
The Consumer’s Perspective
The Role of the Social Worker
GENERAL OVERVIEW
The Role of the Nurse
The Role of Adult Protective Services
Improving the System
Discussion with the Audience
The Home Health Care Team and Consumer Safety
Function and purpose of home health care
Team members (SN, PT, OT, ST, MSW, Personal care aides)
Services provided
Addressing concerns of consumer safety Assessment of physical functioning/home safety Assessment of mental competence
THE CONSUMER’S PERSPECTIVE
The consumer’s personal experience: How does he/she feel? What does he/she want?
Remaining at home: The decisional balance Unsafe & Independent Safe & Dependent
THE CONSUMER’S PERSPECTIVE
Available options and resources
Family / support networks
Decision-making
System navigation, service/program access
Long term care planning:
THE SOCIAL WORKER’S PERSPECTIVE
The role of the social worker in consumer safety
The social worker’s experience: Case examples
Personal reactions to field work
THE SOCIAL WORKER’S PERSPECTIVE
NASW (National Association of Social Workers) Code of Ethics 1.02 - Self-determination 1.07(c) – Privacy and
Confidentiality
THE NURSE’S PERSPECTIVE
The role of the nurse in consumer safety
The nurse’s experience: Case examples
Personal reactions to field work
THE NURSE’S PERSPECTIVE
American Nurses Association – Code of Ethics for Nurses 1.4 – Self-determination 3.2 – Confidentiality
ETHICAL DILEMMA
Professional obligation to consumer Self-determination and Confidentiality
vs. Personal safety
To report or not to report: Making the decision to refer to Adult Protective Services (APS) Interdisciplinary
discussion/consultation Potential repercussions
THE ROLE OF ADULT PROTECTIVE SERVICES
Adult and Long-Term Care Facility Resident Maltreatment Act
Arkansas Adult Protective Services (APS) statistical information
Procedure for making an referral for APS investigation
ADULT PROTECTIVE SERVICES PERSPECTIVE
The role of the APS case worker in consumer safety
The APS case worker’s experience: Case examples
Personal reactions to field work
Improving the System
Why?
Improve quality of life
Personal interest (this could one day be you or someone you love)
Decrease healthcare costs
Improving the System
How?
Revising current programs and processes
Collaboration between State agencies, community service providers, and consumers
DISCUSSION WITH THE AUDIENCE
Questions for the presenters?
Ideas for improving the system
Your professional perspective
CONTACT INFORMATIONJennifer J. Strayer, LMSW
Medical Social Worker IIBaptist Home Health Network11900 Colonel Glenn Rd, Ste. 2000Little Rock, AR 72210-2820Office 501-202-7480Email [email protected]
Laura Remmel, RN Baptist Home Health Network 11900 Colonel Glenn Rd, Ste. 2000
Little Rock, AR 72210-2820Office 501-202-7480Email [email protected]