Evaluating Ethical and Legal Responsibilities in Residential Care

The report examines the essential ethical and legal responsibilities that healthcare professionals must uphold when interacting with patients in residential care homes. It highlights the importance of respecting patients' autonomy and self-determination while ensuring their safety by minimizing risky behaviors. Nurses are urged to treat all patients equally, eliminate discrimination, and provide truthful information to facilitate informed decision-making. The report concludes by emphasizing the need for high-quality services that align with legal standards, thereby safeguarding patient rights and promoting effective care in modern healthcare settings.

Case Study

Table of Contents
INTRODUCTION...........................................................................................................................1
PART 1............................................................................................................................................1
PART 2............................................................................................................................................3
1...................................................................................................................................................3
2...................................................................................................................................................3
PART 3............................................................................................................................................4
1...................................................................................................................................................4
2...................................................................................................................................................4
PART 4............................................................................................................................................4
1...................................................................................................................................................4
2...................................................................................................................................................4
3...................................................................................................................................................5
4...................................................................................................................................................5
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................6

INTRODUCTION
In current scenario, there is an increment in residential care home services which is
supporting people with their specific disabilities or medical requirements. Services which
provided by residential care are; staff are available at 24 hours, meals and accommodation,
helping with personal care and many more (Berwick and Hackbarth, 2012). In this report, case
study has been described about Adam who is living in Out of Home Care (OOHC). In context of
this several issues are faced by residential home care and Adam which are going to be evaluated
in this assignment.
PART 1
Below mentioned table is showing different categories which is influencing the strategy
of mine while working with him.
1. Youth
context/Category
2. Information from
case
3. How this context will
influence strategy
while working with
Adam
Identity Adam lives in OOHC who see
himself as someone for giving
hard care and due to this he
lived in different places.
While employed Adam,
getting the value in order to
know him as person and from
case file he will feel more
connected with his carers.
Further asking him what he
wants from his placement
which may help him to feel
empowered.
Family Relationships Adam relation with his mother
is good. Further Adam reports
that he is very close to his
mother, and often speaking
about his career and wanted to
see her as well.
Working with Adam,
perceptions about his family
members and their roles and
responsibilities has been found
that it describes three main
theme; creating trust,
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involvement and keeping
family happy. Apart from this,
his mother Amelia was
unemployed when he was
staying in home.
Social relationship Adam is not having any
relationship with outside
world because His family is
also live outside of a country.
While working with Adam, it
can develop constraint because
they do not see capable of
having social relationship with
others. As he is spending his
time with doing experiment on
alcohol and other drugs.
Health Adam is doing experiment
with alcohol and drugs which
also including marijuana and
these are leading into assault
of his career. So, this is giving
negative impact on his health.
In care home, health of Adam
is normal. As it become
difficult or challenging for
nurse of health care and
provide services according to
his health issue due to doing
an experiment on alcohol.
Well health of Adam is not get
affecting by any strategy
which is implemented by
residential care home.
Education Adam had been moved from
14 different places and now he
is enrolled in school where he
used to go rarely.
It became issue in providing
useful information according
to him because he had been
moved from different 14
places. I want to provide
useful information to him
through which he will valued
himself.
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PART 2
1.
At the time of meeting with Adam, it is my responsibility to establish a professional
relationship and following are some points which I have to keep in mind. Adam is 14 years old
boy who is living in OOHC house since five months. There are some boundaries which required
by nurse or me in professional judgement.
 I have to keep my nature calmly which makes simple for me to know about the problems
or issues which are facing Adam.
 It is my responsibility to maintain professional boundaries and make report evidence
about boundary violations as according to Adam.
 I have to use professional judgement in order to determine appropriate boundaries with
Adam. The nurse nor the client are not always responsible for forming & keeping
boundaries.
 I am responsible for beginning, maintaining or ending a relationship with client and in
such way it must ensure about their needs and expectation first.
 I It is my responsibility that do not enter into any friendly relationship while giving any
serious treatment to him and have to maintain the boundaries which does not violate their
rights and responsibilities.
 I have to access all privileged and confidential information and do not use this as
disadvantage of patient or for personal uses.
 I do not communicate with Adam in different ways which may perceived as humiliating,
abusive or impolite. If I do this, then this shows unethical behaviour towards him.
2.
There are many advantages are identify in residential home and while working with
Adam. Working in this environment can make a real difference in Adam lives. Some of the
benefits which will brings; it provides comfort and security to people, avoid potential stress;
freedom will provide that what patients wants to eat and fulfil his desires. An immediate and
appropriate response will be given to other patients in emergency cases. Along with this it will
also increase general well-being of people (Carayon, 2016). Further, there are many other
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patients also get determine who wants some other additional services and support from staff
members. Thus, members have to take care about such patients by satisfying their needs and met
with them as per their expectations.
In residential care home every circumstances are different from each other and their
suitability is recognising the quality of service through which people can get freedom. As there
are majority of people who wishes to stay in their homes and maintain independence according
to their choice. While working with Adam a positive and healthy environment will be provided
to him and time to time I will ask for the issues what are facing by him so that it can bring some
advantage for me to provide better service to him. Further some freedom will also provide to him
in regard to eating or outing so that he feels good in residential care. Through this better
treatment will be provided to him. Further, Adam will also get the benefit in improving his
health.
PART 3
1.
After meeting with Adam, I analyse that he is not informing anyone that he wants to go
home and at time he wearer loose singlet. So at this point, my legal responsibility is that I should
handle the problem which is facing by him and provide proper solution to him. Along with this I
have to take care of him in regard in order to reduce dangerous activity from wearing singlet.
2.
Adam is telling about Bruise which is appearing on skin when tinny blood vessels called
capillaries. So, it become my responsibility that not to tell to anyone but this has to be conveyed
to my supervisor so that proper treatment will provided to him. In addition, this will not even tell
to Adam parents about bruise and I will keep this information as confidential.
PART 4
1.
The respond which will be made by me on the request of David, will be politely and I
will hear the issue clearly which is facing by him. Along with this accurate solution will
provided to him that Adam want to meet him or not and what is the reason behind that he doesn’t
want to meet him.
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2.
Adam is having right not to talk with his father because it depends upon the situation
from which he is suffering. Further he can pass the message to his father by me that what is the
reason behind that he doesn’t want to meet his father. Apart from this, nobody can force him to
meet with his father.
At this point of time I will convey him that his father is nearby due to his business he
wants to meet you as your mother is there always. Further, open communication will take place
so that he can tell his personal issues which are facing by him. Besides this, some kind of
manners will also provide to him that how to treat with their parents when they want to talk to
you.
3.
At this point of time, services regarding the treatment will be provided to him. As he is
only frank with his mother now he has to become frank with other family members so that he can
tell his issues. Further training regarding to increase his skills and knowledge so that he become
capable of this much to do his self-task in effective manner. Conducting training programme
would be appropriate because through this, it reduce his weaknesses which are facing by him.
4.
The ethical responsibility of mine is to interact with Adam is that I have to respect him
which show autonomy and self-determination. Further, I have to reduce those dangerous
activities which is causing harm to him in regard to increase his skills and knowledge. Apart
from this, I have to reduce discrimination at workplace and promote the equality and fairness
between Adam and me. Besides this whatever information is provided to Adam should be truth
so according to that he can take better decision. In last I have to remain faithful with him that
whatever information is provided to me should be reliable and authenticate. One of the common
ethical concern is also arises that correctional should be relate to demonstrating of caring in
custody of environment.
CONCLUSION
After summing up report it has been concluded that in modern era, it is essential for
people to receive good services from residential care home. In this many facilities are provided
to them and positive and healthy environment is there so that they can retain them for a period of
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time and become get well soon. Further, services should be provided according to legal rules in
which nurses can defend the rights of patients from any illegal activity which are performing by
them.
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REFERENCES
Books and journals
Berwick, D. M. and Hackbarth, A. D., 2012. Eliminating waste in US health care. Jama.
307(14). pp.1513-1516.
Carayon, P. ed., 2016. Handbook of human factors and ergonomics in health care and patient
safety. CRC Press.
Francesca, C. and et. al., 2011. OECD health policy studies help wanted? Providing and paying
for long-term care: providing and paying for long-term care. (Vol. 2011). OECD
Publishing.
Kocher, R. P. and Adashi, E. Y., 2011. Hospital readmissions and the Affordable Care Act:
paying for coordinated quality care. Jama. 306(16). pp.1794-1795.
Koh, H.K. and et. al., 2012. New federal policy initiatives to boost health literacy can help the
nation move beyond the cycle of costly ‘crisis care’. Health Affairs, pp.10-1377.
Larson, N. and et. al., 2011. What role can child-care settings play in obesity prevention? A
review of the evidence and call for research efforts. Journal of the American Dietetic
Association. 111(9). pp.1343-1362.
McHugh, M. D. And et. al., 2011. Nurses’ widespread job dissatisfaction, burnout, and
frustration with health benefits signal problems for patient care. Health Affairs. 30(2).
pp.202-210.
Online
Ethical and Legal Issues. 2017. [Online]. Available through: <http://www.ncchc.org/cnp-ethical-
legal>. [Accessed on 26th September 2017].
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