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CHAPTER 3: LEGAL AND ETHICAL ISSUES
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LEARNING OBJECTIVES
List examples of legal and ethical behavior
Explain the Omnibus Budget Reconciliation Act (OBRA)
Explain resident’s rights in regards to their importance
Discuss abuse and neglect, including how to report each
List examples of behavior supporting and promoting residents’ rights
Describe what happens when a complaint of abuse is made against a nursing assistant
Explain how disputes may be resolved, including the ombudsman’s role
List ways to protect resident’s privacy
Explain the Patient Self-Determination Act (PSDA)
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LEGAL AND ETHICAL ISSUES
Ethics
Law
Guideline’s for legal and ethical behavior
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OMNIBUS BUDGET RECONCILIATION ACT (OBRA) Omnibus Budget Reconciliation Act (OBRA)
Minimum Data Set (MDS)
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RESIDENTS’ RIGHTS Residents’ Rights Quality of Life Services and activities Fully informed about rights and services
Participate in his or her own care Informed consent
Make independent choices Privacy and confidentiality Dignity, respect, and freedom Security of posessions Transfers and Discharges Complain Visits Social services
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ABUSE AND NEGLECT
Abuse Physical Psychological Sexual Financial
Neglect
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BEHAVIORS SUPPORTING AND PROMOTING RESIDENTS’ RIGHTS Guidelines for protecting Resident’s Rights
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COMPLAINTS OF ABUSE
Nurse Aid Training Competency Evaluation Program (NATCEP)
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RESOLUTION OF DISPUTES AND THE OMBUDSMAN’S ROLE Ombudsman
Older Americans Act (OAA)
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HIPAA AND PROTECTION OF RESIDENTS’ PRIVACY Confidentiality
Health Insurance Portability and Accountability Act (HIPAA)
Protected health information (PHI)
Health Information Technology for Economic and Clinical Health (HITECH)
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THE PATIENT SELF-DETERMINATION ACT (PSDA) AND ADVANCED DIRECTIVES Patient Self-Determination Act (PSDA)
Advanced directives
Living will
Durable power of attorney for healthcare
Do-not-resuscitate (DNR)
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REVIEW
Law and ethics
Omnibus Reconciliation Act (OBRA)
Residents’ rights
Abuse and neglect
Behaviors supporting and promoting residents’ rights
Complaints of abuse
Resolution of disputes and the ombudsman’s role
HIPAA and protection of residents’ privacy
The Patient Self-Determination Act (PSDA) and advanced directives