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Healthcare Ethics - elder abuse

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Identify a current topic related to healthcare ethics or legal issue in healthcare. Include supporting literature and documentation at the end of your discussion and provide in-text citations as necessary. Analyze and discuss how this issue may possibly affect your organization. Examples may include news/postings from the Centers for Medicaid/Medicare Services (CMS), new regulations or cultural issues.

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Abuse can be prevalent in all areas of the hospital. In the healthcare industry, we see patients sometimes because of injuries that may be because of abuse. A patient may be in the hospital and because we are familiar with the signs and symptoms of abuse, we are able to catch an abuse situation and report it to the proper authorities. There are several types of abuse; child, spousal, elder, sexual and domestic. Within the bounds of each of these abused groups can be neglect, verbal, financial or emotional (http://www.thesafespace.org/the-basics/relationships-101/types-of-abuse/). As a provider, there is an ethical standard to report abuse when observed in a clinical or hospital situation. This is often difficult when the patient may be unwilling to report the abuse such as with elderly patient.

If you hospital has Joint Commission certification, it is mandated that every patient that is admitted have an abuse screening. This is a short couple of questions that are included in the initial questions. These are question such as "Do you feel safe at home?" Elder abuse and neglect is a serious and growing problem among our elderly population. According to the Centers for Diseases Control and Prevention (CDC, 2013), each year hundreds and thousands of adults that are older than 69 years of age are being abused, neglected, or financially exploited. Approximately 500,000 older adults are believed to be abused or neglected each in the United States. It is estimated that for every one case of elder abuse that is reported, ...

Solution Summary

Elder abuse in a hospital is discussed. The question pertains to healthcare ethics.

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Mandated Reporting: Abuse and Harm to Self and Others

The protection of client confidentiality is a general ethical mandate in counseling, and this protection is particularly important when working with clients from vulnerable populations. Conversely, the failure to report in a mandated reporting situation can be laden with ethical and legal implications.

All 50 states have passed some form of mandatory reporting laws for cases of abuse and neglect. All states require certain professions and institutions, including all health-care providers and facilities, all mental-health care providers, teachers and other school personnel, social workers, day-care providers, and law enforcement personnel, to report suspected child abuse.

Failure to report suspected child or elder abuse can result in criminal and/or civil liability. There are consequences for false reporting and, therefore, counselors should be mindful of false reporting laws, as well as immunity statutes and case law. People who report in "good faith" are generally immune from criminal and civil liability.

Give a brief description of two mandatory reporting issues from this examples (e.g., child abuse, elder abuse, abuse of the mentally ill, harm to self and/or others, end-of-life decisions, HIV positive/AIDS and unprotected sexual activity). Then analyze the implications of failing to report in these examples. Finally, research if there is a statuary requirement to report either or both of your examples in the state of Maryland.Explain how and why you would address these issues.

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