Course Code: REL-PAC-0-HCOPETH
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2028
Learning Objectives:
Recognize four ethical principles commonly used in discussing healthcare ethics.
Recall three fundamental human rights identified by the United Nations and supported by the Medicare Hospice Conditions of Participation.
Apply six ethical frameworks and a structured decision-making process to complex decision-making in hospice.
Outline:
Section 1: Ethics in Hospice
Ethical and Human Rights Foundations
How Do You Decide What Is Right?
Morality
Ethics
Bioethics Versus Medical Ethics
Comparing Laws, Regulations, and Ethics
Ethical Principles
Autonomy
Beneficence
Nonmaleficence
Justice
Balancing Ethics and Patient Goals
Review
Key Takeaways
Section 2: Human Rights, Ethical Principles, and Hospice Regulations
The Universal Declaration of Human Rights
Patient Rights in the CoPs (§418.52)
Notice of Rights and Responsibilities (§418.52(a))
The Patient Self-Determination Act (PSDA) and §489.102
Documentation and Surveyor Expectations
Election Statement Requirements
Respect for Person and Property (§418.52(b))
Patient Wishes and Surrogates
Informed Consent and Refusal
Applying Informed Consent in Hospice
Balancing Cultural Sensitivity with Informed Consent
Preventing and Responding to Mistreatment: §418.52(b)
Surveyor Focus on Documentation
§418.52(c) Standard: Rights of the Patient
Effective Pain Management and Symptom Control
Involvement in the Plan of Care
Refusal of Care
Choice of Attending Physician
Confidential Clinical Record
Freedom From Mistreatment, Neglect, or Abuse
Information About Hospice
Documentation Summary
Survey Readiness Checklist for §418.52(c) Rights of the Patient
Review
Key Takeaways
Section 3: Applying Ethical Frameworks in Hospice
When Regulations Are Not Enough
End-of-Life Crisis
Background
Utilitarian Framework
Rights Framework
Justice Framework
Virtue Framework
Common Good Framework
Care Ethics Framework
Balancing One Patient’s Needs
Background
Utilitarian Framework
Rights Framework
Justice Framework
Virtue Framework
Common Good Framework
Care Ethics Framework
A Process for Ethical Decision-Making
Step 1: Identify the Ethical Issue
Step 2: Get the Facts
Step 3: Evaluate Alternative Actions Using the Ethical Frameworks
Step 4: Choose an Option for Action and Test It
Step 5: Implement the Decision
Step 6: Reflect on the Outcome
Ethics Committees
Review
Key Takeaways
Section 4: Conclusion
Course Summary
Course Contributor
Resources
References
Subject Matter Expert: Susan Heinzerling, BSN, RN, CHPN
Susan Heinzerling earned a Bachelor of Science in biology and a Bachelor of Science in nursing from the University of North Carolina at Chapel Hill as well as a Master of Life Sciences in physiology from North Carolina State University. She became a doctoral candidate in immunology at the University of South Alabama. Her research experiences in the biomedical sciences led to an interest in evidence-based practices. Ms. Heinzerling began her nursing career as a medical/surgical nurse. Patients in acute care with multiple chronic conditions and repeated hospitalizations inspired her practice of hospice nursing. She has worked as a hospice admissions nurse and a hospice RN case manager in both a large urban setting and a rural community.
Target Audience:
The target audience for this course is: Administration; Care and Case Managers; Nursing Personnel; Social Workers; in the following settings: Hospice.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.