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**files (2)** – ## Week5DiscussionInstructions-LawandEthicsinHealthcare.docx – ## Week5LearningResources-LawandEthicsinHealthcare.docx **## Week5DiscussionInstructions-LawandEthicsinHealthcare.docx** **Law and Ethics in Healthcare** **Week 5 Discussion** **Patient Autonomy or Surrogate Decision Make…
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**files (2)**
– ## Week5DiscussionInstructions-LawandEthicsinHealthcare.docx
– ## Week5LearningResources-LawandEthicsinHealthcare.docx
**## Week5DiscussionInstructions-LawandEthicsinHealthcare.docx**
**Law and Ethics in Healthcare**
**Week 5 Discussion**
**Patient Autonomy or Surrogate Decision Maker?**
Patients’ rights in the United States include the right to informed consent, which means that patients must receive adequate information to make medical decisions. However, many questions can arise if a patient appears to lack the capacity to understand his or her medical condition or options.
As a healthcare administrator, it is your responsibility to educate medical staff about your facility’s policy on obtaining informed consent, reflecting state law, and how to determine whether a patient is competent. It is essential to balance the moral needs of protecting the rights of the patient with the legal and ethical obligations to breach this confidentiality in certain select situations or determine circumstances requiring a surrogate decision maker.
Medical staff should have no difficulty in following a patient’s wishes specific to health treatment when the patient is a competent adult who can articulate his or her wishes to the medical team. However, what if the medical team is unable to determine competency? How would the team assess mental competency to understand benefits and risks of the medical treatment? If the patient is not competent, how should the medical staff proceed?
**To prepare for this Discussion:**
· View the Prompt Video titled
_Incident in the ER: Scene 1_, located in the Learning Resources.
· Reflect on the delivery of healthcare services demonstrated in the Prompt Video regarding determining competency. Reflect on the positive and negative aspects demonstrated and consider how healthcare administrators should consider these aspects when engaged in practice.
· Using the Kaltura Video function as instructed in the Kaltura User Guide, you will videotape yourself responding to the Challenge Video. To upload your media to this Discussion thread, refer to the
[Kaltura User GuideLinks to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/WWOW/Canvas/1001/pulse_check/kaltura/index.html) for information about how to upload media to the course.
**Post** your video response to the Challenge Video, to address the following:
· Who decides on behalf of the patient if it is determined that the patient lacks competency?
· How should a surrogate decision maker proceed on behalf of a patient? How can a healthcare administrator ensure that the patient’s autonomy is ensured and competency is established?
· How do the facility’s standards and regulations affect how competency is determined?
**Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.**
**## Week5LearningResources-LawandEthicsinHealthcare.docx**
**Law and Ethics in Healthcare**
**Week 5 Learning Resources**
**Required Reading**
· Pozgar, G. D. (2024).
_Legal and ethical issues for health professionals_ (6th ed.). Jones & Bartlett Learning.
· Chapter 11, “Patient Consent” (pp. 337–350)
· Chapter 14, “Patient Abuse” (pp. 411–423)
· MedlinePlus. (2021, November 9).
[_Mental status testing_ Links to an external site.](http://www.nlm.nih.gov/medlineplus/ency/article/003326.htm). http://www.nlm.nih.gov/medlineplus/ency/article/003326.htm
· Alomar, A. Z. (2021).
[Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consentLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=edsdoj&AN=edsdoj.29820044926e4a7bae51cba768ead0b1&site=eds-live&scope=site&custid=s6527200).
_Journal of Orthopedic Surgery and Research_,
_16_(1), 390–403. https://doi.org/10.1186/s13018-021-02531-1
· Bakke, B., M., Feuz, M. A., McMahan, R., D., Barnes, D. E., Li, B., Volow, A. M., Powell, J., & Sudore, R. L. (2022).
[Surrogate decision makers need better preparation for their role: Advice from experienced surrogatesLinks to an external site.](https://www.liebertpub.com/doi/10.1089/jpm.2021.0283).
_Journal of Palliative Medicine_,
_25_(6), 857–863. http://doi.org/10.1089/jpm.2021.0283
· Barstow, C., Shahan, B., & Roberts, M. (2018).
[Evaluating medical decision-making capacity in practiceLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=30215955&site=eds-live&scope=site&custid=s6527200).
_American Family Physician_,
_98_(1), 40–46.
· Wocial, L. D., Slaven, J. E., Montz, K., Monahan, P. O., Hickman, S. E., Callahan, C. M., Helft, P. R., Sachs, G. A., Inger, L., Burke, E. S., & Torke, A. M. (2020)
_._ [Factors associated with physician moral distress caring for hospitalized elderly patients needing a surrogate decision-maker: A prospective studyLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=32096085&site=eds-live&scope=site&custid=s6527200).
_Journal of General Internal Medicine, 35_(5), 1405–1412. https://doi.org/10.1007/s11606-020-05652-1
**Required Media**
Walden University, LLC. (2015). Incident in the ER: Scene 1 [Video]. Walden University Canvas. https://waldenu.instructure.com
**## Week5LearningResources-LawandEthicsinHealthcare.docx**
**Law and Ethics in Healthcare**
**Week 5 Learning Resources**
**Required Reading**
· Pozgar, G. D. (2024).
_Legal and ethical issues for health professionals_ (6th ed.). Jones & Bartlett Learning.
· Chapter 11, “Patient Consent” (pp. 337–350)
· Chapter 14, “Patient Abuse” (pp. 411–423)
· MedlinePlus. (2021, November 9).
[_Mental status testing_ Links to an external site.](http://www.nlm.nih.gov/medlineplus/ency/article/003326.htm). http://www.nlm.nih.gov/medlineplus/ency/article/003326.htm
· Alomar, A. Z. (2021).
[Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consentLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=edsdoj&AN=edsdoj.29820044926e4a7bae51cba768ead0b1&site=eds-live&scope=site&custid=s6527200).
_Journal of Orthopedic Surgery and Research_,
_16_(1), 390–403. https://doi.org/10.1186/s13018-021-02531-1
· Bakke, B., M., Feuz, M. A., McMahan, R., D., Barnes, D. E., Li, B., Volow, A. M., Powell, J., & Sudore, R. L. (2022).
[Surrogate decision makers need better preparation for their role: Advice from experienced surrogatesLinks to an external site.](https://www.liebertpub.com/doi/10.1089/jpm.2021.0283).
_Journal of Palliative Medicine_,
_25_(6), 857–863. http://doi.org/10.1089/jpm.2021.0283
· Barstow, C., Shahan, B., & Roberts, M. (2018).
[Evaluating medical decision-making capacity in practiceLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=30215955&site=eds-live&scope=site&custid=s6527200).
_American Family Physician_,
_98_(1), 40–46.
· Wocial, L. D., Slaven, J. E., Montz, K., Monahan, P. O., Hickman, S. E., Callahan, C. M., Helft, P. R., Sachs, G. A., Inger, L., Burke, E. S., & Torke, A. M. (2020)
_._ [Factors associated with physician moral distress caring for hospitalized elderly patients needing a surrogate decision-maker: A prospective studyLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=32096085&site=eds-live&scope=site&custid=s6527200).
_Journal of General Internal Medicine, 35_(5), 1405–1412. https://doi.org/10.1007/s11606-020-05652-1
**Required Media**
Walden University, LLC. (2015). Incident in the ER: Scene 1 [Video]. Walden University Canvas. https://waldenu.instructure.com
**## Week5DiscussionInstructions-LawandEthicsinHealthcare.docx**
**Law and Ethics in Healthcare**
**Week 5 Discussion**
**Patient Autonomy or Surrogate Decision Maker?**
Patients’ rights in the United States include the right to informed consent, which means that patients must receive adequate information to make medical decisions. However, many questions can arise if a patient appears to lack the capacity to understand his or her medical condition or options.
As a healthcare administrator, it is your responsibility to educate medical staff about your facility’s policy on obtaining informed consent, reflecting state law, and how to determine whether a patient is competent. It is essential to balance the moral needs of protecting the rights of the patient with the legal and ethical obligations to breach this confidentiality in certain select situations or determine circumstances requiring a surrogate decision maker.
Medical staff should have no difficulty in following a patient’s wishes specific to health treatment when the patient is a competent adult who can articulate his or her wishes to the medical team. However, what if the medical team is unable to determine competency? How would the team assess mental competency to understand benefits and risks of the medical treatment? If the patient is not competent, how should the medical staff proceed?
**To prepare for this Discussion:**
· View the Prompt Video titled
_Incident in the ER: Scene 1_, located in the Learning Resources.
· Reflect on the delivery of healthcare services demonstrated in the Prompt Video regarding determining competency. Reflect on the positive and negative aspects demonstrated and consider how healthcare administrators should consider these aspects when engaged in practice.
· Using the Kaltura Video function as instructed in the Kaltura User Guide, you will videotape yourself responding to the Challenge Video. To upload your media to this Discussion thread, refer to the
[Kaltura User GuideLinks to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/WWOW/Canvas/1001/pulse_check/kaltura/index.html) for information about how to upload media to the course.
**Post** your video response to the Challenge Video, to address the following:
· Who decides on behalf of the patient if it is determined that the patient lacks competency?
· How should a surrogate decision maker proceed on behalf of a patient? How can a healthcare administrator ensure that the patient’s autonomy is ensured and competency is established?
· How do the facility’s standards and regulations affect how competency is determined?
**Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.**
**## Week5LearningResources-LawandEthicsinHealthcare.docx**
**Law and Ethics in Healthcare**
**Week 5 Learning Resources**
**Required Reading**
· Pozgar, G. D. (2024).
_Legal and ethical issues for health professionals_ (6th ed.). Jones & Bartlett Learning.
· Chapter 11, “Patient Consent” (pp. 337–350)
· Chapter 14, “Patient Abuse” (pp. 411–423)
· MedlinePlus. (2021, November 9).
[_Mental status testing_ Links to an external site.](http://www.nlm.nih.gov/medlineplus/ency/article/003326.htm). http://www.nlm.nih.gov/medlineplus/ency/article/003326.htm
· Alomar, A. Z. (2021).
[Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consentLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=edsdoj&AN=edsdoj.29820044926e4a7bae51cba768ead0b1&site=eds-live&scope=site&custid=s6527200).
_Journal of Orthopedic Surgery and Research_,
_16_(1), 390–403. https://doi.org/10.1186/s13018-021-02531-1
· Bakke, B., M., Feuz, M. A., McMahan, R., D., Barnes, D. E., Li, B., Volow, A. M., Powell, J., & Sudore, R. L. (2022).
[Surrogate decision makers need better preparation for their role: Advice from experienced surrogatesLinks to an external site.](https://www.liebertpub.com/doi/10.1089/jpm.2021.0283).
_Journal of Palliative Medicine_,
_25_(6), 857–863. http://doi.org/10.1089/jpm.2021.0283
· Barstow, C., Shahan, B., & Roberts, M. (2018).
[Evaluating medical decision-making capacity in practiceLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=30215955&site=eds-live&scope=site&custid=s6527200).
_American Family Physician_,
_98_(1), 40–46.
· Wocial, L. D., Slaven, J. E., Montz, K., Monahan, P. O., Hickman, S. E., Callahan, C. M., Helft, P. R., Sachs, G. A., Inger, L., Burke, E. S., & Torke, A. M. (2020)
_._ [Factors associated with physician moral distress caring for hospitalized elderly patients needing a surrogate decision-maker: A prospective studyLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=32096085&site=eds-live&scope=site&custid=s6527200).
_Journal of General Internal Medicine, 35_(5), 1405–1412. https://doi.org/10.1007/s11606-020-05652-1
**Required Media**
Walden University, LLC. (2015). Incident in the ER: Scene 1 [Video]. Walden University Canvas. https://waldenu.instructure.com
**## Week5DiscussionInstructions-LawandEthicsinHealthcare.docx**
**Law and Ethics in Healthcare**
**Week 5 Discussion**
**Patient Autonomy or Surrogate Decision Maker?**
Patients’ rights in the United States include the right to informed consent, which means that patients must receive adequate information to make medical decisions. However, many questions can arise if a patient appears to lack the capacity to understand his or her medical condition or options.
As a healthcare administrator, it is your responsibility to educate medical staff about your facility’s policy on obtaining informed consent, reflecting state law, and how to determine whether a patient is competent. It is essential to balance the moral needs of protecting the rights of the patient with the legal and ethical obligations to breach this confidentiality in certain select situations or determine circumstances requiring a surrogate decision maker.
Medical staff should have no difficulty in following a patient’s wishes specific to health treatment when the patient is a competent adult who can articulate his or her wishes to the medical team. However, what if the medical team is unable to determine competency? How would the team assess mental competency to understand benefits and risks of the medical treatment? If the patient is not competent, how should the medical staff proceed?
**To prepare for this Discussion:**
· View the Prompt Video titled
_Incident in the ER: Scene 1_, located in the Learning Resources.
· Reflect on the delivery of healthcare services demonstrated in the Prompt Video regarding determining competency. Reflect on the positive and negative aspects demonstrated and consider how healthcare administrators should consider these aspects when engaged in practice.
· Using the Kaltura Video function as instructed in the Kaltura User Guide, you will videotape yourself responding to the Challenge Video. To upload your media to this Discussion thread, refer to the
[Kaltura User GuideLinks to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/WWOW/Canvas/1001/pulse_check/kaltura/index.html) for information about how to upload media to the course.
**Post** your video response to the Challenge Video, to address the following:
· Who decides on behalf of the patient if it is determined that the patient lacks competency?
· How should a surrogate decision maker proceed on behalf of a patient? How can a healthcare administrator ensure that the patient’s autonomy is ensured and competency is established?
· How do the facility’s standards and regulations affect how competency is determined?
**Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.**
**## Week5LearningResources-LawandEthicsinHealthcare.docx**
**Law and Ethics in Healthcare**
**Week 5 Learning Resources**
**Required Reading**
· Pozgar, G. D. (2024).
_Legal and ethical issues for health professionals_ (6th ed.). Jones & Bartlett Learning.
· Chapter 11, “Patient Consent” (pp. 337–350)
· Chapter 14, “Patient Abuse” (pp. 411–423)
· MedlinePlus. (2021, November 9).
[_Mental status testing_ Links to an external site.](http://www.nlm.nih.gov/medlineplus/ency/article/003326.htm). http://www.nlm.nih.gov/medlineplus/ency/article/003326.htm
· Alomar, A. Z. (2021).
[Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consentLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=edsdoj&AN=edsdoj.29820044926e4a7bae51cba768ead0b1&site=eds-live&scope=site&custid=s6527200).
_Journal of Orthopedic Surgery and Research_,
_16_(1), 390–403. https://doi.org/10.1186/s13018-021-02531-1
· Bakke, B., M., Feuz, M. A., McMahan, R., D., Barnes, D. E., Li, B., Volow, A. M., Powell, J., & Sudore, R. L. (2022).
[Surrogate decision makers need better preparation for their role: Advice from experienced surrogatesLinks to an external site.](https://www.liebertpub.com/doi/10.1089/jpm.2021.0283).
_Journal of Palliative Medicine_,
_25_(6), 857–863. http://doi.org/10.1089/jpm.2021.0283
· Barstow, C., Shahan, B., & Roberts, M. (2018).
[Evaluating medical decision-making capacity in practiceLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=30215955&site=eds-live&scope=site&custid=s6527200).
_American Family Physician_,
_98_(1), 40–46.
· Wocial, L. D., Slaven, J. E., Montz, K., Monahan, P. O., Hickman, S. E., Callahan, C. M., Helft, P. R., Sachs, G. A., Inger, L., Burke, E. S., & Torke, A. M. (2020)
_._ [Factors associated with physician moral distress caring for hospitalized elderly patients needing a surrogate decision-maker: A prospective studyLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=32096085&site=eds-live&scope=site&custid=s6527200).
_Journal of General Internal Medicine, 35_(5), 1405–1412. https://doi.org/10.1007/s11606-020-05652-1
**Required Media**
Walden University, LLC. (2015). Incident in the ER: Scene 1 [Video]. Walden University Canvas. https://waldenu.instructure.com
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