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the Elderly:
Choosing Respect in
Caregiving
It was a terrific
evening.
Division II
3- Prohibited behaviour
37. A nurse shall not use verbal, physical or psychological
abuse against the client.
(threats and pressure are a type of abuse).
19
Ethical principles for slides 11 to 18
We should never forget the ethical principles which guide
caregiving. The following principles were neglected in the
previous cases:
20
Responses which are not time-consuming and which
require little effort exist and go a long way.
Division II- 3. Prohibited behaviour. 37. A nurse shall not use verbal,
physical or psychological abuse against the client. Imposing a treatment is
abusive.
24
Best response for
I’m cold wearing this gown. slide 14
Code of Ethics of Nurses; Division I – 6, section 25. In the practice of his or her
profession, a nurse shall display due diligence and availability.
Whenever possible, put aside what you are doing and pay attention to the client and
his family. If you are unable to do so, inform the client and his family. By reacting
promptly, you are in fact demonstrating that you are listening to their concerns. This
will help maintain their confidence. (OIIQ, Le journal, mai juin, 2005.
http://www.oiiq.org/uploads/periodiques/Journal/vol2no5/ss04.htm) 26
I wet my bed.
Could you change
my pants and
sheets?
27
We’re here to lift How are you
you. feeling today?
You’ll feel
better getting up.
Again?
You’re taking way
too much medication.
I don’t have
a magic lamp!
37
Ernest it is time you went to bed
like everyone else!
Again?
You’ll just have
to wait.
2- The OIIQ will not tolerate any situation involving lack of respect
observed during a formal inspection or which is reported by interveners in
residential and long-term care centres (CHSLD). OIIQ. (2000)
L’exploitation des personnes âgées.
44
Responses for slides 38 to
44
Code of Ethics of Nursing, OIIQ. Section II-
3. Prohibited behaviour.
37. A nurse shall not use verbal, physical or psychological
abuse against the client.
Ethical principles:
- Respecting the person’s dignity, freedom and autonomy.
51
Albert, if I catch you smoking again,
you’ll be the last one
looked after in the morning.
Always stuck
with your shit!
1. "Even when the person is confused, showing lack of respect deeply affects
their families who regretfully put up with these situations. In many centres,
elderly persons are unable to choose an intervener of the same gender for
their intimate needs." (OIIQ. (2000) L’exploitation des personnes âgées.)
58
Paul, I saw Lise hitting
Mr. D. His arm is covered
with bruises.
You’re right!
She’s a coworker.
59
All forms of violence are prohibited when administering care
Excuse or reality...?
Which articles of the
Code of Ethics of Nurses
are being breached
in this example and those
that follow?
Which ethical
principles are
disregarded?
Margot Phaneuf, inf., Ph.D. 64
My father’s face is bruised.
He claims the night-time
attendant struck him.
66
My sister is filthy and She’s mean and impossible. She
smells bad. Why is that is agitated and assaults
the case? us.
He wanders continuously.
72
Dealing with difficult behaviour
74
Confidentiality involves
the patient, his
background, his record
and his family.
I sure didn’t!
77
Guess what girls! Mr. Bell’s son has just
been arrested for robbery.
2- "The OIIQ will not tolerate any situation involving lack of respect observed
during a formal inspection… Invasion of privacy and exposing another person
to ridicule can occur in caregiving or residential care."
( OIIQ. (2000) L’exploitation des personnes âgées).
78
Responses for slides 76 to 78
OIIQ, Code of Ethics of Nurses Section II
Provisions to protect the secrecy of confidential
information
31- A nurse shall abide by the rules set forth in the Professional
Code in regard to the obligations to preserve the secrecy of
confidential information that becomes known to her or him in the
practice of her or his profession and the cases where she or he may
be released from the obligation of secrecy.
36- A nurse shall refrain from holding or participating in indiscreet
conversations concerning a client and the services rendered to such
client.
Ethical principles:
- Respecting the person’s dignity
- Respecting the person’s social and psychological integrity.
Nobody complains!
Next
We’re there to
help her.
Next
Margot Phaneuf, inf., Ph.D. 86
Be careful with what you say!
Don’t forget that we’re
here to help the patients.
Never! Constraint is to
be used only under
extraordinary
circumstances!
88
Mary’s family is once
again complaining that
we’re neglecting her dad.
They’re always
complaining. They have
nothing else to do.
89
Its not what you think. He probably
needed to urinate and forgot to
do up his zipper.
Hamelin is wandering with
his pants open. Old pervert!
Which ethical
principles are
being breached
in this example and
those that follow?
You just want the families
to like you. You’re wrong! We just want
to offer the best care
possible to the patients.
Division III
Quality of care and services
3- section 45. A nurse shall not be negligent when administering
medication. In particular, when administering medication, a nurse
shall have sufficient knowledge of the medication and abide by the
principles and methods applicable to its administration.
3- section 48. A nurse shall not harass, intimidate or threaten a person
with whom she or he interacts in the practice of the profession.
108
Responses for slides 100 to 105
Ethical principles
NOTE
It is an extremely serious offense to tolerate
abuse against others.
109
Those who take care of us
are our only recourse.
When they understand
and help us, they
are our guardian angels.
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114