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A Sociology of Aging


A Sociology of Aging Why are our senior citizens devalued? Do other societies treat their elderly better than we do? What ethical dimensions are involved here?    

November 17, 2021


Bioethical Issues in the Care of the Elderly


Bioethical Issues in the Care of the Elderly Ethical Dilemmas and Patient Choice: The New Challenge of Modern Health Care Steven A. Levenson argues that it is in our own best interest to consider and document our feelings and wishes sooner, rather than later.


Our Health Care System Cannot Afford Its Customers


Our Health Care System Cannot Afford Its Customers Morton Creditor questions why medical care in the United States is totally inappropriate in addressing the needs of its major customer, the aged, and considers the implications of cost containment. What is the impact on the doctor-patient relationship?


Medicare Prospective Payment


Medicare Prospective Payment – The Ethical Implications of Converging Clinical and Financial Decisions in Long-Term Care   The principles of bioethics indicate that Prospective Payment has a moral dimension. Because Prospective Payment unifies clinical and financial decisions, it poses problems for long-term care facilities, especially those motivated by a humanitarian mission rather than financial considerations.…


Long-Term Care – Institution, Residence, Hospital, or Home?


Long-Term Care – Institution, Residence, Hospital, or Home   Finding quality long-term nursing care is a growing concern for millions of Americans and their families, especially as the baby-boom generation reaches retirement age. The issue is not money, but the way long-term care is delivered to those who need it. The following story depicts one…


The Real Caregivers in the Nursing Home – Certified Nursing Assistants


The Real Caregivers in the Nursing Home – Certified Nursing Assistants     Certified nursing assistants are integral to maintaining the quality of nursing homes because they have the most extensive contact with residents. Low wages, stressful work, demanding residents, and little recognition often lead to high turnover rates. With these premises, this article asserts…


End-of-Life Care in the Nursing Home


End-of-Life Care in the Nursing Home – Is a Good Death Compatible with Regulatory Compliance   By using relevant clinical practice guidelines for end-of-life care and by incorporating meaningful quality indicators into an effective continuous quality improvement program, nursing facilities can provide quality end-of-life care for their residents while complying with state and federal regulations.


Educational Initiatives in Long-Term Care


Educational Initiatives in Long-Term Care   Most Americans would doubtless agree that positive change is a critical need in facilities providing long-term care. This article describes a project in which staff from the Midwest Bioethics Center (now the Center for Practical Bioethics) and Kansas City area experts in long-term care worked to create meaningful change…


Hospice in the Nursing Home – A Valuable Collaboration


Hospice in the Nursing Home Long-term care facilities have one of the most difficult tasks in healthcare: to maximize the health of frail elderly people. However, our society’s resistance to the natural process of dying commands the assistance of hospice services in helping patients and their families cope with illness and death. The presence of…


Caring Conversations Workbooks


The Caring ConversationsĀ® Workbook will guide you, your family and your friends through the process of advance care..

November 13, 2021


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