The memory loss. A patient with dementia who

The ethical dilemma for scenario 2 is that the patient’s son would like to move his father to an assisted living facility as he is becoming increasingly forgetful. However, the patient claims that the reason why his son wants him to move out of his home is so that his son can get his hands on his money. The patient may also be at risk of physical abuse as there are multiple bruises on his arms but he said that those were the results of a friend grabbing his arm while walking.b. Gather pertinent dataSince the son claimed that his father is becoming increasingly forgetful, there is a possibility that he may have slight dementia. Dementia may lead to a reduction in the patient’s ability to perform everyday activities, and thus it is dangerous for the elderly patient to live alone at home (Alzheimer’s Association, 2018). There are many hazards around the house, especially kitchen hazards such as knives and other utensils that can cause harm. One of the signs and symptoms of dementia is short-term memory loss. A patient with dementia who is experiencing memory loss may forget to turn off the stove, increasing the risk of fire (Sunrise Senior Living, 2017).It is therefore recommended for the elderly patient to be moved to an assisted living facility where there are healthcare professionals to look out for him. Multiple bruises are also seen on the elderly patient’s upper arms, but the patient claimed that it was the result of a friend grabbing his arm when they were out walking. Despite what the patient said, there is a possibility that he is being physically abused at home by his son and he may only be trying to protect him from being charged. Patient’s mental status is within the normal limits. From this, it is recommended for the elderly patient to be moved out from his home due to his possible diagnosis of mild dementia and the possibility of being physically abused at home. However, the elderly patient does not want to move out of his own home as he claimed that his son wanted to take his money. Therefore, the ethical dilemma is to think about whether it is better to move the elderly patient to an assisted living facility for his own good or to respect patient’s autonomy and allow him to continue living at home.c. Examine the dilemma for ethical principles.The ethical principles involved in this ethical dilemma are Autonomy, Respect, Beneficence, and Paternalism. Respecting every patient’s choice is important, as everyone has the rights to make decisions for their own healthcare. This involves autonomy, which is to respect patient’s decisions, even when their decisions contradict a healthcare professional’s recommendations.Beneficence is also involved because we, as healthcare professionals, should do our best for the benefit of the patient. This is to move the elderly patient to an assisted living facility as he might have mild dementia since he is becoming increasingly forgetful. It is also dangerous for him to live alone at home. By doing so, it is out of benefit for the patient as there are dangers of living at home alone for someone with dementia.Paternalism is also being brought in, as moving the elderly patient to an assisted facility is against his wishes, but we should do so in order to promote his own good.d. Examine all solutionsThere are many different solutions to solve this ethical dilemma. The first solution is to discuss with the patient about moving him to an assisted living facility as he is becoming increasingly forgetful. In addition, we can explain to him the dangers of living alone at home for someone with mild dementia. The second solution is to explain to the patient’s son the importance of respecting his father’s wishes to not move out of the house, but also assure him that his father will be cared for, which brings me to my third solution. This is to give the patient’s family an option to consider having a professional caregiver to care for his father at home. e. Choose solutionAfter examining all the recommended solutions, I decided to discuss with the patient’s son about the importance of respecting his father’s wishes to not move out of the house, and also encourage their family to hire a professional caregiver to care for their father so they will not have to worry about their father living alone. I will also introduce them to support groups, such as the Adult Protection Service, to lower the chances of elder abuse. f. Evaluate solutions chosenIt is of the utmost importance to respect patient’s autonomy, as they are the ones who are most responsible for their own healthcare. Therefore, I will respect the elderly patient’s wishes to continue staying at his own home and not move him to an assisted facility. Sadly, he has every right to refuse help, even though he may be physically abused. In addition, the patient’s mental status is also within the normal limits. I will also explain to the patient’s son about the importance of respecting his father’s wishes, and also assure him that his father will still be cared for by keeping in contact with him and discussing with him about the idea of having a professional caregiver to take care of his father at home. Investigating more about the exact causes for the multiple bruises on the patient’s upper arms is also necessary, and I will do so by asking the patient if his son knows anything about it, and to observe for any changes in behaviour during his reply, which may indicate physical abuse. In addition, I will continue to stay in contact with the patient and keep their family connected to support services to reduce isolation and depression, which are two major risk factors for elder abuse (Helpguide, 2017).An example of a support service is the Adult Protection Service, where they provide interventions to protect individuals and families from abuse and neglect and enhance their well-being. The more support for the elderly patient and his son, the more people there will be to look out for warning signs of abuse.g. Identify code of ethics & Professional conduct (SNB) breached/ appliedBy choosing this solution to respect patient’s autonomy, several value statements for Code of Ethics and Professional Conduct were breached and applied. Value Statements 1 and 2 were applied, whereas Value Statement 7 was breached.Value Statements 1 and 2, which is to respect client’s individual values and needs, and to respect and promote client’s autonomy were applied. Since the solution is to respect the elderly patient’s wishes by not moving out of his own home, we are respecting his values and needs, and the ethical principle Autonomy is applied.Value Statement 7, to advocate for the best interest of clients was breached. By respecting the patient’s wishes, we are not acting in the best interest of him because he is becoming increasingly forgetful and it is dangerous for him to live alone at home. In addition, there is a possibility that he is being physically abused at home. Therefore, in order to respect patient’s autonomy, Value Statement 7 has to be breached.I. Reflection To conclude, unless the elderly patient does not have the mental capacity to make his own decisions, he has the rights to refuse help, even when he is being physically abused. It is also very important to respect patient’s wishes as they are the ones who are most responsible for their own healthcare. However, interventions can be done to ensure that the elderly patient will not be physically abused anymore. This is to continue staying in contact with the elderly should he need to seek help, and also keeping the elderly and family connected to support services to help reduce feelings of isolation and depression, which are two major risk factors for elder abuse. The more support for the family, the more people there will be to look out for warning signs of abuse.

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