We Write Custom Academic Papers

100% Original, Plagiarism Free, Customized to your instructions!

What relationship does an ethics committee have in enforcing the advance directives of the patients in their care?

What relationship does an ethics committee have in enforcing the advance directives of the patients in their care?

What relationship does an ethics committee have in enforcing the advance directives of the patients in their care?
HLT 308 Week 3 Discussion Question One

The Patient Self-Determination Act (PSDA) was implemented to allow patients to state “Do Not Resuscitate” (DNS), or to assign a surrogate decision maker in the event the individual is unable to make the decision. What relationship does an ethics committee have in enforcing the advance directives of the patients in their care? Support your analysis with one peer-reviewed article.

The Patient Self-Determination Act (PSDA) was passed by the United States Congress in 1990 as an amendment to the Omnibus Budget Reconciliation Act of 1990. Effective on December 1, 1991, this legislation required many hospitals, nursing homes, home health agencies, hospice providers, health maintenance organizations (HMOs), and other health care institutions to provide information about advance health care directives to adult patients upon their admission to the healthcare facility.[1][2] This law does not apply to individual physicians.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: HLT 308 Week 3 Discussion Question One

Because the 1991 PSDA does not apply to individual physicians, private clinics and practices, most of which are incorporated for-profit organizations, the problem of cruel over treatment for profit of the elderly on Medicare/Medicaid was not controlled to the extent that Congress hoped would be possible when the states would implement the goals of the 1991 PSDA in state laws. (Recently, in 2012, the

HLT 308 Week 3 Discussion Question One
HLT 308 Week 3 Discussion Question One

newspapers have revealed that The United States Department of Health and Human Services and the Department of Justice have cooperated to prosecute over treatment of patients under the federal False Claims Act.) The goals of the 1991 PSDA are covered in the PURPOSE section, below.

Section 1233 of the proposed America’s Affordable Health Choices Act of 2009 (H.R. 3200) would have authorized reimbursements for physician counseling regarding advance directives (once every five years)[3] but it was not included in the Patient Protection and Affordable Care Act of 2010 because of controversy over what were characterized as “death panels.”[4][5]

Unfortunately, because the law of the 1991 PSDA does not require or mandate the treating physicians—after an educated “terminal” prognosis that is shared with the patient—to seek informed consent from elderly and terminal Medicare/Medicaid patients for either Curative Care under Medicare or palliative care, transition to Hospice in the last six months of life (also paid or out of the Medicare purse), the goals of the PSDA are not realized. Patient self rationing of expensive medical care at the end of life through the process of the advance directive under the provisions of the 1991 PSDA is discouraged because the patients have not had end-of-life conversations with the treating physicians.

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: HLT 308 Week 3 Discussion Question One

Our Service Charter
________________________________________
1. Professional & Expert Writers: Nursing Experts .org only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.
2. Top Quality Papers: Our customers are always guaranteed of papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.
3. Plagiarism-Free Papers: All papers provided by Nursing Experts .org are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.
4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Nursing Experts .org is known for timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.
5. Affordable Prices: Our prices are fairly structured to fit in all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.
6. 24/7 Customer Support: Nursing Experts .org, we have put in place a team of experts who answer to all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.

Menu
 
  • Home
  • About Us
  • Services
  • Prices
  • Guarantees
  • Contact Us
 
Free resources
 
  • Free Essays
  • Essay tips
  • Essay types
  • Plagiarism Checker
 
Dissertation help
 
  • Free consultation
  • Essay examples
  • Buy essay
  • Dissertation assistance
  • Free dissertations
  • Coursework help
 
nursingexperts.org  ©2017- 2021  All rights reserved. Terms of use | Privacy Policy