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Raden Ahmad Dedy Mardani, MNS

Otonomi

Kemurahan hati
Keadilan
Nonmaleficen

1.

Penjelasan dan
persetujuan
kerahasiaan
Kompetensi
beberapa hubungan
biaya

beberapa masalah persetujuan ketika bekerja


dengan orang dewasa yang lebih tua mungkin
termasuk memastikan kapasitas dewasa yang
lebih tua 'untuk memahami formulir persetujuan
dan membuat pilihan dan layanan pengobatan
keputusan
keprihatinan
independen
Keyakinan-kelompok terkait tentang 'kesehatan
mental'
dan
psikoterapi
dapat
sangat
mempengaruhi orang dewasa yang lebih tua
keyakinan tentang layanan ini, sehingga
kesadaran keyakinan kohort membantu dalam
memahami ambivalensi beberapa dewasa yang
lebih tua atau keengganan untuk menerima
layanan psikologis.

Isu-isu tentang kerahasiaan yang lebih umum


di antara orang dewasa yang lebih tua
termasuk masalah penyalahgunaan tua,
membahayakan diri, dan pelepasan informasi
kepada anggota keluarga dan profesional
lainnya

Bekerja dengan orang dewasa yang lebih tua


bisa sangat bermanfaat dan menantang

Dilema umum mengenai beberapa hubungan


dan orang dewasa yang lebih tua mungkin
termasuk
'peregangan'
batas-batas
profesional jika jasa profesional yang
disediakan di rumah klien sesering dapat
terjadi ketika mobilitas dan aksesibilitas
mungkin hambatan untuk kunjungan kantor

pengetahuan tentang Medicare kelayakan,


prosedur, dan opini tentang apakah atau
tidak untuk menerima pembayaran Medicare
adalah isu-isu profesional penting untuk
dipertimbangkan

Negative Attitudes
2. Prioritization of resources
3. Professional disagreement
1.

There is a widespread cultural belief that


older people have lived their lives and do not
constitute a group of patients that should be
prioritized in the allocation of health care
resources.
The lack of knowledge of gerontology within
other professional specialties, made them
feel frustrated.

Teknologi dan sumber daya manusia


Pandangan manusia dan ilmu pengetahuan
dalam profesi medis cenderung menganggap
penyakit umum dan orang-orang yang tidak
menarik.
Hal ini terhubung ke hirarki medis dan
prestise, dimana teknologi kedokteran
tergantung
di
atas.
Pengakuan dan penghalang pilihan yang
berkaitan dengan keberhasilan sebagai
peneliti dan keahlian klinis diremehkan

A good working climate concerning treatment


and non-treatment.
In some cases, the decision to stop
treatment was inconsequent in that some
symptoms and diagnoses were treated and
not others
The lack of consequent decision-making and
lack of communication with physicians made
it difcult to establish good communication
with patients and their relatives.

Feeling powerless
2. Feeling moral outrage
3. Trusting oneself
1.

The nurses expressed feeling emotional


strain due to the ethical challenges with
which they were faced.
Patients and relatives had demands and
expectations of the nurses that needed to be
followed up.
The nurses emphasized that they were doing
their outmost to satisfy the needs of the
patients.
Cooperation and communication with other
professionals was not always satisfactory and
this led to a sense of feeling powerless.

The nurses found it painful that there were


inadequate resources to care for the older
patients in a proper way.
The nurses felt guilty towards the patients as
a result.
The negative attitudes towards the older
people in society and among colleagues in
other specialties added to their feeling of
guilt.
They emphasized that feeling frustrated and
burnout had negative impacts on their selfesteem and the respect for their profession

The nurses felt that it was difcult to gain


professional recognition from physicians and
sometimes
they
disagreed
with
the
physicians about the treatment of the
patients

1.
2.

Meeting the patient


Being responsible

They emphasized that patients are different


and that it was important to attend to their
individuality
They emphasized the importance of taking
the older patients seriously and relating to
them respectfully
The older people represent a richness and
specter of people who are wise, experienced
and exciting to listen to.

The nurses felt responsible for providing good


care for older patients, as they were vulnerable
and often weak, especially the patients
suffering from dementia.
The nurses were frustrated when they had to
use coercion or restrain patients suffering from
dementia

Professional awareness of own moral


reasoning and decision-making presupposes
discussions of moral dilemmas and could
increase the readiness to act in similar
situations.
2. Ethical decision making in nursing is genuinely
inuenced by other professionals, colleagues
and the organization.
3. Thus,
interdisciplinary
participation
in
different forums for ethical discussion is
strongly recommended.
1.