Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-zzh7m Total loading time: 0 Render date: 2024-04-26T20:45:36.134Z Has data issue: false hasContentIssue false

39 - Community healthcare ethics

Published online by Cambridge University Press:  30 October 2009

Kyle W. Anstey
Affiliation:
Bioethicist, University Health Network Toronto
Frank Wagner
Affiliation:
Assistant Professor University of Toronto, Canada
Peter A. Singer
Affiliation:
University of Toronto
A. M. Viens
Affiliation:
University of Oxford
Get access

Summary

Staff in a community care agency provide service to an elderly, but capable, woman in her home. This woman is cared for by her son, who the staff believes is neglectful. The home care staff believes that the neglectful son is not providing adequate support to his mother while at the same time enjoying many financial benefits (e.g., rent and food) in this living arrangement. Further, the pair lives in a “rough” area of the city and staff has witnessed the son both purchasing from, and having loud arguments with, local drug dealers. The staff are concerned about their own and their client's safety and feel distress in relation to the situation each time after they visit the home; yet within their organization there exists no tools for them to discuss or work through the ethical issues faced in this situation.

What is community healthcare ethics?

Community healthcare ethics can be defined as an endeavor to promote the sector's philosophy of supporting clients' independence and ongoing integration (or reintegration) in their community. It does so by providing a unique view that is sensitive to how client's self-determination may be affected by the distinct supports offered by the sector, and the different settings they are provided in.

Such a definition is not unproblematic, as community healthcare ethics is ill defined: it lacks the rich literature, dedicated educational programs and professional roles, codes, and policies that treat ethical issues in institutional clinical practice.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aulisio, M. P., May, T., and Aulisio, M. S. (1998). Vulnerabilities of clients and caregivers in the homecare setting. Generations 22: 58–63.Google Scholar
Committee to Advance Ethical Decision Making in Community Health (2001). Final Report March 2001–December 2001. Toronto: Community Access Care Centre Toronto.Google Scholar
Elpern, E. H., Covert, B., and Kleinpel, R. (2006). Moral distress of staff nurses in a medical intensive care unit. Am J Crit Care 14: 523–30.Google Scholar
Liaschenko, J. (1996). A sense of place for patients: living and dying. Home Care Provider 1: 270–2.CrossRefGoogle Scholar
Murphy, T. (2006). Ethics and CCHSA's Accreditation Program. Toronto: Joint Centre for Bioethics.Google Scholar
Rushton, C. H. (2006). Defining and addressing moral distress: tools for critical care nursing leaders. AACN Adv Crit Care 17: 161–8.CrossRefGoogle ScholarPubMed
Slowther, A., Bunch, C., Woolnough, B., and Hope, T. (2001). Clinical ethics support services in the UK: an investigation of the current provision of ethics support to health professionals in the UK. J Med Ethics 27: (Suppl. I): i2.CrossRefGoogle ScholarPubMed
Wojtak, A. (2002). Practice based ethics as a foundation for human resources planning in community health care. Healthc Manag Forum 3: 67–72.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×