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  • Essay / Applying ethical principles to reduce hospital readmissions

    Table of contentsCase study overviewApplying ethical principlesUsing ethical decision making to analyze the case studyResolving the ethical dilemma by applying ethical principlesAnalyzing the ethical issues in case studyEffectiveness of communication approaches in case studyConclusionAs healthcare workers, we sometimes face ethical issues in our career. We must make wise decisions based on our values ​​and moral principles. In Ethical Principles of Healthcare Ethics, we are guided in using four main approaches to popular principles in healthcare organization to address our issues and treat our patients with respect. Empower them to make their own decisions and honor their core values ​​and standards. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get the original essayCase Study OverviewCaleb Powell is the chief executive officer of Virginia County Regional Hospital. Caleb Powell hosts a leadership meeting. On the agenda, Powell will discuss with his leadership team ways the hospital can reduce the patient readmission rate. Powell believes this is important to the future and success of Virginia County Regional Hospital and will also improve patient satisfaction and hospital quality. The idea of ​​reducing hospital readmissions is based on an article Powell read from the National Institute of Health discussing ways to reduce the readmission rate. This will be done at all levels and not just in areas identified by federal guidelines. Caleb Powell knows there is more to gain if things go well, or more to lose if things go wrong, under provisions of the Affordable Care Act that penalize hospitals for readmission 30 days for patients suffering from a heart attack, heart failure or pneumonia. On the other hand, Powell is concerned that this policy could prevent patients from seeking care when needed, which would be an ethical issue. Application of Ethical Principles It is important to identify issues that contribute to patient readmission to hospitals after being released within 30 days. In order to prevent readmission to hospital, situations, courses of action and behaviors must be assessed. The patient with an acute illness such as heart failure or pneumonia should be given a safe discharge order before returning home or returning to the community to avoid the hassle of simply allocating healthcare resources. Caleb Powell is hosting a meeting with his board of directors to discuss possible ways to reduce hospital readmissions. Use ethical decision making to analyze the case study. It is important to identify issues that contribute to patient readmission to hospitals after being released within 30 days. In order to prevent readmission to hospital, situations, courses of action and behaviors should be assessed. The patient with an acute illness such as heart failure or pneumonia should be given a safe discharge order before returning home or returning to the community to avoid the hassle of simply allocating healthcare resources. Use the three components of the ethical decision-making model: moral conscience, moral judgment and ethical behaviorwill help analyze this situation. In moral awareness, we recognize the problems and ethical dilemma that exist during hospital readmission of patients to health care providers. If the patient is admitted to the hospital for pneumonia or heart failure, he or she should be fully treated before returning home. As health care providers, we must have the ability to detect and appreciate the ethical merit of the decision we must make. The hospital must first recognize the ethical dimension of a problem it faces during patient readmission. Hospital readmission is a problem within healthcare establishments because they are penalized. Most readmissions occur among patients with acute medical needs that cannot be met elsewhere. Now that the problems with patient readmission are evident, a judgment can be made to decide what is right or wrong. The Affordable Care Act wants hospitals to improve the quality and efficiency of patient care to reduce health care costs and provide protection. In order to prevent readmission to hospital, situations, courses of action and behaviors must be assessed. Ethical behavior requires demonstrating respect for key moral principles which include honesty, fairness, equality, diversity and individual rights. We want to know what is right and wrong in the hospital and what is right and wrong. While trying to reduce hospital readmissions, the healthcare provider must respect the dignity, diversity and rights of the patient. Resolving the Ethical Dilemma by Applying Ethical Principles To use the ethical dilemma in healthcare, the four ethical principles of autonomy that give the patient the right to control their body, make their own decisions about whether the healthcare provider health care believes that these choices are in the best interest of the patient or not, and respect their personal values ​​and beliefs. Beneficence, which means that the healthcare professional must do everything possible to ensure that the patient does the greatest good in each situation. Except the patient with CHF and do not refuse him due to hospital gain. Non-maleficence “do no harm”, do not withhold treatment due to a financial problem. The principles of justice should be fairness in all decisions; treat all patients the same. Patients suffering from pneumonia, heart failure and heart attacks should mostly fall into the acute category. Hospitals now have more physicians, physician groups, residents, social workers, physical therapists, occupational therapists and nurses who make up the team of health care providers working to reduce readmissions to the hospital. Caleb Powell and his executive can organize the same team to work toward achieving his goals for Virginia County Hospital. When the patient with congested heart failure is discharged, he or she should receive good, detailed education on what to do at home to avoid worsening of their CHF and readmission. Education should include weighing themselves first thing in the morning when they get out of bed. They should urinate before weighing themselves, not eat, wear light clothing and use the same skill. Educate the patient to report any weight gain of 5 pounds or more within 1 week. They should make sure to rest between activities when working or exercising. For patients with pneumonia, it takes up to six weeks to fully recover. These patients.