Naomi and Jim Naomi and Jim talked

Naomi and Jim Naomi and Jim talked about ageing and death long before either of them reached old age. They both agreed that they did not want medical intervention to be kept alive and that they would like to refuse treatment when they no longer had quality of life. When Jim entered Banksia Care’s residential facility, he specified his wish which was recorded on his file. His wife had medical power of attorney for him so that she could make decisions about his treatment if he was not able. After a period of time, his health declined. He no longer knew his wife and suffered pain and discomfort. He suffered many chest infections. After one particularly bad chest infection Naomi spoke to Dr Reid, Jim’s doctor, and said that she no longer wanted his chest infections to be treated with antibiotics. Dr Reid knew Jim’s wishes and agreed that this was what he would have wanted. His next chest infection was his last. He died peacefully and with dignity. Susan, a contract personal care worker, was heard to say in the staff room, ‘I can’t believe the doctor didn’t give Jim antibiotics. He would have been alive now if he had. That’s malpractice! His wife had probably just had enough of him. I will report the doctor for malpractice and breach of duty of care to Jim. ‘ 1 Outline how Susan breached ethical and legal requirements of her role. 2 Describe a consequence if Jim had been given the antibiotics against the instructions of Naomi. 3 Imagine that Susan has been your co-worker for more than two years and she has always demonstrated excellent work ethic. You assume Susan did not know about the power of attorney and that is why she is determined to report the doctor. Dr Reid has been Jim’s doctor for the past 30 years. Write a short account of what you would tell your manager or supervisor about the situation. Ensure you respect confidentiality and privacy of information. Maria and Marcus Maria and Marcus work in Banksia Care’s Aged Care Residential. Marcus has been pre-occupied lately and it is starting to show in his work. He is short with the clients and really lost his cool when two of the clients were arguing at lunch time. Maria has also noticed that he seems distant. Yesterday Keith was getting very frustrated when he couldn’t do up his buttons – normally Marcus is very good with Keith and takes time to talk to him and reduce his frustration levels but yesterday Marcus just walked out of the room and told Keith to get Maria to help him. Maria asks Marcus if he is okay and if he would like to talk. Marcus decides to confide in Maria but makes her promise not to tell anyone what he is sharing. He has been charged with assault following a pub brawl which resulted in the other person being knocked unconscious. He has spoken to a lawyer who has advised that it will go to court, but it may be some time before his case is heard – probably more than 12 months. Marcus insists it wasn’t his fault saying, ‘The other guy was being an absolute idiot in the pub and pushed me until I lost my temper and hit him.’ Marcus is feeling anxious about what will happen when the court date arrives. He is also worried about his keeping his job. He knows he should declare the charges to his supervisor, but he is sure that he will not be allowed to continue at work due to the seriousness of the charges. He needs the job so he will be able to show in court that his is gainfully employed and can pay for his legal costs. Maria gives him a hug and feels terrible for Marcus. Marcus tells her that he is taking a week’s leave to sort things out and that Maria must keep it a secret. Maria knows that professionally she should not keep this kind of information to herself. It all seems very unfair! 1 Is there a legal issue in this case study? Explain your answer. 2 Identify and explain the ethical issue in this case study. 3 Describe what Maria should do. 4 Write a short account of what Maria should tell her supervisor when she notices Marcus’ behaviour at work deteriorating. Hannah Pearce Hannah is a personal care worker at Banksia Care and has been visiting Ella who is 86-years-old. Ella’s 14-year-old granddaughter, Josie, regularly visits Ella and has often been with her grandmother when Hannah has visited. Josie is quite helpful and has become more and more comfortable talking to Hannah. Hannah is visiting Ella one day while Josie is there. Josie is watching television and appears withdrawn. Ella is in another room with Hannah and says, ‘I don’t know what has got into my Josie. She really hasn’t been herself lately.’ Hannah goes and says hello to Josie and asks if she is okay. Josie burst into tears and says, ‘No, I’m not okay and I want to live here with my grandma.’ When Hannah sits and asks her if she’d like to talk about it, Josie reveals that her stepfather has been touching her. Hannah encourages Josie to report her stepfather, but Josie says she’s too scared to talk to the authorities. 1 Explain Hannah’s duty of care to Ella’s granddaughter, Josie. 2 Identify the legislation for your state or territory that covers the protection of children and provides reporting procedure. 3 Before reporting the allegation, should Hannah decide whether or not Josie is telling the truth? 4 Explain the guidance that a code of conduct may give in relation to confidentiality in this case. Justin Justin is a member of the board for Banksia Care. His father, Earl, has early onset dementia and is becoming quite frail. The family is looking into prioritised placement for Earl in Banksia Care’s residential facility. Imagine you are a support worker at Banksia Care. Justin is visiting today with other board members as there is a board meeting. You are working on some administration in the staff office, located next to the meeting room. You overhear a conversation before the meeting begins. ‘Well, it’s obviously a wonderful place to live, otherwise my father wouldn’t be moving in.’ ‘Oh, when does your father move in?’ ‘He’s on the waiting list, but I’m hoping that he gets a priority placement, due to my personal interest in Banksia Care and the work I’ve done to oversee some of the decision-making.’ ‘Can you do that, Justin?’ ‘I’m sure there’s someone who can get him pushed up the waiting list. Jenny, she likes me. Maybe, I’ll have a chat with her, ask her out to dinner.’ (Justin is heard laughing with the other board member). Justin successfully influences the board to approve prioritised placement for his father. Two weeks later, Justin’s father is moved into the residential facility. 1 Identify the problem in this case study. 2 Explain what Justin’s ethical responsibility is. 3 Explain whether Justin and the board made an ethical decision or not. 4 Having heard the conversation in the case study, explain what you should do as an employee. Should you be worried about getting involved? Explain your answer. Jenny Gyeong Jenny is a personal care worker in Banksia Aged Care Residential. She is approached by 18-year-old Eliana, a causal staff member, who has a dilemma. Mavis is a 78-year-old transgender woman. Mavis’ sister was visiting when Eliana overheard her verbally abusing Mavis. When Jenny asked Eliana what she heard, she repeated, ‘You are utterly pathetic! You disgust me! You should be locked away in an asylum instead of receiving all these privileges!’ Jenny was shocked about what Eliana had heard. She asked Eliana if she had spoken to Mavis since the incident. Eliana said she hadn’t and went on to say, ‘In fact, I may ask if I can work somewhere else.’ When Jenny asked why, Eliana confessed that Mavis’ sister was actually her neighbour, Mrs Monterey. ‘I didn’t know that grumpy Mrs Monterey had any family! Especially someone like Mavis.’ Jenny felt unsettled by Eliana’s comment ‘someone like Mavis’. She discussed this further with Eliana and found out she lived in an Orthodox Christian home with very traditional values. 1 Identify Jenny and Eliana’s legal responsibilities. Refer to two legislative and/or regulatory requirements and explain how each apply to this situation. 2 Identify the type of conflict of interest in this situation and propose what action to take next. 3 Imagine that you are Jenny. Explain how you would problem-solve the situation between your values and Eliana’s values so that you both remain non-judgemental and ethical. Jenny Gyeong Beth’s father, Frank, is moving into the residential aged care facility at Banksia Care. Beth has been reluctant to put her father into care and is feeling anxious. She is worried about her father’s rights and the kind of care he will receive. She has heard wonderful reviews about Banksia Care but has a few questions regarding how information is kept (both electronically and in hardcopy) and who will have access to this information. Jenny, who works in the Residential Aged Care facility, calls Beth to answer her questions and make sure she feels confident and at ease about Frank moving in. During the conversation, Beth says to Jenny: ‘I would like for my dad to feel safe and looked after. He realises that he requires more care than I or other family members can provide and has agreed to go into care, but he is worried about being treated like a child, being told when to go to bed, when to eat and so on. I’m concerned about who will have access to his medical and financial information. How does Banksia Care ensure the security of hardcopy and computerised records? A couple of parents where my kids go to school work at your facility. I’m worried that they’ll have access to personal information. My parents are divorced. Will my mother be able to access information about my father?’ 1 Refer to the Aged Care Standards to explain how Jenny should inform Beth about Frank’s rights once he has moved into Banksia Care. 2 What should Jenny tell Beth regarding worker and organisation legal and ethical obligations relating to confidentiality and Frank’s privacy of personal information? 3 What should Jenny tell Beth regarding who is permitted to access Frank’s information? 4 List three ways electronic and/or hardcopy records should be maintained securely in a community services workplace. SCIENCE HEALTH SCIENCE NURSING NURSING CERTIFICAT

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