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Difference between revisions of "Directing Residential Care Concerns to Health Authorities"
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Directing Residential Care Concerns to Health Authorities (view source)
Revision as of 23:37, 24 June 2014
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By law, the most recent routine inspection record is required to be accessible to residents and families. However, the publicly available records are written and coded in a way that is not useful to the public to determine either the nature of the violations or how serious they are. | By law, the most recent routine inspection record is required to be accessible to residents and families. However, the publicly available records are written and coded in a way that is not useful to the public to determine either the nature of the violations or how serious they are. | ||
==Local Ethics Committees== | ==Local Ethics Committees== | ||
Frequently health care matters in care facilities, particularly related to consent and treatment can lead to disputes between the health care providers and residents or their families, between family members or between health care providers At least three health regions (Interior Health, Vancouver Coastal and Fraser Health) have a Clinical Ethics Committee or Clinical Ethics Services. If the health care matter is unresolved by the facility staff or administration, the adult’s family or the health care provider can request a review by the Clinical Ethics Committee. In theory, the Committee can offer confidential case consultations for patients, residents, families and/or health care staff members or teams. The Committee can review policies and guidelines entailing sensitive or disputed ethical implications. | |||
The committee may be able to help with several types of issues including informed consent; improving communication about ethical concerns among health care team members; end of life decision making; advance directives/advance care planning; and decisions about clients living at risk. Interior Health policy specifically notes that health care providers must not provide major health care until the dispute with a temporary decisionmaker is resolved. Each committee sets its own process. | |||
It is not clear whether residents or families are aware of these as a problem resolution resource. Recent Canadian research on informal consultations suggest that while the consultations may help health care providers think through ethical considerations, they tend to be of less help to patients or families. Indeed patients are rarely involved in the deliberations involving their lives and families only slightly more often. | |||
{{REVIEWED | reviewer = BC Centre for Elder Advocacy and Support, June 2014}} | {{REVIEWED | reviewer = BC Centre for Elder Advocacy and Support, June 2014}} | ||
{{Legal Issues in Residential Care: An Advocate's Manual Navbox}} | {{Legal Issues in Residential Care: An Advocate's Manual Navbox}} | ||
