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Ethical decisions with limited resources. How is that possible?
1Indiana University School of Nursing, Indianapolis 46202, USA.
Nursing Case Management : Managing the Process of Patient Care
|December 10, 1997
Summary
Case managers navigate complex healthcare by balancing competing benefits and burdens. An ethical decision-making model helps manage these ethical dilemmas for patients and families.
Area of Science:
- Healthcare Ethics
- Case Management
- Decision Making Models
Background:
- Case managers operate within complex healthcare systems requiring ethical decision-making.
- Balancing competing benefits and burdens is a frequent challenge for case managers.
Observation:
- The author presents a model to aid case managers in ethical decision-making processes.
- Case manager obligations to patients involve striving for benefit, which evolves with care trajectory.
Findings:
- The ethical decision-making model assists in navigating complex patient care situations.
- Understanding 'benefit' shifts as patient care transitions from acute to chronic and end-of-life stages.
Implications:
- This model supports case managers in ethically balancing diverse stakeholder interests.
- Effective ethical decision-making is crucial for holistic patient and family care in managed care settings.
Keywords:
Health Care and Public Health