Ethical conflicts in nursing homes are most probably underreported, being diagnosed only by accident, during routine inspection by regulatory agents, when a scandal hits the social media or printed press, or when a whistleblower submits evidence to the authorities. As worrisome as falling apart, decrepit facilities are breaches of moral, ethical, and professional duties concerning the patients, triggered by irresponsible or incompetent management and illegally drained financial resources, with sharply reduced staff. Society pays comparatively little attention to senior citizens, their sufferings, and indignities. Medical or nursing associations as well as ethical committees are well positioned to supervise and investigate professional malpractice; however that’s not sufficient in the context of hospices and long-term care facilities. An ethical consortium agglutinating all stakeholders is recommended, as it would not be too challenging to organize and could carry sufficient moral and professional weight, to be taken seriously by existing organizations and authorities, thus fulfilling its aims and duties.

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Nursing Homes and End of Life Care: An Ethical Paradigm or a Social and Moral Conundrum?

  • Joel Faintuch,
  • Salomao Faintuch

摘要

Ethical conflicts in nursing homes are most probably underreported, being diagnosed only by accident, during routine inspection by regulatory agents, when a scandal hits the social media or printed press, or when a whistleblower submits evidence to the authorities. As worrisome as falling apart, decrepit facilities are breaches of moral, ethical, and professional duties concerning the patients, triggered by irresponsible or incompetent management and illegally drained financial resources, with sharply reduced staff. Society pays comparatively little attention to senior citizens, their sufferings, and indignities. Medical or nursing associations as well as ethical committees are well positioned to supervise and investigate professional malpractice; however that’s not sufficient in the context of hospices and long-term care facilities. An ethical consortium agglutinating all stakeholders is recommended, as it would not be too challenging to organize and could carry sufficient moral and professional weight, to be taken seriously by existing organizations and authorities, thus fulfilling its aims and duties.