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Chapter 28 - Who’s That Sleeping in My Bed?

An Institutional Response to an Organizational Ethics Problem

from Part VII - The Big Picture:

Published online by Cambridge University Press:  17 May 2025

By
Daryl Pullman ,
Rick Singleton  and
Janet Templeton
Edited by
Paul J. Ford  and
Denise M. Dudzinski
Paul J. Ford
Affiliation:
The Cleveland Clinic Foundation, Cleveland
Denise M. Dudzinski
Affiliation:
University of Washington School of Medicine, Seattle
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Summary

In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the authors review the ethical challenges from a Canadian context when patients in acute care settings have no skilled nursing facility to which they can be discharged. They explore the policy challenges and the real impact on patient’s lives. This case highlights how individual ethics consultants can help institutions review and revise policies.

Keywords

hauntingethics consultationdischarge planninggovernmental policypatient preferencesurrogate decision makingallocation of resourcesorganizational ethics

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Type
Chapter
Information
Complex Ethics Consultations
Cases that Haunt Us
 , pp. 219 - 224
Publisher: Cambridge University Press
Print publication year: 2025

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References

Naleppa, M. Families and the institutionalized elderly: A review. J Gerontol Soc Work, 1996; 27(1/2): 87–111.CrossRefGoogle Scholar
Dellasega, C, Mastrian, K. The process and consequences of institutionalizing an elder. West J Nurs Res, 1995; 17: 123–40.CrossRefGoogle ScholarPubMed
Melrose, S. Reducing relocation stress syndrome in long-term care facilities. J Practical Nurs, 2004; 54(4): 15–7.Google ScholarPubMed
Iwasiw, C, Goldenberg, D, MacMaster, E, McCutcheon, S, Bol, N. Resident’s perspectives on their first two weeks in a long-term care facility. J Clin Nurs, 1996; 5: 381–8.CrossRefGoogle Scholar
Mayo, NE, Wood-Dauphinee, S, Grayton, D, Scott, SC. Nonmedical bed-days for stroke patients admitted to acute-care hospitals in Montreal, Canada. Stroke, 1997; 28: 543–9.CrossRefGoogle ScholarPubMed
Graf, C. Functional decline in hospitalized older adults: It’s often a consequence of hospitalization, but it doesn’t have to be. Am J Nurs, 2006; 106(1): 58–67.CrossRefGoogle Scholar
Wahl, J. First available bed discharge policies of Canadian hospitals: Good practice or discrimination on the basis of age and disability? Unpublished manuscript presented at The Ting Forum on Social Justice: Long-Term Care Stream, Vancouver, BC, October 14, 2006.Google Scholar
Changes coming in wake of elderly woman’s death. CBC News; 2006, Mar 16. Available at www.cbc.ca/news/canada/british-columbia/changes-coming-in-wake-of-elderly-woman-s-death-1.Google Scholar
Senior didn’t receive quality care: report. CBC News; 2006. March 1. Available at www.cbc.ca/news/canada/british-columbia/senior-didn-t-receive-quality-care-report-1.573226.Google Scholar
Webster, G, Baylis, F. Moral residue. In: Rubin, SB, Zoloth, L, eds. Margin of Error: The Ethics of Mistakes in the Practice of Medicine. Hagerstown, MD: University Publishing Group, 2000; 217–32.Google Scholar

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