Client Advocacy-accountability-values-Ethics.pptx - Client...

Client Advocacy, Accountability
Values & Ethics

Client Advocacy

About Advocacy
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Advocacy is protecting
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Protecting those that can’t protect themselves
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Advocate expresses, defends another’s
cause
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Client advocate protects client
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Defends client from harm
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Represents clients needs, wishes to others
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Positive experience for nurses and clients

Advocate’s Role
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Navigate complex health care system
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Penetrate bureaucracy, access resources
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Protect client’s rights
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Educate clients about their rights, health care options
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Provide information
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Support client in making informed decisions
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Work with clients who lack decision-making capacity

Effective Advocacy
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Be assertive
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Recognize rights, values of client, family can
take precedence
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Be aware conflicts may arise
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Nurse and administrators, primary providers
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Work with community agencies, lay
practitioners
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May require political action

Developmental Considerations
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Advocate for safety
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Assess, protect vulnerable clients
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Women, children, older adults
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Be alert for signs of abuse
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Recognize victim will often deny abuse
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Advocacy
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Keep safe
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Educate clients about options
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Identify, help access resources

Advocacy in Home Care
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Unique concerns
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Operate on own personal values
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Revert to old habits at home
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Noncompliance versus client autonomy
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Limited resources
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Lack of client care services
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Financial considerations

Empowering the Client
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Support and advocate
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Clients and families facing difficult choices
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Living with results of choices
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Mutual respect, trust, confidence in others
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Empowering  caring behavior of enabling
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Empowering includes coaching, informing
explaining

Caring Behavior of Enabling
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Facilitating client’s passage through transitions
and unfamiliar events
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Coaching, informing, explaining, supporting,
assisting, guiding, focusing, validating
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May involve substitutive care
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May involve providing safe, effective environment

Four Dimensions of Advocacy
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Nurse maintains professional boundaries
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Avoid enabling pathological choices
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Facilitate growth and development
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Four dimensions of advocacy
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Being client advocate
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Following through or following up
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Providing resources
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Going above and beyond

Educating Providers
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Gap between rights of clients
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Theory and practice
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Direct care providers may feel threatened
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Expansion of client rights
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Regulations may hamper treatment
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Confidentiality must be maintained
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Local, state, national advocacy programs
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Mental illness
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Disability

Professional and Public Advocacy
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Professional organizations advocate at
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State and national levels
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For profession of nursing
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For members of organization
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Those who benefit from services
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Nurses in position to effect change
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Advocating for children and families
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Directed at helping child and family
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Meet psychosocial needs of children