In many parts of the United States, demand for nursing facility beds exceeds the supply. In addition, admission decisions are often made in a time of crisis, upon hospital discharge, or by family members from other parts of the country. Multiple parties may be involved in the admissions process. The authors of this article propose a set of guidelines that supports an ethical decisionmaking process for admission. They stress autonomy, including individual liberty, privacy, respect and confidentiality.
Beneficence is related to the making of decisions by one adult for another adult.
The admissions process also needs to take into account the impact on other residents, the care providers, and the family. Examples of problems with suggested solutions are included. How Does a Nurse Decide. Results from several studies on restrain reduction indicate that removal of restraints does not compromise resident safety. On the contrary, restraint reduction increases mobility, promotes autonomy, and decreases the incidence of decubitus ulcers and incontinence.