Efhicai and legal issues in home health and long term cares challenges and solutions by dennis a robbins 1 996 gaithersburg md aspen publishers 236 pages hardcover. Long term care decisions arise for elderly individuals and their families when the elder is no longer able to live independently the loss of capacity for independent living is typically caused by changes in health that result in a decreased ability to care for oneself in the activities of daily living such as cooking eating bathing and toileting. Pdf ethical and legal issues in home health and long term care challenges and solutions popular. Physicians who provide care for nursing home residents are regularly challenged by ethical and legal issues because nursing home care is complicated by numerous regulations and because nursing home residents have complex medical and social problems some issues are unique to the long term care setting and others present in unfamiliar ways. Ethical issues in long term care a human rights perspective two challenges both of which can lead to ethical dilemmas and human rights violations are discussed substance use and resident to resident aggressive social program that helps pay for the cost of long term care