Access to health care and health inequalities are influenced by the client’s geographical location, patient age, social and economic position, disability, sexual identity, and ethnicity. Social determinants are settings that engage in their community and are affected by the distribution of supplies such as money and power. Managing social determinants of health is essential for enhancing health and decreasing persistent inequities in health care (Donkin et al., 2017). For instance, when a society has limited access to healthcare, its health declines. A potential effect of health policy might be affordable healthcare. The government offers cost-sharing subsidies and enacts new legislation to encourage health insurance firms to provide residents with more cost-effective treatment (Santana et al., 2018). Many people can access quality care services, and the nation’s health condition would improve due to the implementation of an affordable care policy.

A code of ethics serves as a guide for nurses, and its purpose guarantees that the actions of caregivers always result in the most favorable health outcomes for the patients in their care. The American Code of Nursing lays forth the requirements for nurses. Caregivers are responsible for treating patients with the highest respect in all aspects of their care, including preserving the patients’ dignity and protecting their privacy. The nurses must advocate for patients’ rights and adhere to rules and patient rights while providing care. Since policies and privileges are enacted by the government, the laws and regulations affect the capacity to observe and conform to the code of ethics, which may lead to ethical difficulties. Residents in nursing homes express self-determination as one of their primary concerns. However, the client has the legal right to be educated and to have an active role in making choices on the course of treatment. Many patients in nursing homes are not in the correct state of mind to make decisions. Self-determination in healthcare is essential for the right to engage in care as a patient (Bevilacqua et al., 2020). The patient needs to have a say in the evaluation, treatment planning, and timing of their departure from the hospital. Clients in nursing homes have the legal right to reject medicine and physical constraints, as well as the right to access and examine their medical information.

The federal nursing home legislation stipulates that residents of nursing homes have certain rights. In the case that nursing homes violate the legislation, they risk losing their license to practice and being withdrawn from the Medicare and Medicaid Services. The government subsidizes nursing homes by enabling patients to cover their nursing home fees through Medicaid and Medicare (Yang et al., 2021). The resident is entitled to be advised of all services offered and related fees. As a result of the number of caregivers involved in coordinated care, the details may not be communicated to the patient since each caregiver expects that the other health professional has discussed the costs and resulting consequences with the patient.


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