Is this ethical exploitation by a healthcare worker?

[Nurse Beth, MSN]

Yes, there are laws and ethical standards in place that prohibit healthcare professionals, including CNAs, from taking advantage of vulnerable patients, especially those in hospice care.

Taking a $5,000 car on credit from a hospice patient would likely violate multiple laws, including:

• Exploitation of a vulnerable adult. In many states, exploiting an elderly or terminally ill person for personal gain is illegal and considered elder abuse. The CNA could be charged with financial exploitation.
• Fiduciary duty. Healthcare workers are responsible for acting in their patients' best interests. Entering into personal financial transactions with a patient can be seen as a breach of this duty.
• Conflict of interest. A CNA or healthcare professional should avoid situations that could create a conflict of interest. A personal financial transaction like this could appear unethical.
• Code of ethics violations. Most healthcare agencies, including those in hospice care, have codes of ethics that prohibit staff members from engaging in personal financial dealings with patients. Violating these ethical standards can lead to disciplinary action or termination from employment.

If this situation occurs, it would be advisable to report it to the appropriate authorities, such as hospice management, the state nursing board, or, depending on the severity of the case, Adult Protective Services.

Best wishes,

Nurse Beth