Throughout the COVID-19 public health emergency, visitation to NJ long-term care facilities has been severely restricted. The NJ Department of Health has issued guidance that allows LTC residents to have limited visitation in very specific circumstances. In addition, the NJ DOH has issued visitation guidance for the holiday season. General visitation and testing guidance was issued on October 20, 2020. (See page 22.) Holiday visitation guidance was issued on November 16, 2020. If If you have questions or concerns about visiting long-term care facilities, contact the NJ LTCO.
As individuals grow older and struggle with advanced illness and frailty, they, their families, and their care providers will likely be faced with difficult decisions about their care and treatment.
Decisions can include whether to provide or remove particular treatments, such as dialysis or artificial nutrition, adjust medications, or refer to palliative care or hospice.
For individuals in long-term care communities, the Ombudsman provides support and ensures that decision-making is resident-focused and consistent with ethical and legal standards.
One way the Ombudsman does that is through Regional Ethics Committees (RECs). RECs provide an impartial, comprehensive evaluation and assessment of the situation and offer non-binding recommendations to the individuals involved.
RECs provide much-needed education, conflict resolution, and ethical guidance to facilities and families when difficult decisions need to be made.
Ethical Decisions at End-of-Life Ombudsman Process
As with all of the Ombudsman’s work, the primary focus of the process is to ensure that the resident’s wishes are respected. The Office works with the resident, his or her family and friends, and facility staff to identify the resident’s wishes, wherever possible.
In addition to exploring the resident’s wishes, the Office also gathers clinical information regarding the resident’s cognition, condition, and prognosis, to ensure that legal standards for withholding/withdrawing treatment are met.
Regional Ethics Committees (RECs)
NJ Supreme Court Case Law