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confidentiality and privacy in healthcare
ETHICS IN MEDICAL PROFESSION
confidentiality and privacy in healthcare
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It is understandable a family member of someone who needs a feeding tube would be scared and apprehensive of this procedure. There are fears associated with placing a feeding tube including malnutrition causing the patient to starve; however, it is the healthcare provider’s responsibility to thoroughly explain the procedure and its benefits to the family. A large aspect of the nursing profession is being an advocate for the patient and explaining to the family that certain procedures are important for the benefit of their health. There are ethics that must be adhered to during patient and family teaching that will give the patient and their family the information they need in a respectful and professional manner. These ethics include justice meaning fair treatment between all patients, autonomy or the patients’ independence, beneficence meaning keeping the patient safe from harm, and veracity meaning truth telling. For the best care to be provided to the patient each member of the healthcare staff must adhere to each of these ethical principles in order to provide the best relationship with the patient and the family. Along with ethics the client also has right that the healthcare professionals must follow including the right to receive information including benefits, risks, and cost of treatment (emedicinehealth, 2011). The client also has the right to make decisions even if it is against medical advice. The patient has the right to be treated with respect, dignity, with timely attention. The patient also has the right to confidentiality, right to continued health care, and the right to have adequate health care (emedicinehealth, 2011).
Deana, a patient with Parkinson's disease, has gone through many different agoni...
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...em will be fixed. A decision about an invasive procedures, such as a feeding tube is very intense and means Deana’s disease is progressing, but there are still options that will help her quality of life.
The best way to provide patient care is education, this means educating the patient, family members, and anyone making medical decisions on behave of the patient. Each medical staff member should be open and honest about the procedures within their scope of practice. The more education the family gets the better the medical judgment will be for the patient. Within the medical education the healthcare professionals must be non-judgmental about the decisions the patient or power of attorney make. The patient as well as their family must be treated fairly, with dignity, self respect, with the practice of maintaining as much patient independence as possible.
In the medical ethics case study given to me, Justin is new nurse at a hospital and has become great help to the other employees but he makes mistakes often. When it comes to medical ethics, it is important to do what you know is morally correct. We all want to be good Christians and make the right decisions but sometimes those decisions will affect others negatively. We may not always act how we ought to but those decisions do affect who we are.
Artificial nutritional support is often necessary to enhance the nutritional status of acutely or critically ill patients. Nasogastric and post-pyloric feeding tubes are relied upon to provide the caloric and nutritional support required. There are approximately 1.2 million feeding tubes placed annually in the United States (Koopmann, Kudsk, & Szotkowski, 2011; Krenitsky, 2011). Out of these, it is estimated that approximately 1.9% of feeding tubes are misplaced with complications ranging from pneumothorax, hydrothorax, empyema, pneumonia and death (Krenitsky, 2011; Taylor et al., 2014).
Ethical principles in healthcare are significant to the building blocks of mortality. The principles are beneficence, autonomy, justice, and nonmaleficence. Although these principles can be certainly followed they can also be disregarded. Beneficence is a theory that assures each procedure given is entirely beneficial to that patient to help them advance within their own good. For example, There was a young girl, the age of 17. She had been being treated at a small private practice since she was born. She was recently diagnosed with lymphoma and was only given a few more years to live. Her doctors at the private practice who had been seeing her for years were very attached to her and wanted to grant this dying girl her every wish. They promised
Several ethical principles that are incorporated in the nursing care of patients on a daily basis are nonmalificence, autonomy, beneficence, justice, fidelity and paternalism. Nurses should strive to comply to as many of the principles as possible. In this case there are principles which support and conflict with the wishes of the patient. The first principle that supports the wish of the patient is autonomy. Autonomy means that competent patients have the right to make decisions for themselves and the delivery of the healthcare that they receive. Another factor that would support the patient’s wish to not be resuscitated is nonmalificence. Non maleficence means that nurses should not cause harm or injury to their patients. In this case the likelihood of injury after resuscitation was greater than if the patient were allowed to expire. A principle that could have negatively affected the outcome of the provision of ethical care was paternalism. Paternalism is when a healthcare provider feels that they know what is best for a patient, regardless of the patient’s desire for their own care. I demonstrated the principle of paternalism because I thought that I knew what was best for the patient without first consulting with the patient or family. This situation might have had some very negative consequences had the patient not have been competent. Practicing a paternalistic mindset might have caused a practitioner in the same instance to force their ideas about not resuscitating the loved one onto the family. This could have caused a sense of remorse and loss of control of care amongst the
Queensland Health (2011) states that in the nursing profession, certain principles must be fulfilled in order for informed consent to be considered valid. They state that the patient must be deemed to have the capacity to make a decision about the proposed issue at that specific time, and not be under the influence of any alcohol or drugs. They state that the patient must consent voluntarily and the decision be made free of manipulation or undue influence by family or the nurse. They suggest that the discussion must involve two-way communication between the patient and the nurse and be clear, rational and sensitive to the situation. The nurse must provide the patient with sufficient information about the proposed issue in a language that the patient can clearly comprehend (Queensland Health, 2011). When providing care, both nurses and paramedics must ensure that the patient has adequate knowledge and have a necessary understanding of the procedure, to...
The delivery of healthcare mandates a lot of difficult decision making for healthcare providers as well as patients. For patients, much of the responsibility is left to them especially when serious health problems occur. This responsibility deals with what treatments could be accepted, what treatments could be continued, and what treatments could be stopped. Overall, it considers what route should be taken in regards to the health interests of the patient. However, there are circumstances in which patients cannot decide for themselves or communicate what they want in terms of their healthcare. This is where the ethical issue concerning who should be responsible for making these important healthcare decisions occur if a patient was to be in this sort of situation. Healthcare providers can play a role in the healthcare decision making as their duty is to act in the best interest of the patient.
Albert Jonsen, the author of “A Short History of Medical Ethics”, covers more than two thousand years of renowned medical history in a mere hundred and twenty pages. He covers many cultural customs and backgrounds involving medical discourse, beliefs, and discoveries which have led to the very formation of the distinguished society we live in today. However, throughout this brief tour, Jonsen exploits the fact that even though there have been many cultural differences, there are a few common themes which have assimilated over the years and formed the ethics of medicine. The most prevalent themes of ethics presented in Jonsens text, are decorum, deontology and politic ethics. Decorum is referred to as both the professional etiquette and personal virtues of medicine. Deontology refers to rules and principles, and politic ethics expresses the duties physicians have to the community.
As human beings, we are inundated throughout our lives with ethical dilemmas. While these difficult choices are challenging, those dilemmas associated with medical choices can be extremely problematic. Families and medical professionals must decide the fates of people every day. A medical scenario involving an elderly woman named Jamilah Shah will be referenced throughout the work. This essay will dissect the ethical principles of autonomy, beneficence, and justice, and how they help or complicate medical decision making.
Morality plays a huge role in the health care field. This principle of right and wrong behavior is significant to every doctor when evaluating the merits and difficulties of many medical procedures. One may find the advancement of medical technologies hard to endure, however, this increase in medical technology serves as a solution to our human imperfections. For example, using in-vitro fertilization to pick and choose embryos regarding an ideal genetic baby or human cloning. If we screen an embryo for a tissue type, we can then allow certain physical traits for the baby. We can choose their eye color, type of intelligence, athleticism, and talent that could suggest our babies nonetheless, perfect
There are currently 40 emerging infectious diseases, that are at risk of spreading from country to country, due to the increase of people traveling. Diseases like Ebola and the Zika virus pose a global threat due to the possible rapid rate of transmission from human-to-human, that occurs with exposure to someone who is symptomatic and seropositive (World Health Organization, 2016-a). When there is an infectious disease breakout, public health practitioners and physicians, must make quick decisions regarding isolation of a patient exhibiting symptoms and using quarantine for those who have been exposed to someone symptomatic or seropositive. Although, a public health framework is followed to make the decisions for isolation and
In order for a nurse practitioner to work efficiently, they must exercise their autonomy; however, the nurse autonomy can be affected by many aspects. Having a patient who is dying with a terminal cancer is not something easy for any nurse who work in an oncology floor. These patients are in a lot of pain, suffering, uncomfortable, and inconsolable. Despite all of these issues, these patients are entitled to tell them the truth. There was a patient who had a terminal cancer, and he was about to die. He was diagnosed with a leukemia sin he was 17 years old closed to 18. Despite vigorous treatment like chemotherapy and radiation, his cancer gotten worst. By the age 19 years old, the patient’s cancer become terminal, and he was in a state of dying.
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
Rethinking Medical Ethics: A View from Below and Mountains beyond Mountains are two readings that will be further analyzed to demonstrate how re-socializing and re-humanizing medicine concurrently may be of importance to global health. As a recap, the former is a philosophical work that gives context to the idea of re-socialization in the medical field (Farmer). The latter is a literary, non-fictional piece that documents the life of Paul Farmer, from his early upbringing to his involvement with treating infectious diseases, from a third-person point of view (Kidder). From engagement with these readings, I have found the critical assessment of the upstream causes of health inequality as it pertains to a particular country's political, economic
Nutrition is normally delivered through the enteral method, also known as tube feeding, when a patient is able to digest nutrients in their gastrointestinal tract but may have an issue swallowing, chewing, or ingesting food. The tube is placed in the stomach or intestines for delivery of nutrients. Complications, such as pulmonary aspiration or clogged tubing, may occur. Pulmonary aspiration can be prevented by making sure the head of the bed is positioned at an angle of at least 30° and an assessment of the gastric fluids should be done intermittently by the nursing staff. When the tubing clogs, there is a high probability that the patient does not
influence professional policies. Respect for the patient and support group is very vital whether it