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Medical Law and Ethics
Doctor patient relationship introduction
Doctor patient relationship introduction
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Recommended: Medical Law and Ethics
Everyday In the hospital, Doctors and caretakers alike have to disclose information to patients. Sometimes, the information may be confusing, or the patient may have a hard time understanding just exactly what the outcome means for them. The health care professionals informing these patients have a legal and moral responsibility to reach a caring response with their patient to get closer to a shared decision making process. In a caring response, the healthcare Professional must give adequate disclosure, makes sure the patient openly agrees and volunteers for the upcoming advice or treatment, and lastly makes sure the patient is fully competent to take in the information to get on a closer patient/caretaker relationship. In the paragraphs below, I hope to fully explain further on these topics and relate them to the story of Mrs. Flores, and just what additional considerations have to be made for her case.
When disclosing information to any patient, there is always a contract in place that helps describe what both parties have agreed to and also the rights and responsibilities of both alike. There is a standard in place with disclosing information in the healthcare system. It is based on the principal that the healthcare provider needs to give information that a “reasonable person” would need to make an informed decision on
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To do this we need to create a relationship with the patient filled with patience, and kindness to understand them further. We need to look at how the patient can communicate the choices being made available to them, and if they understand alternative options to the advice or treatment. To be seen as competent, the patient needs to show they understand all the risk and benefits from the treatment, and can then consistently communicate their choices with the healthcare
One of the most complex, ever-changing careers is the medical field. Physicians are not only faced with medical challenges, but also with ethical ones. In “Respect for Patients, Physicians, and the Truth”, by Susan Cullen and Margaret Klein, they discuss to great extent the complicated dilemmas physicians encounter during their practice. In their publication, Cullen and Klein discuss the pros and cons of disclosing the medical diagnosis (identifying the nature or cause of the disease), and the prognosis (the end result after treating the condition). But this subject is not easily regulated nor are there guidelines to follow. One example that clearly illustrates the ambiguity of the subject is when a patient is diagnosed with a serious, life-threatening
A basic definition of confidentiality is that information about a patient is not discussed openly (Edge and Groves, 2007). This ethical principle became an issue when the government gave medical facilities lists of people who were in the study. Again, the patients were not informed that they would not be able to
In this paper I will discuss the ethical dilemmas, ethical principles, values from CNO, and CNA, I will also discuss the laws. I will give opinions about my chosen scenario, how I felt and what I thought of it. The best action based on the analysis of this situation is for the nurse not to disclose this patient private and confidential information to her friend. Because if the nurse gives any information of her patient to her friend goes against CNO professional standards, (CNO, 2002). CNO defines standards as “Standards apply to all nurses regardless of their role, job description or area of practice,” (CNO, 2002).
Although I respect and trust nurses and doctors, I always carefully observe what is being done with myself or my family members. After watching Josie’s story and being in the process of becoming a medical assistant, I feel this story has given me an initiative to ensure patients and their families are kept safe. The generation we live in is technological, there are many resources for patients and families to utilize to educate themselves when it comes to medical conditions. Some people like to self-diagnose and it makes it harder for doctors and healthcare workers to work with those patients. This is when communication and active listening becomes especially important to work through what is fact and what is misplaced
In the event of releasing any patient information it is important to make sure that all of your T’s are crossed and your I’s are dotted before the transaction is complete. However, because specialized patient records, such as behavioral health or substance abuse cases, contain not only strictly medical information, but also therapeutic mental and emotional information, the release of this kind of information could cause some damage (McWay, 2010, p. 227). This is why the release of information concerning these patient records in them. For purposes of this assignment this paper will only be covering the release of information in a behavioral health case.
Which is very important for nurses or any medical professional to do in the healthcare profession. Nurses are receiving these patients in their most vulnerable state, nurses are exposed and trusted with the patients’ information to further assist them on providing optimum treatment. Keeping patient’s information private goes back to not just doing what’s morally right but also it also builds that nurse – patient relationship as well. We also have provision three that specifically taps on this issue as well, as it states: “The nurse seeks to protect the health, safety, and rights of patient.” (Nurses Code of Ethics,
In conclusion, doctors have a moral obligation to tell patients the truth about their illnesses, unless the patient clearly states that he or she does not want to know. Medicine is a field that works to treat the patient. This means that physicians are there for guidance, using expertise and years of education to guide them to a cure. This does not mean that a physician should make decisions about the patients without proper consent. Believing that patients will misunderstand the diagnosis, or assuming that they won’t want to know are not valid reasons for keeping information from the person. Communication is important in a medical setting, and is especially important when talking about the health of an individual. With relevant, appropriate and humanistic communication, telling a patient their diagnosis can and should be done in a caring way.
...y is not absolute and that the disclosure and justification of some individuals cases can potentially be successful. Moreover the person who disclosed the information will always be the person under scrutiny of the common law. Professionally, if the health care worker adhere to the policy it offers much protection for the topic of confidentiality and the correct attitude to retain information correctly.
Healthcare professions have codes of conduct and ethics that address the issue of honesty and trust in relation to patient encounters yet truth-telling (or being honest) versus deception (or being dishonest) has been identified as an ethical issue in hospitals, particularly about diagnosis and prognosis disclosures. Dossa (2010) defines being honest or telling the truth as relating the facts as one knows them. Furthermore, Dossa (2010) states that deception can be an act of dishonesty but also can be without lies. In other words, forms of deception include not giving any information, not giving information of the truth, withholding information, selecting what information to give and not give, and giving vague information.
The writer discusses a situation of the doctor failing to disclose the nature of important medical condition which can jeopardize several of the patient’s family members and puts the doctor at odds with them. The problem is also discussed by Sutrop (2011) who show how protecting the patient’s confidentiality and self- decision capacity has actually caused severe hindrances to the field of scientific development and research.
A norm in society is when an individual sees danger, they are supposed to report it to the authorities, therefore preventing any further damage. Breach of confidentiality is when a nurse shares information about a patient with others who are not authorized to know about the patient's personal information. Due to this, patients are afraid to be honest with their physicians and nurses that are treating them. In order to assure patients’ confidentiality, health professionals created the patient bill of rights to ensure that patient’s personal information is kept safe from outsiders.
Disclosure of pertinent medical facts and alternative course of treatment should not be overlooked by the physician in the decision making process. This is very important information impacting whether that patient will go along with the recommended treatment. The right to informed consent did not become a judicial issue ...
Laws and regulations state there are no exceptions to disclosing information of a patient without consent. If a patient gives consent to a family member the healthcare provider may devise a code to give family members so they may confirm their identity.
Doctor patient confidentiality, is a fundamental element of the practice of medicine. Patients can expect that doctors and their support staff will hold confidential information about them in confidence, unless the release of the information is required by law or for public interest reasons. Ensuring confidentiality is retained allows doctors to examine their patients and receive all relevant information about their condition without a worry of judgement or sharing of the information.
The specific issue in questions is whether a nurse should keep the truth from their patient about their illness by respecting the wishes of the patient family or abiding by The Code of Ethics for Nurses and revealing the truth to the patient. The Code of Ethics for Nurses expresses the values and ethics of the nursing profession by stating that: Patients have the moral and legal right to determine what will be done with their own person; to be given accurate, complete, and understandable information in a manner that facilitates an informed judgment; to be assisted with weighing the benefits, burdens, and available options in their treatment, including the choice of no treatment; to accept, refuse, or terminate treatment without deceit, undue influence, pressure, intimidation, or penalty; and to be given necessary support throughout the decision-making and treatment process (The American Nurses Association, 2011). Unfortunately, truth telling to any type of patient is a common ethical dilemma: to tell the truth or to not tell the truth is the main question. Nurses have the closet relationship with patients and therefore are the ones put in a difficulty situation between their patient and the patient’s family. Who should they satisfy? Should they leave their patient in the