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Ethical dilemmas in health care setting
Ethical issues in health care
Ethical dilemmas in health care setting
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1.1 Explain what it means to have a duty of care in own work role.
Duty of care is an obligation imposed on me to provide a standard of reasonable care to another while performing an act that could foreseeably harm others. Duty of care must be provided with watchfulness, caution, prudence, attention and in the best interest of the service user. Failure to provide the care required will be termed an act of negligence which is liable by law. This affects my role because I have the duty of care to the service user I provide with care to keep them safe and protect them from abuse from others such as staff, friends and families. This is done by adhering to the safeguarding policies and procedures in my workplace, and receiving adequate training
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in order to recognise and safeguard them from all types of abuse. The duty of care affects my role because it provides me with the responsibility of recording relevant information, incidents or accident in my work place.
This also includes reporting of any improper conduct or suspicion that can contribute to an act of abuse. I have the duty of care to provide safety and protection for service users while respecting their needs and choices.
1.2 Explain how duty of care contributes to safeguarding or protection of individuals
As a health care assistant, I have I duty of care to safeguard individuals from harm or abuse. This safeguard can be from self or others. In a situation where the individual pose a harm to self, such as been suicidal, or self-harm, I have a duty to protect such individual from everything that poses to be the risk factor. Where the harm or abuse is from another, I provide reasonable care to keep the service user safe from such individual, by taking precautionary measures that protect or safeguard the service user.
A duty of care is a legal obligation that allows me to act in the best interest of the service user. It is a legal requirement to provide good and quality services in the best interest of the service user and failure to do this is regarded as failing of good practice. I have a responsibility to attend the required training in order to develop my professional practice in keeping service user safe from harm or
abuse. 2. KNOW HOW TO ADDRESS CONFLICTS OR DILEMMAS THAT MAY ARISE BETWEEN AN INDIVIDUAL’S RIGHTS AND THE DUTY OF CARE 2.1 Describe potential conflicts or dilemmas that may arise between the duty of care and an individual’s right. A conflict or dilemma may arise where the service user refuse to comply with the use of medication, assessment or engagement with any positive treatment offered. The service user may provide reasons for refusing any intervention, and sometimes may not. This is their right and I have a duty to respect their decision. I have a duty of care to listen to the service user’s reason, taking into account their rights, and not enforcing any treatment on them. I encourage the service user by explaining the importance of the use of medication and not enforcing the medication on them, thereby respecting the dignity of the service user and giving appreciable time for the service user to reconsider taking the medication. The service user is given the support to take their medication and failure to comply is recorded in the incident sheet and the Marr chart. I have the responsibility to provide information that will enable the service user to make reasonable decisions if the service user has the capacity, and to make a decision in the best interest of the service user that lack capacity. Another dilemma that may arise between the duty of care and an individual’s rights is the use of other services. A service user may refuse the use of a service like eating, bathing and changing of clothes, this refusal must be reported and recorded accordingly. Refusal of certain activities may be based on several reasons, such as unwillingness to participate in learning or sports. It is important to ensure their safety and not to enforce any activity on them.. 2.2 Describe how to manage risks associated with conflicts or dilemmas between an individual’s rights and duty of care. The right tool in managing risks associated with conflicts or dilemmas between an individual’s right and duty of care is communication. Communication ensures that the right information is passed and understood. It allows the individual to make an informed decision, process the information and give a feedback. Information recording is vital in managing risks, it ensure that the service users, my observation and my views are recorded. This enables easy communication between the service user and professionals. 2.3 Explain where to get additional support and advice about conflicts and dilemmas Additional support and advice about conflicts and dilemmas can be obtained from manager, the exchange and other professionals. Information about the service user can be obtained from the service user’s record, care plan and family members. Other sources of information include internet, training, assessor, advocate and professional Organisation. Additional support and advice about how to resolve dilemmas can be obtained from Colleagues: Support can be obtained from colleagues where information and advice is needed to address a situation; colleagues can also provide ways in tackling tasks, solving relationship problems that are outside my competence when dealing with a service user. The information given by colleagues when providing care are treated with confidentiality and according to the legal and organisational requirement. 3. KNOW HOW TO RESPOND TO CONFLICTS 3.1 Describe how to respond to conflicts Response to conflict must be prompt and effective and attention must be given to listen to the compliant. Informal conflicts must be resolved quickly before its escalation to formal complaint. In responding to conflicts, service users are reassured that their complaints will be investigated and resolved. Service user’s complaint are logged and reported to the manager. I have a duty to listen and record the service user’s views. A serious conflict, or an unresolved informal conflict must be escalated to a formal complaint. This must be handled quickly by listening to the service users and recording the information provided. This will include assessing the complaint policy and ensuring the complaint has access to complaints policy and knows the outcome of their compliant. 3.2 Explain the main points of agreed procedures for handling complaints. The agreed procedures for handling complaints is to listen to the grievances of the service user and record their feelings and views. The service user’s record must be provided to the manager who will attempt to the resolve the issue. In order occasions, complaints are passed to the safeguarding officer, or police. Complaints must be handled professionally, seriously and swiftly ensuring the service users are safeguarded and all decisions are in their best interest. This complain must recorded and documented.
The first component of the four D’s of negligence is duty. The dentist owed a duty of care to every one of his patients. Duty of care is a legal obligation a health care worker, in this case, the dentist, owes to their patient and, at times,...
D1: I have decided to look at a 6 year old going through bereavement. Bereavement means to lose an individual very close to you. When children go through bereavement they are most likely to feel sad and upset about the person’s death. Children at a young age may not understand when a family member dies. Children may not understand bereavement. For example a 6 year old’s father been in a car crash and has died from that incident. Death is unpredictable and children can’t be prepared for a death of a family member as no one knows when someone is going to die or not. Unfortunately every child can experience bereavement even when a pet dies. It is important that we are aware that effects on the child so we can support them in the aftermath.
Western Australian Department of Education. (2007). Duty of care for students. WA: Department of Education. Retrieved from http://www.det.wa.edu.au/policies/detcms/portal/
A) Kidkare owes a duty of care to Owen because as a business, which deals with children, it is their responsibility to ensure the safety and wellbeing of the children under their care. James also owes Owen a duty of care. As a care provider James is accountable for any children in his group. James should have taken better care to ensure that Owen was in fact joining his older brother’s group, or at the very least, calmed Owen down and have him remain in his own age group.
An example of this would be that the manager of the sports centre has a higher duty of care because they are ones responsible for health and safety to everybody.
Professional Duty and Responsibility: Demonstrates professional conduct within the nurse’s legal scope of practice to ensure safe, competent, and compassionate patient- and family-centered care.
In addition to knowing why an intervention is needed and how to perform it competently, the nurse also has a professional responsibility and accountability to justify, explain and defend their judgment and decision (Dowding & Thompson 2002, cited in Standing 2008).
Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3). Furthermore, nursing action guided by theory and principles of moral and legal rights complements excellent nursing care. Nurse’s awareness in moral and legal codes helps them control the complicated scenario encountered and direct the nurses in the best possible action answerable by law (Lachman, 2006).
The ethical responsibility of nurses. Provisions 3 & 4 of the Code of Ethics states that the nurse promotes, advocates for, and protects the rights, health, and safety of the patient; and the nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care. (American Nurses Association, 2015)
e of Ethics for Health Care Administration uphold four expectations: one, ‘individuals shall hold paramount the welfare of persons for who care is provided’, meaning one to strive to provide appropriate services, operate the facility consistent with laws and standards of practice, be consistent with laws, standards, and to protect confidentiality information regarding individual of care, to earn
Caring lies in its moral foundation. Caring validates both the nurse learder and the patient as human. Caring is one the most critical ingredients for health, human development, human relatedness, well-being, and survival.
“Safeguarding is everyone’s responsibility. Safeguarding is defined in Working together to safeguard children 2013 as:
The four fundamental nursing responsibilities of promoting health, preventing illness, optimizing health and alleviating the ill are represented in the code of ethics. (Arnold & Boggs, 2016) One can say that the code of ethics are rules that a nurse needs to follow in order to effectively communicate and protect the patients. The American Nurse Association provided the code of ethics to guide nurses to ensure that patient’s care, safety, rights and health are well cared for and well managed. Models like Utilitarian, deontological, and the human rights-based all contribute in answering dilemmas that can arise with a patient. Thus, explaining what some of the code of ethics are, and how the code of ethics influence our responsibilities as a nurse will impact the overall care of the
Duty of care refers to the circumstances and relationships which the law recognizes as giving rise to a legal duty to take care. The first major case in the development of the ‘duty of care test’ was that of Donoghue v Stevenson [1932].
I take my responsibility seriously. Sometimes too seriously. When I finish my shift I always want to make sure I handled all guest issues and concerns that came up but I need to remember that the next shift can and does handle customer issues as well.