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Principle of Confidentiality in Medical Practice
Principle of Confidentiality in Medical Practice
Ethical dilemmas in the medical field about confidentiality
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Ethics Issue 2
No! I do not believe that this is an ethical decision rather a personal decision to perfect them selves and others that work in the same office. Dental offices work in the type of situations that could expose them HIV.
Ethical Issue 3
No! I do not believe that doctors should have to take patients that cannot pay or they don not except the insurance. They paid for their education and should get paid for their service.
Ethics Issue 4
She should go to her superior and report all abusive acts towards any patients not just elderly. Her supervisor should then know appropriate procedures to follow.
Albeit LTC facilities are designed to benefit individuals with disabilities, residents in LTC settings are often victims of unethical practices conducted by healthcare employees. Types of abuse commonly seen in long-term care ranges from withholding food from the individual, overdosing residents with medication to keep them calm, withholding individuals from activities, physically beating or spanking residents, and the list goes on. There are many instances where residents are verbally abused, called names, and profanity is used against the individuals. This type of behavior from health care professionals is unacceptable, and these incidents must be
An ethical decision that I was faced with within my professional career was about a month ago. I’m a dental assistant so I work with people every day and I have to deal with people and their personal bias. I had a patient that was underage and she come into the operatory by herself. I asked the patient did she have a guardian with her and she said “yes”, and she started to inform me that her grandfather didn’t like African American people. At that point I was faced with an ethical dilemma to not inform her grandfather about the treatment or to faced her grandfather, that I knew didn’t care for African American people. The problem was very difficult because I didn’t know how her grandfather was going to react toward me as a professional person.
Case 16 This case presents a very delicate situation that presents many legal and ethical questions. Do you tell your brother or partner he has HIV? I would tell my brother, but the how and when, may vary based on circumstances. From a professional ethical standpoint, it would be unethical to disclose the patient’s HIV status without consent.
At first, I believed that a patient should have the say so and get what they demand. I didn’t feel sympathetic for the health care provider one bit. I was able to look through the eyes of a physician and see the trials that they have to go through. It is not easy making the decisions that they have to make. There job is based on decisions, and most of it is the patient’s. “There will certainly be times when I will be faced with a request from a patient or patient’s representative that I will personally find morally difficult, but one that is still legally and ethically acceptable. must be very difficult to work in an area with little control over what you want to do.” (Bradley 1). Even though I do not fully understand a health care providers everyday role, I do know that they are faced with painful options. I personally feel that I can not work in this field for that exact reason. Health care providers play an extremely important role in our society, and others need to look upon
Not only do health care providers have an ethical implication to care for patients, they also have a legal obligation and responsibility to care for the patient. According to the Collins English dictionary, a duty of care is ‘the legal obligation to safeguard others from harm while they are in your care, using your services or exposed to your activities’. The legal definition takes it further by making it a requirement that a person act towards others and the public with watchfulness, attention, caution and prudence which a reasonable person in the circumstances would use. If a person’s actions fail to meet the required standard, then the acts are considered negligent (Hill and Hill, 2002). If a professional fails to abide to the standard of practice for their practice in regards to their peers, they leave themselves open to criticisms or claims of breach of duty of care, and possibly negligence. Negligence is comprised of five elements: (1) duty, (2) breach, (3) cause in fact, (4) proximate cause, and (5) harm. Duty is defined as the implied duty to care/provide service, breach is the lack thereof, cause in fact must be proven by plaintiff, proximate cause means that only the harm caused directly causative to the breach itself and not additional causation, and harm is the specific injury resultant from the breach.
According to the Department of Health and Human Services: National Center on Elder Abuse, mental or psychological abuse can be anything from intimidation, harassment, and even verbal abuse ("Types of Abuse," 2016). This is sad, to think, that there are elderly that are being harassed and verbally abused by those trusted to care for them. Proverbs 16:24 (NIV) says ,”Gracious words are a honeycomb, sweet to the soul and healing to the bones”. This is how we should be treating our elderly with kind words, and compassion this is what God would desire us to do.
Patients are ultimately responsible for their own health and wellbeing and should be held responsible for the consequences of their decisions and actions. All people have the right to refuse treatment even where refusal may result in harm to themselves or in their own death and providers are legally bound to respect their decision. If patients cannot decide for themselves, but have previously decided to refuse treatment while still competent, their decision is legally binding. Where a patient's views are not known, the doctor has a responsibility to make a decision, but should consult other healthcare professionals and people close to the patient.
Professionalism in the dental profession refers to our responsibilities and obligations that exists throughout our entire dental career. “Professional competence is the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values and reflection in daily practice for the benefit of the individual and community being served (Kirk, 2007).” A health professional must be able to regulate their own behavior and comply with a code of ethics in professional practice. Fundamental principles of professionalism include primacy of patient welfare, social justice and patient autonomy (Kirk, 2007).
...how kindness to them. Unfortunately, many caregivers take advantage of the elderly by taking their money, by using violence and sexual interference, and by abusing clients emotionally. 96% of elder abuse cases are not reported. ( Medscape.com). The Ontario Network for the Prevention of Elder Abuse (ONPEA) is an organization dedicated to raising awareness about abuse and neglect of older abuse. (onpea.com). It stands to reason that there is a large problem still rampant in society where others are taken advantage of, or mistreated. Hopefully more documented information and raising awareness of the issue amongst society will allow more people to understand this as a problem and the abusers to be caught. These obvious abuse of rights are something that should be protected, luckily people become more aware of these circumstances that is happening on a regular basis.
Nursing Home Abuse With over 1.5 million elderly and dependent adults now living in nursing homes throughout the country, abuse and neglect has become a widespread problem. Even though some nursing homes provide good care, many are subjecting helpless residents to needless suffering and death. Most residents in nursing homes are dependent on the staff for most or all their needs such as food, water, medicine, toileting, grooming- almost all their daily care. Unfortunately, many residents in nursing homes today are starved, dehydrated, over-medicated, and suffer painful pressure sores. They are often isolated, ignored, and deprived of social contact and stimulation.
Elder abuse is “a single or repeated act or lack of appropriate action occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person or violates their human and civil rights” (UCD and HSE 2012). It is inappropriate actions against an older person that harms them and defys them in any way and violates them as a human being. The forms of abuse can be physical, sexual. psychological, financial or material abuse , neglect on acts of commission or discriminatory abuse.(UCD and HSE 2012). There are different kinds of abuse and abusing patterns that can happen to an elder person such as Long-term abuse, Opportunistic abuse, Situational abuse, Neglect of a person’s needs, Institutional abuse, Unacceptable forms of ‘treatments’ which include acts of punishment, racist and discriminatory practice, failure to get access to key services such as health care or any other forms of care. Mishandling of benefits or Fraud or intimidation in connection with wills, property ...
It can happen at home, in a nursing home, or even in public. Robinson, Saisan and Segal stated, “Sadly, two of the most common sources of elder abuse are abuse by a primary caregiver – often an adult child – and self-neglect.” Abuse happens every day. Many times, people suspect that their family member is abusing a loved one but are to ashamed to report it. Robinson, Saisan and Segal emphasize, “Everyone deserves to live with dignity and respect. The earlier you intervene in a situation of elder abuse, the better the outcome will be for everyone involved.” Another type or abuse that many tend to ignore is self-neglect. The Health and Wellness Resource Center reports, “Self-neglect is failing to preform essential, self-care tasks, to an extent that threatens personal health and safety.” Most times, the self-neglect is unintentional because the elder will refuse any type of help. “He or she may be in denial, feel ashamed about needing help, or worried about having to leave home. Don’t stop checking with the older adult, even if you are being brushed off…Sometimes a peer or neutral party, such as a geriatric care manager, may have a better chance or getting through.” When an elder refuses help one cannot force them to do something they don’t want to, but it is good to keep asking them if they want help so that when they do need help they are aware that someone is there for
Today’s society protects against discrimination through laws, which have been passed to protect minorities. The persons in a minority can be defined as “a group having little power or representation relative to other groups within a society” (The Free Dictionary). It is not ethical for any person to discriminate based on race or ethnicity in a medical situation, whether it takes place in the private settings of someone’s home or in a public hospital. Racial discrimination, in a medical setting, is not ethical on the grounds of legal statues, moral teachings, and social standings.
This can be a big issue with long-term hospital stays and is especially prevalent among elderly patients. It is not always the physical harm done to a patient that is the issue, but the dignity of the patient as well. When the nursing staff is not fulfilling their duties in this area, patients can suffer emotional distress. The humiliation that person can feel combined with physical harm is abusive and can constitute
If they voluntarily opt out of the practise, though they are protected by conventions and international laws, this act of theirs would be looked upon as a professional misconduct. Medical ethics give paramount importance to the autonomy of a conscious and sound patient.