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Privacy and confidentiality for patients
Why patient privacy and confidentiality is important
Privacy and confidentiality for patients
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Recommended: Privacy and confidentiality for patients
Confidentiality in the Practice of Psychiatry There is much debate about how psychiatric patients should be cared for and treated. Especially in an in patient setting, many healthcare providers will choose to care for mentally ill patients in their own way. Patients who are mentally ill have restrictions on certain aspects of their care such as access to certain things along with the environment they are in. Although confidentiality is important and should be maintained in all aspects of medical care, I do think that psychiatric patients should have the same have the opportunity to keep as much information confidential as they wish. Given the circumstances there are reasons to breach that confidentiality in mentally ill patients in order to keep the patient safe and out of harms way.
Patient Confidentiality When working in healthcare we are taught first and foremost that patient confidentiality is always extremely important. You should talk to one other than the patient about their medication condition,
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When you meet him you can tell there is something off about him but many people just associated it with his brilliant mind. He later begins showing signs of having a mental illness. Despite his knowledge the illness takes over him and impedes in him doing his work. It gets in the way of his personal and work life. John had to fight the hallucinations and take medication for him to be well. It was hard to see such a brilliant intelligent man go from one extreme to another. It was like as soon as he had his mental out break all was taken from him. With the right medication and with John being compliant in taking his medications he is able to control his schizophrenia and hallucinations and try to return to his old self. With the help of his wife, friends and healthcare team he is able to remember what life was like before his mental illness
Through John's interference he turned what was considered a minor case of a chemical imbalance into to full blown schizophrenia. During the turn of the century, which is when this story took place, what scientists knew of the human mind wouldn't fill the inside of a matchbook. This was for certain the case when it was a woman who was the patient. If there was any deviation in the accepted behavior of a woman as deemed by society, the woman was considered hysterical. When dealing with these patients, instead of seriously considering the consequences of their actions, they went along with obscenely stupid notions on how to deal with problems of the mind.
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
Forcing someone to take medication or be hospitalized against their will seems contrary to an individual’s right to refuse medical treatment, however, the issue becomes complicated when it involves individuals suffering from a mental illness. What should be done when a person has lost their grasp on reality, or if they are at a risk of harming themselves or others? Would that justify denying individuals the right to refuse treatment and issuing involuntary treatment? Numerous books and articles have been written which debates this issue and presents the recommendations of assorted experts.
In the film, John is diagnosed by a psychiatrist with schizophrenia. Given his symptoms, I would agree with the diagnosis. At the beginning of the film there does not seem to be anything wrong with John. In the beginning of the film, he is shown as a normal person attending Princeton University. However, he is obviously somewhat reserved and admits to his roommate early on that he doesn’t really care for people. This shows that he has some social withdrawal, which is a negative symptom of schizophrenia (p.474). Though it is not directly stated in the film, this may be due to a
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,
As time goes on, the law has put more emphasis on facility just like Bridgewater State Hospital in which many of the actions of the facility workers can face legal consequences such as facing prison time, fines, lawsuits, and etc. Society has a better understanding of why certain people act the way that they do and being more knowledgeable about psychology and mental diseases allows us to have a different approach when dealing with these topics or these individuals. In today’s era, there are many normal individuals who are willing to stand up for those who do not have a voice of their own. I believe that this change in one’s ability to stand up for another individual or group of individuals is what brought about change to the medical environment of those who are mentally
Without exception, confidentiality trumps duty to warn, court rules (2004). Mental Health Law Report, 22 (6), 53. Retrieved from http://find.galegroup.com/gtx/infomark.do?&contentSet=IAC-Documents&type=retrieve&tabID=T003&prodId=GRCM&docId=A120474886&source=gale&userGroupName=clemson_itweb&version=1.0
We all have our own perception of psychiatric hospitals. Some people may see them as a terrifying experience, and others may see them as a way to help people who cannot keep their disorders under control. David Rosenhan's perception led him to a variety of questions. How could psychiatric hospitals know if a patient was insane or not? What is like to be a patient there? According to Rosenhans study, psychiatric hospitals have no way of truly knowing what patients are insane or not; they quickly jump to labeling and depersonalizing their patients instead of spending time with them to observe their personality.
Insanity is a state of functioning that negatively impacts a person 's social, behavioural and mental wellbeing. Had they not been labelled, their behaviour would not have been misinterpreted. Although these pseudopatients fabricated their names and occupations to avoid special treatment, their family records were presented to hospital staff without additional revisions. Unsurprisingly, the pseudopatient 's track record was misconstrued when his diagnosis was put into
they are afraid that the mental patient might try to harm them. It would be interesting to
If you do not know the medication, do not give it. I teach this over and over in my clinicals and classes. We are humans, we are not robots and we will make mistakes, however if something does not feel right do not give it. The longer I work as a nurse, the less I trust anyone with my patients, this includes nurses and physicians. If I do not pull the medication myself, know the correct dosage and reason, I question the order. Experience has been a harsh teacher, consequently I have learned many lessons the hard
He is the son of Linda and the Director, Tomakin and was born on the Savage Reservation. John does not fit in at the Savage Reservation nor “civilized” London. He is not accepted by the people on the Savage Reservation because he is not one of them and his mother sleeping with different men before marriage which is against their beliefs, but normal to Linda. He does not fit in in London because although not accepted by the savages he still believed in their traditions of monogamy, marriage, and religion and these values shaped his opinions on everything.
Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make choices. Mental health is important at every stage of life, from childhood and adolescence through adulthood (What is Mental Health?). Mental Health Disclosure was established under The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule in, which provides consumers with important privacy rights and protections with respect to their health information. The Privacy Rule also recognizes circumstances arise where health information may need to be shared to ensure the patient receives the best treatment and for the other important purposes, such as for the health and safety of the patient or others. The Rule is carefully balanced to allow uses and
According to Szasz (2005), “In principle, the mental patient is considered competent (until proven [otherwise]). In practice, the client is regularly treated as if he were incompetent and the psychiatrist who asserts that he needs treatment is treated as if he were the patient’s guardian” (p.78). During the 1940’s patients who were mentally ill were considered “legally incompetent” when committed into a mental health facility. Relatives of the patients could release them by providing care in their homes for the client. Unfortunately, Szasz (2005) claims, that “the treatment of mental diseases is no more successful today than it was in the past” (p.78).
John is afflicted with paranoid hallucinations; by the time he is taken to a mental hospital under the care of the mysterious Dr. Rosen, he is diagnosed as having an advanced case of schizophrenia.