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The stigma behind aids
HIV disclosure ethical
Hiv positive patients
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Scenario
Jared is a 33-year-old male who has human immunodeficiency virus (HIV). Jared is a chef who has recently been hired to work at a new high-end restaurant. HIV is a virus that affects the body’s immune system, specifically the CD4 cells, also known as T cells. The disease can over time destroy too many of the T cells that the immune system becomes too weak to fight off infections and other diseases. HIV is infectious and can be transmitted via bodily fluids, including blood, semen, and breast milk. Currently, there is no cure for HIV, but there are certain medications, known as antiretroviral therapy (ART), that can effectively control the virus (Centers for Disease Control and Prevention, 2016). Currently, Jared’s HIV is being controlled
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From a legal perspective, Jared is correct in that he cannot be discriminated against for revealing his status and that he is not compelled to reveal his status at all to his coworkers or boss. From a medical perspective, Jared’s virus is very well controlled and is very unlikely to infect anyone else. Still, Jared is unsure of what he should do and is questioning what is the right choice and has presented to the clinic, where you work as a nurse, for …show more content…
Waddell and Messeri (2006) found that disclosure to potential helpers is required to gain the most social support possible and that concealing one’s status can limit access to available resources, reduce potential support, and may lead to lower treatment rates. Huber (as cited in Kalichman, DiMarco, Austin, Luke, & DiFonzo, 2003), found that social support, can help to buffer the stress associated with living with HIV and can lead to better emotional health in this population, including a lower incidence of depression. On the other hand, disclosing one’s status is often hindered by the stigma associated with HIV and the fear of rejection and isolation (Deribe, Woldenmichael, Wondafrash, Haile, & Ameberbir, 2008). In a study done in Pakistan regarding stigma specifically in the workplace, researchers found that negative stigma in the workplace can result in negative workplace outcomes, which may lead to a loss of financial support (Bashir,
McOskar Enterprises, Inc. owns and manages a health and fitness center identified as “Curves for Women”. Tammey J. Anderson, the complainant, joined Curves on April 2, 2003. As part of the joining process Anderson signed a release of liability agreement. This agreement released Curves from any liabilities related to injuries that might be sustained by contributing in any activities or through the use of equipment. The agreement also stated that participants agreed to all risks of death or injury that could occur, Anderson read and signed the agreement of terms with Curves. After completing the liability agreement, Anderson began working out under the observation of a Curves’ trainer using the machines within the facility. During the workout Anderson notified the trainer that she began to feel pain in her neck, shoulder and arm, but finished her workout. She continued to feel the pain when she got home and pursued medical attention. As part of her prescribed medical treatment she was sent for a course a physical therapy. In June 2003 Anderson underwent a cervical discectomy, a procedure used to treat nerve or spinal cord compression. After her procedure Anderson sued Curves, claiming negligent acts during her workout. Anderson v. McOskar Enterprises, Inc., 712 NW 2d 796 (Minn. 2006).
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.
Facts: Two residents of Virginia, Mildred Jeter a colored woman and Richard Loving a white man, got married in the District of Columbia. The Loving's returned to Virginia and established their marriage. The Caroline court issued an indictment charging the Loving's with violating Virginia's ban on interracial marriages. The state decides, who can and cannot get married. The Loving's were convicted of violating 20-55 of Virginia's code.
... so many lives are suppressed, depressed and carry the plague of a negative stigma. Suppressed feelings, self esteem, and personal sexual choice is hindered by the norms and expectations of our society.
The Modified Labelling Theory, created by Link et al., (1989) hypothesized that individuals who were labeled as mentally ill, would manage the stigma they faced through three coping mechanisms; education, withdrawal and secrecy (as cited in Ray & Brooks Dollar, 2014). The Modified Labelling Theory is a credible theory that has been used to approach not only the repercussions of stigma in mental illness, but also to explain behaviours of those who smoke, live with HIV/AIDS, or have a child with a disability (Ray & Brooks Dollar,
The stigmatization and discrimination that goes hand and hand with a positive diagnosis of HIV/AIDS is overwhelming. FreeDictonary.com defines discrimination as the “treatment or consideration based on class or category rather than individual merit; partiality or prejudice.” In essence, discrimination is about actions and stigma relates to beliefs and attitudes. Both however are built up on negative views of a person just because they are apart of a specific group. All over the world, there are well-documented cases of people living with HIV that are being denied the right to health- care, work, education, and freedom of movement, among others. (UNAIDS 2005) This stigma and discrimination exist globally, although it appears differently...
The term “justice” has a wide variety of definitions but, in the nursing world it is an ethical principle that is defined as: the equal and fair distribution of resources. No matter who they are, every person has the right to any and all means of medical treatment (ANA, n.d.). In order for justice to be achieved, a patient should be given fair, impartial care and having their rights as a citizens upheld (Feinsod & Wagner, 2008). Although the in knowledge of AIDS and its disease processes have grown exponentially over the decades, there are still cases of discrimination against those infected with the disease.
The defendant is an Airlines Company that had 900 employees. The economic crisis followed with monetary crisis gave bad effects to the defendant. They should decrease the number of their airplanes form 9 to 2 airplanes. They also had to do the efficiency on their employees to 700. On the efficiency process, there was an agreement between the defendant and employees representation on October 30 1998. The agreement stated that they would bring Independent Public Accountant to analyze company financial condition. During the process, all side should work on their duty. The Defendant should pay employees’ wage. The agreement was not guarantee that didn’t mean the dispute process was over, but the negotiation still moved on. During the process, there was another agreement between the defendant and several employees. They agreed the finish the disputed process and the employees would get separation pay. Meanwhile, other employees, who were 153 people didn’t agree with that agreement. Because they didn’t agree each other, so the employees gave the case to the “Panitia Penyelesaian Perselisihan Perburuhan Pusat (P4P)”.
When working with this population, if a client is withholding their diagnosis from their sexual partners and having unprotected sex the social worker faces an ethical dilemma. Confidentiality is a major concern but so is duty to warn and the duty to protect. According to Granich (2012), “Mental health professionals do not have the legal right to disclose that a person is HIV-positive to another person. This is at the discretion of physicians in many states. However, social workers and mental health professionals must struggle with this legal situation if a client insists on potentially harming another person through risk of transmission of HIV”. Social workers need to consider the society in which they are working and the society that the
Claire Henderson, Sara Evans-Lacko, Clare Flach, Graham, Thornicrofi. "Responses to Mental Health Stigma Questions: "The Importance of Social Desirability and Data Collection Method." Canadian Journal of Psychiatry. Mar 2012. Vol 57, No3. Nursing/Academic Edition. Web. 01 Apr 2014.
Cline, R., & McKenzie, n. (2000). Dilemmas of Disclosure in the Age of HIV/ AIDS: Balancing
The two different types of stigma have different effects on the attitude towards those with mental health issues. The public stigma can lead to discrimination and prejudice. The prejudice and discrimination that result from the public stigma can prevent those diag...
Various articles examining the ethical and legal issues surrounding the disclosure of HIV status prior to sexual relationships make evident that the disadvantages of disclosure outweigh the benefits, making clear that disclosure is unnecessary.
In conclusion, stigma still effects millions of individuals dealing with mental illness, and taking away opportunities for a better life. However, no direct answers have been made on how to diminish mental health stigma. Protest, education, and contact have been research time and again. The research shows that more research is needed in order to change beliefs of the general public and employees. One author suggested that anxiety and stress in working environment is related to the social stigma of mental illness and to change the stigma or perception contact with individuals is needed (Jorm et al. 2009, p. 184).
Stigma is a powerful tool of social control. Stigma can be used to marginalize, exclude and exercise power over individuals who show certain characteristics. While the societal rejection of certain social groups (e.g. 'homosexuals, injecting drug users, sex workers') may predate HIV/AIDS, the disease has, in many cases, reinforced this stigma. By blaming certain individuals or groups, society can excuse itself from the responsibility of caring for and looking after such populations. This is seen not only in the manner in which 'outsider' groups are often blamed for bringing HIV into a country, but also in how such groups are denied access to the services and treatment they need.