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Confidentiality and privacy in healthcare
Ethics In Medical Profession
Confidentiality and privacy in healthcare
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It is understandable a family member of someone who needs a feeding tube would be scared and apprehensive of this procedure. There are fears associated with placing a feeding tube including malnutrition causing the patient to starve; however, it is the healthcare provider’s responsibility to thoroughly explain the procedure and its benefits to the family. A large aspect of the nursing profession is being an advocate for the patient and explaining to the family that certain procedures are important for the benefit of their health. There are ethics that must be adhered to during patient and family teaching that will give the patient and their family the information they need in a respectful and professional manner. These ethics include justice meaning fair treatment between all patients, autonomy or the patients’ independence, beneficence meaning keeping the patient safe from harm, and veracity meaning truth telling. For the best care to be provided to the patient each member of the healthcare staff must adhere to each of these ethical principles in order to provide the best relationship with the patient and the family. Along with ethics the client also has right that the healthcare professionals must follow including the right to receive information including benefits, risks, and cost of treatment (emedicinehealth, 2011). The client also has the right to make decisions even if it is against medical advice. The patient has the right to be treated with respect, dignity, with timely attention. The patient also has the right to confidentiality, right to continued health care, and the right to have adequate health care (emedicinehealth, 2011).
Deana, a patient with Parkinson's disease, has gone through many different agoni...
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...em will be fixed. A decision about an invasive procedures, such as a feeding tube is very intense and means Deana’s disease is progressing, but there are still options that will help her quality of life.
The best way to provide patient care is education, this means educating the patient, family members, and anyone making medical decisions on behave of the patient. Each medical staff member should be open and honest about the procedures within their scope of practice. The more education the family gets the better the medical judgment will be for the patient. Within the medical education the healthcare professionals must be non-judgmental about the decisions the patient or power of attorney make. The patient as well as their family must be treated fairly, with dignity, self respect, with the practice of maintaining as much patient independence as possible.
APRNs lead staff with professionalism and provide education to patients and family members designed to engage them in patient care. Providing education to staff, patients, and family members ensures a high level of quality of care is delivered. Maintaining a balance between the patient’s autonomy and the duty to do no harm can result in an ethical dilemma at times. As patients continue to be fully involved in their care, staff must remain patient advocates and maintain professional responsibility.
acting completely in the patients interest and each of them are committing these actions to
The word ethics is derived from the Greek word ‘ethos’ meaning character or conduct. It is typically used interchangeably with word moral which is derived from the Latin word ‘moves’ which means customs or habits. Ethics refers to conduct, character and motivations involved in moral acts. Ethics are not imposed by a profession, by law but by moral obligation. It is unwritten code of conduct that encompasses both professional conduct and judgement. Ethics helps support autonomy and self-determination, protect the vulnerable and promotes the welfare and equality of human beings. An ethical dentist- patient relationship is based on trust, honesty, confidentiality, privacy and the quality of care.1
Providing the steps to ethically sound excellent care, healthcare providers must acknowledge first the legal and ethical matters involved with proper investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at a constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice. Codes of nursing ethics and legal legislation have addressed almost all the necessary actions in making decisions in consideration to the best interest of the patient. Nurses must make sure that they are all guided by the set standard to lead their action and produce desirable and ethically sound outcomes.
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
The medical Profession recognizes that patients have a number of basic rights. These include but are not limited to the following: the right to reasonable response to his or her requests and need and needs for treatment within the hospital's capacity. The right to considerate, respectful care focused on the patient's individual needs. The right of the patient to make health care decisions, including the right to refuse treatment. The right to formulate advance directives. The right to be provided with information regarding treatment that enables the patient to make treatment decisions that reflect his or her wishes. The right to be provided upon admission to a health care facility with information about the health care provider's policies regarding advance directives, patient rights, and patient complaints. The right to participate in ethical decision making that may arise in the course of treatment. The right to be notified of any medical research or educational projects that may affect the patient's care. The right to privacy and confid...
The authors also mentioned that AGPCNP must always fully understand the PSDA state law specific to their clinical practice. Patients in healthcare facilities toady are informed about their right in care of an emergency situation. In additional to the threaded discussion, patients are informed about their rights to get advanced healthcare accommodations, and any related information that pertains to the legal impact and state laws regarding all healthcare decisions. The PSDA requirement ensures that health care professional receive education and training that is appropriate and in subordination with the specific laws, regulations, organizational policies, and procedure. Legal requirement vary from state to state as to what is included, whether or not witnesses are necessary, and what can be designated. Documents should be signed prior to becoming ill or incapacitated so that there are limited questions as to how to handle one’s care. As mentioned by Vail, Barr, and Cherry, all healthcare decisions made by the patient should be respected and supported even if the decision is not agreed upon by the family or healthcare providers. Facilities need to educate their admitting staff as well as the nurses and other staff members how to mandate the PSDA so that they can teach their patients as well as witness proxies being signed on their
The importance of patient advocacy was exemplified in G. R.’s case. If G. R. did not have the support of the staff at Rosthern Hospital his circumstances could have been much worse. G. R. was quite close to death, and the help of the staff prolonged his life, if not saved him. I have learnt from my experience with G. R. to always follow your instinct when caring for patients, and the importance of patient support. Nurses are able to advocate for patients throughout their treatment by using the seven helping skills, remaining ethical, using the science of nursing to explain treatments and procedures, and ultimately advocating for patients in the broader community. Above all advocacy is supporting patient autonomy and ensure the patient remains at the center of care, with the utmost respect and dignity that they
According to Healthy People 2012 there are more then 800,000 new cases of diabetes each year, with the numbers on the rise. With this in mind, Healthy People 2012 has identified diabetes as their number five focus area. In order to reach their goal of improving the quality of life for people with diabetes they have identified diabetes teaching as their number one objective. Furthermore, in order to reduce the number of complications of diabetes, Healthy People 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to successfully reduce the number of amputations and diabetic foot ulcers, patient teaching is essential. Patient teaching, as with the nursing process, begins with assessment in order to identify the patients learning needs (Wilkinson & Van Leuven, 2007).
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
Nutrition is normally delivered through the enteral method, also known as tube feeding, when a patient is able to digest nutrients in their gastrointestinal tract but may have an issue swallowing, chewing, or ingesting food. The tube is placed in the stomach or intestines for delivery of nutrients. Complications, such as pulmonary aspiration or clogged tubing, may occur. Pulmonary aspiration can be prevented by making sure the head of the bed is positioned at an angle of at least 30° and an assessment of the gastric fluids should be done intermittently by the nursing staff. When the tubing clogs, there is a high probability that the patient does not
Several ethical principles that are incorporated in the nursing care of patients on a daily basis are nonmalificence, autonomy, beneficence, justice, fidelity and paternalism. Nurses should strive to comply to as many of the principles as possible. In this case there are principles which support and conflict with the wishes of the patient. The first principle that supports the wish of the patient is autonomy. Autonomy means that competent patients have the right to make decisions for themselves and the delivery of the healthcare that they receive. Another factor that would support the patient’s wish to not be resuscitated is nonmalificence. Non maleficence means that nurses should not cause harm or injury to their patients. In this case the likelihood of injury after resuscitation was greater than if the patient were allowed to expire. A principle that could have negatively affected the outcome of the provision of ethical care was paternalism. Paternalism is when a healthcare provider feels that they know what is best for a patient, regardless of the patient’s desire for their own care. I demonstrated the principle of paternalism because I thought that I knew what was best for the patient without first consulting with the patient or family. This situation might have had some very negative consequences had the patient not have been competent. Practicing a paternalistic mindset might have caused a practitioner in the same instance to force their ideas about not resuscitating the loved one onto the family. This could have caused a sense of remorse and loss of control of care amongst the
...ns. Patients should not be so medically ill that they are unable to make this decision. Patients should be fully conscious and understand the implications of their decision. Everything should be documented possibly even videotaped that way the doctor doesn’t lose their job, receive a lawsuit or worst jail!
This will help reduce the number of patients that get the services in hospitals, free hospital beds and that reduces the burden on trained staffs, and It also offers the patient experience some independence in the comfort of their home. In the future, there will be intensive monitoring government regulatory personnel’s and the providers should be provided with training that will ensure that patients are able to get personalised health care services and will ensure that providers of enteral feeding are equipped with skills and knowledge that will ensure that they offer quality services. It will ensure that they are able to deliver comprehensive services to the patients at home or in hospitals (Meltzer et al, 2010). Services providers should take extra time to provide quality health care services and that means, the service users should ensure that, the safety and quality operations of the treatment is supported by providing an opportunity for staff to develop their careers. It is also important for the service providers ensures that patients are provided with adequate nutrition that meets the individual patient needs (Naidoo and Wills, 2016).
influence professional policies. Respect for the patient and support group is very vital whether it