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Importance Of Confidentiality In Patients Care
Cultural diversity in healthcare examples
Reflective essays on confidentiality in healthcare
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Many Healthcare providers across the United States face occurrences where autonomy isn’t always regarded as the right thing to do. Although autonomy wasn’t always practiced in healthcare, it has become a foundation for all patient interactions (McCabe, 2010). Cases where family members ask for professionals not to disclose information due to cultural beliefs can be very trivial. Despite these cultural considerations, it is always the physician’s duty to disclose factual conditions of the patient to that receiving patient. The physician’s duty can be achieved as well as culture being considered so that the physician-patient relationship is still intact. A variety of cultures constitute the people of the United States. Culture greatly influences …show more content…
The ethical problems that this physician must handle is if she should disclose the diagnosis to the patient which might disrespect the patient’s family and culture; as well as maintaining the physician-patient relationship. Moreover, the issue relies within the ethical principle of autonomy that exemplifies patient sovereignty (Ritter,2017, p.25). In this tricky situation, most health practioners would believe that without providing the truth of the diagnosis there will be lack of trust; thus, ruining the development of the physician-patient relationship. The physician’s priority is always to the patient; therefore, making it their duty to disclose the truth to the patient if they wish to know it. Autonomy addresses more than patient’s rights to make their own decisions, it also extends to social and cultural factors in healthcare (Murgic, 2015). In a culturally diverse country, like the United States, it is only natural that autonomous decisions are not always agreed upon. In contrast, many cultures require the family to make the decisions regarding treatments and other healthcare decisions; similar to the Japanese family in this
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
According to Terrence F. Ackerman, as of the 1980s the American Medical Association had to include the respect for a person’s autonomy as a principle of medical ethics (Ackerman 14, 1982). This includes having the physician provide all the medical information to the patient even if the information could cause negative implication onto the patient. The physician is also expected to withhold all information of the patient from 3rd parties (Ackerman 14, 1982). Although it is seen as standard in today’s world, in
One of the most complex, ever-changing careers is the medical field. Physicians are not only faced with medical challenges, but also with ethical ones. In “Respect for Patients, Physicians, and the Truth”, by Susan Cullen and Margaret Klein, they discuss to great extent the complicated dilemmas physicians encounter during their practice. In their publication, Cullen and Klein discuss the pros and cons of disclosing the medical diagnosis (identifying the nature or cause of the disease), and the prognosis (the end result after treating the condition). But this subject is not easily regulated nor are there guidelines to follow. One example that clearly illustrates the ambiguity of the subject is when a patient is diagnosed with a serious, life-threatening
The Spirit Catches You and You Fall Down has challenged me to start thinking about different ways to approach cultural barriers. Using the Lee family and Lia as an example, the book identifies the challenges that the family faced over the years and the challenges that the providers experienced as well. As a result, the book highlights the need for cross-cultural communication in medicine, in an attempt to eliminate the barriers faced by both parties.
At first glance, this case might appear to be ethically sound and the conduct of Dr. Fox was that of a normal Western doctor. However, upon further analysis a large number of issues arise. The debate over whether to inform Leyla about her diagnosis in the above case arises from the conflicting cultural norms between Leyla’s family and the attending physician. One of the main ethical questions is: was it necessary for Dr. Fox to disregard the family’s wishes, religion and cultural norms. By refusing to wait for Mr. Ansari to pray, insisting on telling Leyla himself and interrupting Mrs. Ansari’s prayer, Dr. Fox was insensitive to the patient and family’s religious and cultural needs. Furthermore, insisting on telling Leyla himself, even though he noticed that she was stressed and her family informed him that she was too vulnerable at the time to handle her diagnosis, brings up issues of competence. There is also the issue of informed consent and confidentiality when Dr. Fox employs the friend as a translator without her or Leyla’s authorization. In addition, instead of providing options in the prognosis, Dr. Fox gives a recommendation and does not discuss any other possible prognoses.
The practice of medicine in general has changed due to changes in technology, economics, epidemiology, and demographics. But particularly, the patient-physician relationship has been transformed during the past century, from one characterized by strong physician paternalism to one that reflects strong patient autonomy. (1)
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
Advocating for diverse patients is important. In this paper I will be discuss a personal ethical dilemma in which I have encountered. I will give an objective interpretation of both my side as well as my patient’s side of the dilemma. Then I will describe the conflicting values and beliefs that I and the patient had. Then I will give the information I was lacking concerning the patient’s culture. Lastly, I will define culturally congruent care.
An individual’s culture and belief may significantly impact the type of services they require. In addition, it may affect the time, place, and method in the delivery of health care
In this paper I am going to justify that the interdisciplinary team should support Ms. R’s decision to live at home alone using the ethical principles of autonomy and beneficence.
Within the United States there is a huge diversity of cultures. Culture is many different things, it is a tradition, it is the values and beliefs passed down from generation to generation, and culture is the identity of any country. Culture helps to identify one cultural group from the other. Although we may live in the same country,city, or state we still differ from one another by the way we dress, our beliefs, language, traditions, music, art, food, religion, and politics.
Bentancourt et al. (2005) allows asserts that there are three distinctive reasons why cultural competency is so very important for the American healthcare system. American is composed of a very diverse population, which mean healthcare providers will continual be exposed to treating individuals from various backgrounds and from various cultures; their beliefs regarding their health or healthcare may range widely. When patients have a deficiency in the English language, proper healthcare delivery becomes increasingly more difficult as they will present symptoms in the syntax of their culture and their first language. Also, research shows the communication between the patient and their provider directly correlates to their satisfaction as well as their responsiveness or willingness to follow the health provider medical instructions; this ultimately affects the patient’s health outcome (Bentancourt et al., 2005). It’s fair to say that a successful health outcome is also contingent upon the interaction of the health provider and patient. Reports generated by the Institute of Medicine (IOM) – “Crossing the Quality Chasm and Unequal Treatment, confirms that cultural competence that focuses on the care of patient through
The most common areas of clinical practice where truth-telling and deception become an ethical dilemma are critical care, cancer and palliative care, mental health and general nursing practice (Tuckett, 2004). Other areas where it can raise potential ethical concerns are in placebo therapy, disclosure of human immunodeficiency virus and informed consent (Tuckett, 2004). Truth-telling is also an act of exchanging moral agents (patients, relatives, nurses) with their sets of values and norms, which in turn are derived from culture, personal and religious beliefs, and traditions (Dossa, 2010). For this reason, the issue of truth-telling is not only approached differently in the various clinical settings but also in different countries, cultures and religions (Kazdaglis et al., 2010). For example, in the United States of America (USA), England, Canada and Finland, the majority of patients are told of their diagnosis (Kazdaglis et al., 2010). Conversely, in Japan, family members play a major role in the decision of ...
The United States is a country with a diverse existing population today; this country is known as a melting pot of different cultures, each one unique in its own respect. Culture; differentiate one societal group from another by identification beliefs, behaviors, language, traditions, Art, fashion styles, food, religion, politics, and economic systems. Through lifelong, ever changing processes of learning, creativity, and sharing culture shapes our patterns of behavior as well thinking. The Culture’s significance is so intense that it touches almost every aspect of who and what we are. Culture becomes the telescope through which we perceive and evaluate what is going on around us. Trying to define the perplexing term of culture with varying component of distinguishable characteristics is difficult to restrict. Presenly, culture is viewed as consisting primarily of the symbolic, untouched and conception aspects of human societies.
The writer discusses a situation of the doctor failing to disclose the nature of important medical condition which can jeopardize several of the patient’s family members and puts the doctor at odds with them. The problem is also discussed by Sutrop (2011) who show how protecting the patient’s confidentiality and self- decision capacity has actually caused severe hindrances to the field of scientific development and research.