Bi) How would you explain the term ‘confidentiality’ to Hannah? It is Hannah’s right to make decisions for herself and choose whether to take her medication or not. In this case from the information given it could be detrimental to her health as through Hannah not taking her prescribed medication she may be at risk of harm and therefore I would need to pass the information on to my Manager to ensure Hannah's wellbeing. It is Hannah’s choice who she shares information with and I would give her my assurance that the information would not be shared with her daughter. Confidentiality in general means that information will not be discussed outside of the social care setting.
The nurse was violating the patient’s autonomy when she did not do CPR on the woman. In this situation, the patient was not capable to say if she wanted the treatment or not. All of the medical facilities that the patient belongs to are required to have a DNR form for situations like this. The patient’s emergency person should have been contacted as soon as possible. If this action was done right away, the patient might have had a chance to live.
Mr. E has an Advance Directive in place that specifically indicates no cardiopulmonary resuscitation and no ventilators. Dr. K feels that without the ventilator the patient will deteriorate and die. Mr. E is refusing the physician’s plan of care to place him on a ventilator. The physician believes the patient may not understand his situation due to being hypoxic and mentally delayed. The nurse in this situation has an obligation and responsibility to the patient as their advocate.
Medlantic filed a motion for judgment arguing that Doe’s claims were barred by the statute of limitations. The trial court granted Medlantic’s motion and Doe appealed ("Doe v. Medlantic Health," 2012). I personally believe that the patient’s confidentiality was violated. He went to a well known facility to obtain medical attention for a health condition he had and had faith that his personal information would remain private. No matter what Tijuana’s job was at the hospital, she went into personal, confidential records and obtained damaging information.
Legally, hospitals and staff should do what is in the patient’s best interest. According to Smugar, Spina and Merz (2000), “a physician who does not inform a rape victim of her options to help avoid pregnancy violated the obligation to act in her best interest and violates her right to give an informed consent to treatment.” Thus, violating the patient’s right to autonomy; referring to the right of a person to choose their own plan of action, and justice; the right of treating every patient in a fairly manner and giving them all the information needed for them to make an adequate decision. However, if these rights were to be denied for any reason, then justice has been violated (Bodenheimer and
Without this knowledge, Jane Doe gave what she believed was her informed consent for the surgery, which consequently violated her right to self-determination and did her extreme harm rather than good. She never had the chance to explore other options, because she was misinformed about her donor from the start. In addition to hiding risks from the patient, physicians gave her little alternative to her procedure. She knew she did not want a high risk donor, in fact she had “previously rejected another donor “because of his lifestyle”’(Vaughn 152). Clearly Jane Doe was exercising her autonomous right to decline this kidney, as she thought accepting that kidney may cause her more harm than good.
The sixth standard states that a nurse must “maintain each patient/client’s right to privacy by protecting confidential information unless obligated, by law, to disclose the information”. (Georgia Registered Professional Nurse Practice Act, 1981/2011) I believe this standard was not upheld in this case study on several instances. When Ms. H was greeted in a waiting room occupied by other visitors, Dr. K began to discuss Mr. E’s condition with her in spite of the knowledge that she was not listed as the medical power of attorney and there was no proof of her relationship to Mr. E. The nurse made no effort to stop this conversation and take Ms. H to a more private location to wait for her uncle, Mr. Y. In addition to this action, Mr. E’s private health information was breached with Ms. H and her boyfriend under HIPAA guidelines. Reasonable accommodations were not made to prevent others in the waiting room from hearing this private information.
Describe what a social care worker must do if unsafe practice is reported but nothing is done to ensure it is corrected. If a care worker has reported an unsafe practice and find that nothing has been done about it, it is their duty to ask the manager why nothing has been done to correct the situation, if still nothing has been done then you need to seek someone of higher authority such as a regional manager and so on, if nothing has still being done about it, then you can contact the Care Quality Commission, the Safeguarding Team at the local Social Services department or the General Social Care Council. Describe three factors that may make individuals more vulnerable to abuse than others. A work setting in a care home could make individuals more vulnerable to abuse because the staff could be untrained, not enough staff on shift or even the stress/pressure of the job An Individual (circumstance) someone who maybe suffering from dementia or some other form of mental health problems maybe disabled someone who is isolated and more vulnerable than others, also people who depend on others to look after them may not be able to stop someone else from hurting them or taking advantage of them Work environment; individuals who work
Monitoring the release of patient information is extremely important, especially now with the HIPAA Laws. If I was in his situation, I would not release information to anyone regarding any of my patients unless the patient has signed the proper consent for HIPAA and all of the steps have been taken to make sure that they only receive the information that is necessary. Some of his patients may have had hereditary, cultural, and environmental influences that impacted their behavior when making the decision to let Kevorkian assist them with suicide. Someone that is very religious may be against this because they would feel that only God is in control of what happens to us and we are not supposed to play his role in deciding when our lives end. There are some cultures that do not believe in suffering and that it is ok to end your life when it gets to that
It was crucial for this therapist to clearly state her stance on secrets when she began working with the couple, especially how she would deal with secrets pertaining to affairs. This case is a good example of what can happen when a therapist fails to clearly inform her clients from the outset about the limits of confidentiality. Because of her failure to provide for informed consent by stipulating a “no secrets” policy, this therapist is limited in her ability to work with this couple therapeutically. Ethical standards do not mandate that affairs must be disclosed. As a clinical issue, however, such secrets pose a real challenge to the therapist’s work and may influence the outcomes with couples.