If the patient has an intellectual disability they may not be able to consent to treatment due to limited or no understanding of the procedure needing to be done. A substituted decision maker who is authorized by law (legislation such Guardianship Act 1987 NSW) will be appointed. Berman et al (2012 pp74-75) 3) Explain the term duty of care when caring for Elijah? The nurse has the responsibility of providing care to their patient at an acceptable standard within their scope of practice regardless if that patient has been assigned to them or not while they are on duty. Berman et al (2012 p 79) 4) Elijah may not be able to give his own consent and his guardian may be involved, as a nurse you may have to act as an advocate for your client.
Bii Describe the possible tensions that may arise between telling others of Hannah’s decision and keeping this information totally confidential. The range of people that would need to share the information would be those directly involved with her care, healthcare professionals including her GP who can work with Hannah to help her understand the benefits of taking her medication. If the information was shared with the daughter this could cause upset and potential breakdown of the relationship. Hannah has the choice to inform her daughter or not. Biii Describe ways to maintain confidentially in day to day communication.
Confidentiality in general means that information will not be discussed outside of the social care setting. Bii) Describe the possible tensions that may rise between telling others of Hannah’s decisiom and keeping this information totally confidential. The information Hannah disclosed to me would be passed by my manager on to those dealing directly with Hannah's care for example her GP, who can work with Hannah to help her understand the benefits of taking her medication. If the information was shared with Hannah's daughter this could cause upset and potential breakdown of the relationship with her mother as Hannah said her daughter 'will be very angry' . Also if you were to share the information with Hannah's mother without her consent then she would lose all trust in you.
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.
Health and Social Care OCR Level 2 Gloria Manhera Unit 2: Individual Rights in Health and Social Care By: Imama Shahid Group 716 P2: Explain the individual rights of people who use services. Legislation Regulation: 1. Confidentiality For example, people who have their right to have their privacy which they don’t want the doctor would tell his colleagues or his family. A client make an appointment to see doctor, she is worry that she might have a cancer which the doctor comfort her and wouldn’t tell about this to her family or someone else. They can complain what they are not happy with the doctor or a nurse done to them, it could be wrong information details about them.
13 4. Further information 17 4 1. About this booklet You have been given this booklet because doctors or health and social care professionals are thinking about changing the way a family member, friend or someone you provide care for is looked after in hospital or in a care home. They are thinking about introducing a care plan in which your family member or friend will be deprived of their liberty in a hospital or care home. The doctors or other professionals are thinking about this because they believe that: • this care plan would be in the best interests of your family member or friend • your friend or family member does not have the capacity to consent to the care plan themselves, and • it would not be possible to deliver the care they recommend without depriving your family member or friend of their liberty.
Holtz-Eakin, Douglas and Michael Ramlet. “The Patient Protection and Affordable Care Act: Will Small Business Need Protection from Its Cost?” American Action Forum, July 2010. Web. 4 Dec. 2010. http://americanactionforum.org/ archive_key_research. "June 2010 National Employment Report."
There are some legitimate reasons for breaching a patient’s confidence but there can be some considerable consequences as well. This paper will use the article by Pamela Nelson entitled “BIOETHICS ON NBC'S ER: Betraying Trust or Providing Good Care? When is it okay to break confidentiality?” as an example of an ethical dilemma involving patient confidentiality. Luckily for today’s healthcare workers we have several ethical frameworks to guide us and we can ask for the assistance of an ethics committee when we are faced with an ethical dilemma that involves patient confidentiality. Why is Patient Confidentiality Important?
However, there are instances that do not have a right answer and the outcome has a negative impact on the patient, the family, and the nurse involved. This is known as moral distress. In the following scenario the right action to take seems clear to me, however, the family and physician make it impossible for me to take the appropriate action for my patient (Burkhardt & Nathaniel, 2008; Santiago & Abdool, 2011). The contents of this paper will describe the ethical scenario and provide a model that helps guide me to make and ethical decision. Using the four component model of James Rest (as cited by Robichaux, 2012) will assist me in developing ethical skills that will build on the ethical decision making model developed by Burkhardt and Nathaniel (2008).
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.