choose to have this disease and would prefer that not everyone know about it. Being screened before signing on to an insurance policy means that there is yet another piece of information for an untrained office lady to go through. This leads to the issue of discrimination. What if the person that decided whether I got the go ahead on obtaining an insurance policy decided that I was not in a fit enough state to receive it, when I was about to be accepted when suddenly they decided not? This would put me at an unfair position at obtaining life insurance, because of one person's opinion against me.
Often, DAMA is further broken into subcategories for documentation purposes, such as left without triage, left without or before seeing the physician, left before treatment and left against medical advice. Discharged against medical advice can be defined as a situation in which a patient makes the choice to leave a hospital prior to official discharge from treatment by the attending physician (Kraut, et al., 2013). DAMA is also known as a form of self-discharge. An alternative term used by some is left against medical advice (LAMA). Leaving a medical facility against a physician’s advice puts a patient at risk for untreated or incompletely treated medical issues, increases the need for subsequent readmission or visits to emergency departments and increases the risk of mortality.
Some ways health care changes have affected my role is the focus on patient and family centered care. Patients presenting for emergency treatment are most concerned with the patients needs. By requesting insurance information on arrival, families are often made to feel as though they will be mistreated if uninsured or if insured through government issued health coverage, as opposed to private health coverage.
In the event of an appeal, it can perform a more rigorous analysis of the situation. For example, a cancer patient who will die may not receive approval for a medication that adds two weeks of life, on the grounds that the drug is expensive and the benefit is minimal. Hospitals and clinics can use cost-benefit analysis in healthcare to make policy decisions as well. An obligation to treat patients at serious risk of death is present in many regions, but hospitals can be selective about the kind
Life and Death Issues in Healthcare A Review of the Case Study HS101 Abstract There are many issues raised by life and death choices in healthcare. Advance directives are a set of directions you give about the healthcare you want if you ever lose the ability to make decisions for yourself. If you have a disease you can choose curative care which is directed at healing or curing the disease or palliative care which involves care that helps relieve the symptoms, but does not cure or treat then disease. When it becomes apparent that a patient is approaching the end of life, or that the patient no longer wants to prolong their life, a decision can be be made to withhold or withdraw treatment. Advance directive laws merely give doctors and others immunity if they follow it, the only reliable strategy is to discuss your values and wishes with your healthcare providers ahead of time to make sure they are clear about what you want.
Abstract Hospital accreditation is not the same as licensure or certification. Licensure is required to operate as a hospital and overseen by state government officials. Certification affords hospitals to participate in federally funded Medicare and Medicaid programs. Accreditation is defined as “A self-assessment and external peer assessment process used by health care organizations to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve.” (Raik, 2001) For this case assessment I will discuss the role of accreditation as well as whether or not accreditation is mandatory. Finally I will discuss any weaknesses inherent in the healthcare accreditation process.
To determine financial responsibility the specialist needs to know what services are covered and are not covered under the patients plan. The patient is also explained that they will be billed whatever services the patient’s policy does not cover. Step 3 Check in patients –In step three the specialist will have the returning patient sign in, collect whatever necessary money from them co-payment or for an outstanding balance from a prior visit, copy or scan their current insurance card. Have the patient read and sign any new/important forms that pertain to the patient (authorizing any planned procedures and payments). Step 4 Check out patients – Even though the specialist is to give the patient all prescriptions, lab slip or referral paperwork they might need and set up a follow up appointment if necessary.
In this essay we examine the impact of withholding and withdrawal of treatment from a nursing perspective and examine the ethical issues involved. When a cure is absolutely impossible certain life sustaining medical treatments such as cardiopulmonary resuscitation, ventilation, nutrition and hydration, dialysis, transfusions, and antibiotics may have to be withdrawn or withheld (Derse, 2005). Recent media attention on the case of Terri Schiavo has successfully highlighted the ethical, legal and social issues of withdrawing and withholding treatment. Konishi et al (2002) discuss the ethics of withdrawing artificial food and fluid from terminally ill patients bringing in the dilemma on end of life issues and whether life of patients could be ended intentionally by stopping or withdrawing treatment. Withdrawal of food and fluid from terminally ill patients is a growing ethical issue and concerns patients, families, and nurses as well.
Jerry was accused of a medical malpractice because of prescribing a refill without the authorization of a physician. There were many legal and ethical issues that affected the decision Jerry made in ordering the prescription refill, and the knowledge of right and wrong deterred Jerry from deciding to refill the prescription. There are several methods and types of values at hand that Jerry could have used to help him make an ethical decision. Determining the appropriate course to take when faced with a difficult ethical dilemma can be a challenge, but it is always important to engage in a carefully considered ethical decision-making. Everyday health care workers around the world are faced with tough decisions.
My role as a psychiatric nurse and/or manager is understanding that as there are issues with confidentiality in medicine, so are there issues with confidentiality in behavioral health. If not more so this becomes an issue secondary to patients/clients seeking help within the context of a stigma, a labeling of a disease, what is looked upon by others as an imperfection. “Attention to ethical issues at the intersection of computing and mental health began more than a decade ago and has tended to emphasize confidentiality and privacy, professional standards, therapy, and most recently care management.” (Goodman, 1998, p. 19) What values are threatened by the increasing use of information and communication technologies in health care. Values such as respect are threatened by the use of information and communication technologies. “The inclusion of advanced directives in the electronic medical record whether respect is improved or not.” (Goodman, 1998, p. 19) Goodman speaks about the use of electronic