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Privacy and confidentiality in healthcare
Ethics in patient care
Privacy and confidentiality in healthcare
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Recommended: Privacy and confidentiality in healthcare
Obligation to Honor Patients’ rights and responsibilities
Paula Favers
HSC-402 A
10/23/2016
Have you ever wondered about the rights of patients and their responsibilities as it relates to health care? Patient rights are those basic rule of demeanor between patients and their medical caregivers as well as the bodies and people that support them. The definition of a “patient is anyone who has requested to be evaluated by or who is being evaluated by any healthcare professional”. So with that definition in mind how do we honor the rights and responsibilities of the patients we service every day? In this paper I will explain why the rights of patients are important as well as what responsibilities that the patient
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This is based on the concept of the person, and the important dignity and equality of all human beings, that the notion of patient rights was developed. In other words, what is owed to the patient as a human being, by physicians and by the state, took shape in large part thanks to this understanding of the basic rights of the person. Another form of patients’ rights are that of communication, having an open and honest way to communicate with you doctor and or nurse. According to the Medical health journal “Patients have a right to know their past and present medical status and to be free of any mistaken beliefs concerning their conditions” it is in my belief that many patients have the tendencies to believe what doctors tell them about themselves ex: when the doctor tells you that you haven’t stopped smoking when in reality you have stopped three months ago. A patient has the right to tell the doctor about his or her bodies and the doctor has to be able to understand and listen what is being told to …show more content…
For ex: being a new patient and the doctor obtaining the medical history from the patient. Patients should seek, when recommended for their age group, an annual medical examination e chance and be present at all other scheduled health care appointments. Patients should be allowed the chance to provide accurate information to doctors regarding their medical and personal histories, and current symptoms and conditions. Patients should ask the necessary questions in regards to their health to determine the potential risks, benefits, and costs of treatment alternatives. When it is appropriate, patients may include information about the availability and accessibility of clinical trials that they took part in. Additionally, patients should also seek and read literature about their conditions and weigh all pertinent factors in making informed decisions about their care. According to emedicinehealth.com it states that the” past patient surveys have found that virtually all patients desired some acknowledgment of even minor errors”. For both moderate and severe mistakes, patients were significantly more likely to consider legal action if the physician did not disclose the error. With findings as such as these reinforce much importance of
“Patient advocacy is a process that involves a series of actions, behaviors and/or practices for preserving and safeguarding the rights, values, wellbeing and best interests of patients in the healthcare system” (Vaarito et al 2006, Bu and Jezewski 2007, Zomorodi and Foley 2009). Vaartio & Leino-Kilpi describe patient advocacy into two sectors; proactive advocacy and reactive advocacy (2004). Proactive advocacy includes actions aimed at aiding the patients in informed decision making and the protection of patient rights; reactive advocacy is focused on addressing safety concerns (Vaartio & Leino-Kilpi, 2004). Further concept analyses from Baldwin 2003 & Bu and Jezewski 2007, include four main sectors of patient advocacy: Protecting and empowering patient autonomy, protecting and representing the best interests of vulnerable patients, ensuring educated decision making while acting as a mediator for the patient to healthcare services, and lastly acting upon social justice to help create equitable access to adequate healthcare (CPD, 2015). Using Tanners model of clinical judgment; the process of patient advocacy begins with assessing for the need to advocate. The assessment should include the patient, environment, situation, resources and possible risks (Ellis
Not all cases is patient autonomy the most important thing to respect and honor. There will always be situations where Medical paternalism is justified. Justifiable paternalism in a medical perspective is prolonging patients’ lives allowing them to exercise their autonomy. Failing to respect a patient’s treatment requests or denials is a violation of the autonomy at that point in time during their illness. While the previous statement is true, the medical professional is violating a patient’s future autonomy. For this reason, medical professionals have the right to act paternalistically, therefore medical paternalism is justified by means of future autonomy and obligations to promote patient
Truth in medicine is a big discussion among many medical professionals about how doctors handle the truth. Truth to a patient can be presented in many ways and different doctors have different ways of handling it. Many often believe that patient’s being fully aware of their health; such as a bad diagnosis, could lead to depression compared to not knowing the diagnosis. In today’s society doctor’s are expected to deliver patient’s the whole truth in order for patients to actively make their own health decisions. Shelly K. Schwartz discusses the truth in her essay, Is It Ever Ok to Lie to Patients?. Schwartz argument is that patients should be told the truth about their health and presented and addressed in a way most comfortable to the patient.
In conclusion, doctors have a moral obligation to tell patients the truth about their illnesses, unless the patient clearly states that he or she does not want to know. Medicine is a field that works to treat the patient. This means that physicians are there for guidance, using expertise and years of education to guide them to a cure. This does not mean that a physician should make decisions about the patients without proper consent. Believing that patients will misunderstand the diagnosis, or assuming that they won’t want to know are not valid reasons for keeping information from the person. Communication is important in a medical setting, and is especially important when talking about the health of an individual. With relevant, appropriate and humanistic communication, telling a patient their diagnosis can and should be done in a caring way.
Understanding that all patients needed to be treated justly and given the opportunity to make decisions in their care is important. Not causing harm and preventing them from harm is also the duty of health care workers. These ethical principles are essential to keep in mind with interdisciplinary communication. Ineffective communication has been associated with medical errors, patient harm, and increase length of stay. Failure to communicate properly has been associated with 79% of sentinel events (Dingley, Daugherty, Derieg & Persing, 2008). Good communication has been shown to improve patient satisfaction, increase in patient safety, as well as a decrease in health care costs (Paget et al.,
Should doctors tell the truth to their patients? How much information should the patient know about a certain ill or operation? These controversial questions are asked more frequently in our society. Patients nowadays,. are very sensitive to certain diseases more than before. This paper argues against telling the truth in doctor-patient relationship. Not by defending the idea directly but, by presenting first how truth can be harmful to the patient and by giving Higgs’ objection to it, then by giving my own objection to Higgs’ argument.
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...
This paper intent to answer difficult ethical questions related to patient autonomy and right for self-determination. What happens when patient health decision goes against public opinion? Nurses trained to follow a principle of beneficence and non-maleficence when providing care. They also taught to respect patient right for self-determination and his free will in making medical decision. Which ethical principle takes priority when providing care for patients and where do we draw a line between harm and respect for individual decisions.
Confidentiality will always be an important component in medical discussions, but confidentiality on the other hand is not a right and has to be stable against counter claims (Chalmers, 2003). Some arguments and facts that were used in the article were how are health care providers supposed to be able to correct the stability? Should overt content always be required from clients for any use of their health care information separately from the direct clinical care? The proof suggests that where the informed consent is needed completeness of health information hurts and unfinished health ...
Disclosure of pertinent medical facts and alternative course of treatment should not be overlooked by the physician in the decision making process. This is very important information impacting whether that patient will go along with the recommended treatment. The right to informed consent did not become a judicial issue ...
A norm in society is when an individual sees danger, they are supposed to report it to the authorities, therefore preventing any further damage. Breach of confidentiality is when a nurse shares information about a patient with others who are not authorized to know about the patient's personal information. Due to this, patients are afraid to be honest with their physicians and nurses that are treating them. In order to assure patients’ confidentiality, health professionals created the patient bill of rights to ensure that patient’s personal information is kept safe from outsiders.
Doctor patient confidentiality, is a fundamental element of the practice of medicine. Patients can expect that doctors and their support staff will hold confidential information about them in confidence, unless the release of the information is required by law or for public interest reasons. Ensuring confidentiality is retained allows doctors to examine their patients and receive all relevant information about their condition without a worry of judgement or sharing of the information.
What are patient’s rights and responsibilities? In healthcare when a person seeks out services pertaining to their health, a person should expect to be treated in such a way that they are res-pected. This includes the information that is obtained while being examined by healthcare pro-fessionals. It is very important to know what rights you have as a patient and the services you will receive when seeking the professional opinions of healthcare professionals. If you are una-ware of your rights as a patient, there are a lot of things you must know. All of the rights and re-sponsibilities are unalienable, none of the following can be taken away due to age, color, race, ethnicity, national origin, religion, culture, language, physical and/or mental disability, socioeco-nomic status, sex, sexual orientation, gender identity or expression, veteran status, and/or the ability to pay. In all areas of the healthcare field, these rights must be followed by those who are providing a service to the public. As a new patient with any provider; the provider is obligated to give a person a copy of the Patient’s Rights and Responsibilities and have the person sign the form stating they have received a copy for their records.
Doctor Patient Communication The main purpose of the medical interview is to collect historical information that can be used to make a diagnosis of the disease and to understand the patient’s problem. Henderson, 11 This is the beginning of the physician – patient relationship. The interview generally begins by the doctor greeting the patient, introducing himself/herself, and defining his/her professional role. Common courtesy dictates that the physician learns the patient’s name and refers to them with the proper title.
The practice of medicine in the 1960s saw a change in the doctor-patient relationship that ultimately cultivated the patients’ rights movement. Individuals sought to become proactive in the healthcare and the healing process of their bodies. Because the medical practice was evolving rapidly in technology and specialized care, patients’ healthcare and rights became a major concern that needed to be addressed. In 1973 the American Hospital Association published a patients’ bill of rights that provided the patient with most advantageous healthcare available. This bill of rights required all accredited hospitals to accept this standard moving forward (Patients' Rights, 2004).