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Patient safety and risk management
Essay on confidentiality in healthcare
1. Why it is important to communicate effectively in healthcare settings. [1.1
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Communication in the workplace is a vital part of having an effective team. And when that chain of communication is broken, problems will arise. If this is the case, what happens when there is a person’s life on the line? In medicine, these situations happen all the time, and having the ability to communicate effectively is very important. In the ethical dilemma presented, a complication happens during a surgical repair of a ruptured bowel. With a preceptor that may have been intoxicated, the surgery was going on until the ureter was nicked by the doctor but he repaired it and closed it up. However, when the report came out, the accident was not noted and now I nurse wants to know what to do with the patient’s raised creatinine level. This situations presents the PA with an ethical dilemma that is a difficult when discussed alone; however, when analyzed through Jonsen’s Four Topics may be easier to decide how to handle this situation (Jonsen, Diegler, & Winslade, 2010).
Medical Indication- The Principles of Beneficence
Jonsen, Diegler and Winslade (2010) have created four main topics of medical ethics. In their first section, medical indications, they look at the principles of beneficence, or the act of doing good. Initially the authors as us five different questions: “What is the patient’s medical problem? What are the goals of treatment? In what circumstances are medical treatments not indicated? What are the probabilities of success of various treatment options? How can the patient benefit by medical care and how can harm be avoided” (Jonsen, Diegler & Winslade, 2010)? Initially, the patient was in the hospital for a medical problem and ended up rupturing his/her bowel. It is unclear if there is underlying problems going on,...
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...preserve the relationship he/she has with the doctor. It seems like an impossible decision; however, with the above analysis it is clear that the PA needs to report the discrepancy and side with what is best for the patient. As medical providers, it is important to put the patient before all else, and to put this patient through different tests and treatments for something that is easily explainable is unacceptable. Besides, if this doctor came to the operating room intoxicated, the doctor needs to be reported before major complications befall a patient. Granted, the PA may lose this well-paying job, but it would be unethical to covet such a thing above the life of an innocent patient.
Works Cited
Jonsen, A.R., Siegler, M., Winslade, W.J. (2010). Clinical ethics: A practical approach to ethical decisions in clinical medicine (7th ed). New York, NY: McGraw Hill.
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
Healthcare creates unique dilemmas that must consider the common good of every patient. Medical professionals, on a frequent basis, face situations that require complicated, and at times, difficult decision-making. The medical matters they decide on are often sensitive and critical in regards to patient needs and care. In the Case of Marguerite M and the Angiogram, the medical team in both cases were faced with the critical question of which patient gets the necessary medical care when resources are limited. In like manner, when one patient receives the appropriate care at the expense of another, medical professionals face the possibility of liability and litigation. These medical circumstances place a burden on the healthcare professionals to think and act in the best interest of the patient while still considering the ethical and legal issues they may confront as a result of their choices and actions. Medical ethics and law are always evolving as rapid advances in all areas of healthcare take place.
Winland-Brown, J. L. (2015). The New "Code of Ethics for Nursing With Interpretive Statements". Practical Clinical Applications Part I. MEDSURG Nursing 24(4),
Denise Dudzinski, PhD, MTS, Helene Starks, PhD, MPH, Nicole White, MD, MA (2009) ETHICS IN MEDICINE. Retrieved from: http://depts.washington.edu/bioethx/topics/pad.html
During week 4, we became familiar with the application of ethics in the nursing practice settings. We learned about ethical theories and principles, which are crucial when practicing in any clinical settings during ethical decision-making and while facing one or multiple ethical dilemmas. Also, we were introduced to the MORAL model used in ethical decision – making progress. The MORAL model is the easiest model to use in the everyday clinical practice, for instance at bedside nursing. This model can be applyed in any clinical settings and its acronyms assist
However for employees working in healthcare organization, conflicting situations may arise with confidentiality. Presenting a case study where HCA disclosing an employee’s confidential information, a nurse recently had to increase the work hours due to financial situation. The nurse was a bit apprehensive with the increase due to it would be stressful on top of the other responsibilities. Due to the stress, the nurse ended up using form of narcotics to help deal with stress level and anxiety, which seemed to have helped with providing care for patients. As time continued on, the nurse began to care for patients and signed out medication for them even though the patient was not prescribed the medication. The nurse was later discovered when working on the surgical unit as the pharmacist notice unfamiliar rise in medications along with signature errors. The incident was reported to the HCA for further reviewing. After analyzing the situation, actions taken were to have a leave of absences as well present this to a board of personnel. This then causes some form of breach of confidentiality for the nurse with HCA. Nevertheless, HCA was fearful of the patient’s safety and needed to address an issue that maybe more common that they think. As HCA, they are in charged with a fiduciary duty to protect the mission and values of the organization (Badzek, Mitchell, Marra,
In critical and complicating medical cases, family members often find it tedious to decide as to what mode or procedure of treatment is idyllic for the recovery of their patient. In such cases, well-qualified and medically educated can play a pivotal role in deciding the kind of treatment that should be given to the patient to enhance its recovery. In a contrary situation a nurse may know that administering a particular drug may improve the patient’s condition, but may be refrained from conducting the required action due to doctor’s absence or non-permission. There are numerous cases through which ethical dilemmas in the profession of nursing can be discussed. Nurses in order to remain within the defined boundaries ...
The Lewis Blackman Case: Ethics, Law, and Implications for the Future Medical errors in decision making that result in harm or death are tragic and costly to the families affected. There are also negative impacts to the medical providers and the associated institutions (Wu, 2000). Patient safety is a cornerstone of higher-quality health care and nurses serve as a communication link in all settings which is critical in surveillance and coordination to reduce adverse outcomes (Mitchell, 2008). The Lewis Blackman Case 1 of 1 point accrued
In this diverse society we are confronted everyday with so many ethical choices in provision of healthcare for individuals. It becomes very difficult to find a guideline that would include a border perspective which might include individual’s beliefs and preference across the world. Due to these controversies, the four principles in biomedical ethic which includes autonomy, beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and acceptable. These principles are not only used to protect the rights of a patient but also the physician from being violated.
Gedge, E., & Waluchow, W. (2012). Readings in health care ethics (2nd ed.). Toronto, Ontario: Broadview Press.
There are weaknesses in professional guidelines and rules because they are unable to provide the directives for moral reasoning and action is health care situations. Many people state that biomedical ethics provides a framework and emphasis on the person rather than the professional code and legal policy (Beauchamp and Childress, 2001). On the other hand they serve a purpose to provide some direction for professionals however codes of practise do not dismiss.
In the case Lunsford v. Board of Nurse Examiners, the nurse had an unprofessional conduct by violating a duty to her patient leaving the patient unattended and at risk of complications (BON, 2013a). Lunsford, as a professional nurse had the responsibility to assess the patient’s medical status and treat the patient within her scope of practice taking the appropriate measurements to prevent the worse, regardless of the doctor’s orders of sending the patient to another facility. “The Board of Nurse Examiners in Texas suspended the nurse’s license to practice after the Board found that the nurse’s conduct was unprofessional and dishonorable conduct likely to injure the public” (Wolf, 1986, p. 222). Nurse Lunsford fail to take the patient’s vital signs, and did not implement the nursing interventions required to stabilize the patient’s condition or to prevent complications. Her conduct is considered an “unprofessional conduct,” which is any act, practice, or administration that does not conform the accepted standards of nursing practice. Also, this case is a clear example of the nurse responsibility and accountability to act independently regardless of the physician’s order when this order is not safe for the patient. If the nurse has any objections about an order, the nurse has the obligation to question the physician. By no doing so, the nurse violates the nurse-patient relationship and put at risk the patient’s safety. In a situation, in which a physician’s order put the patient at risk, the nurse has the obligation to exert her professional judgement and withdraw from rendering services ordered by the physician (Wolf, 1986, p.
McGee, Glenn and Arthur L. Caplan. "Medical Ethics." Microsoft® Encarta® 98 Encyclopedia. © 1993-1997: Microsoft Corporation. CD-ROM.
Garrett, T. M., Baillie, H. W., & Garrett, R. M. (2010). Health care ethics: Principles and problems (5thed.). Upper Saddle River, NJ: Prentice Hall.
Medical ethics refers to the relationship between health professionals and patients. The trust of patients in physicians has been vanishing. Today a lot of health care providers primary concerns seem to be in profit rather than in providing the proper healthcare to the public. Medical ethics consist of several different principles. Nonmaleficence, beneficence, justice, and autonomy are just a few of the many principals. Nonmaleficence enacts that a health care providers, can never use treatment to injure or wrong their patients. Beneficence claims that health care providers are obligated to help others further their interest. Justice requires health providers treat every patient as equal and provide equal treatment for everyone with the same