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Confidentiality between patients and providers
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There are two ethical dilemmas. The first being whether to respect the confidentially and the autonomy of the patient she is treating. After treating and obtaining further information of the individual the Nurse is aware that the adolescent does not want to inform her parents about the appointment regarding being pregnant. The second being the most prevalent is that the patient is 16 years of age and is currently involved sexually with an individual that being her boyfriend who is 19 years of age. “Arizona law makes it a felony for an adult to engage knowingly in sexual conduct with a minor” (Wilmer et al., 2015). In addition, the nurse must report consensual oral or sexual intercourse with a minor as sexual abuse (Wilmer et al., 2015). Furthermore,
The ethical issues of physician-assisted suicide are both emotional and controversial, as it struggles with the issue of life and death. If you take a moment and imagine how you would choose to live your last day, it is almost guaranteed that it wouldn’t be a day spent lying in a hospital bed, suffering in pain, continuously being pumped with medicine, and living in a strangers’ body. Today we live in a culture that denies the terminally ill the right to maintain control over when and how to end their lives. Physicians-assisted suicide “is the voluntary termination of one's own life by the administration of a lethal substance with the direct or indirect assistance of a physician” (Medical Definition of Physician-Assisted Suicide, 2017). Physician-assisted
...rt of the medical profession, the therapists are expected to maintain the confidentiality of their clients. A psychologist must be able to acquire a client’s trust in order to keep quality confidentiality amongst the two parties. Only on seriously occasions should the patient’s records be shared, under certain other conditions the psychotherapy records of a minor can be reviewed by others without prior written consent. The Health Insurance Portability and Accountability Act (HIPAA), psychologists can usually give way the patient records to parents or legal guardians. Some of the ethical rules that apply to the practice of child and adolescent psychiatry are clear and generally agreed upon For example, rules against sexual contact or harsh or abusive treatment are encoded as boundary violations. A psychotherapist must be able to respect the boundaries of the client.
Physician assisted suicide is immoral in the case of people who are alive and desire to terminate their life. However, there are extreme cases when hastening the dying process is justified in the circumstances of individuals who are in intense physical impairment.
I am a caseworker for Delaware Division of Family Services and it has come to my attention that Ms. Gray may have made an unethical decision. As a fellow social worker and having known Ms. Gray, it is my ethical duty to investigate these accusations, and take action as stated by the Ethical Standards for Human Service Professionals (National Organization for Human Services, N.D.). Ms. Gray has been working with Mr. Eric Black a 15yr. male client who was staying with the Crofts a foster family with serval young clients. An altercation arose between Eric and another client named Jimmy. Jimmy found some adult magazines, which showed male men undressed and assumes that Eric was gay. After the altercation, the Crofts came to Ms. Gray about removing
Hood mentions, “determining the presence of more than one ethical concern” (Hood, 2013, p. 70), which I felt was the provider asking me to do something she knew was wrong, knowing there were other available resources, and asking me to do something that I had never assisted with or trained to do. After identifying the problem, I needed to identify the morally relevant facts, which takes a closer look at the context of the dilemma (Hood, 2013, p.70). As mentioned before, the doctor seemed at ease knowing what she was doing, telling me the plan, which is a cause of concern for any future outpatient nurse who may possibly work with her, but doesn’t speak up or isn’t aware of her limitations. In this experience, I needed to stop and think to myself, is the choice that I am making legal within my institution and under my scope and license? From there I evaluated the problem, Hood mentions, “examine the ethical norms by reviewing the literature, code of ethics for nursing” (Hood, 2013, p. 70). After encountering that situation and speaking with my manager, I wanted clarification on my job duties as some nurses say it’s a “gray line”, where it depends on your comfort level or the physician you work with in doing things that the nurse possibly shouldn’t be doing. My manager clarified with me that I legally shouldn’t have even offered to go with her
On the morning of May 17th, 2005, Nola Walker was involved in a two-car collision. Police and Ambulance were dispatched and arrive on scene at the intersection of Kenny and Fernley Street. Ambulance conducted various assessments on Ms. Walker which revealed no major injuries and normal vital signs. Mrs walker denied further medical investigation and denied hospital treatment. Later on, Queensland police conducted a roadside breath test that returned a positive reading, police then escorted Ms. Walker to the cairns police station. Ms. Walker was found to be unconscious, without a pulse and not breathing. An ambulance was called but attempts to revive her failed (Coroner’s Inquest, Walker 2007). The standard of Legal and ethical obligation appeared by paramedics required for this situation are flawed and require further examination to conclude whether commitments of autonomy, beneficence, non-maleficence and justice were accomplished.
This case presents a very delicate situation that presents many legal and ethical questions. Do you tell your brother his partner has HIV? I would tell my brother, but the how and when, may vary based on circumstance. From a professional ethical standpoint, it would be unethical to disclose the patient’s HIV status without consent. It would violate the patient’s right to confidentiality, as it is the patient’s choice whom information may be shared with (Beemsterboer, 2010, p. 50). It could also be argued that it is a violation of the principle of nonmaleficence. By providing the patient’s HIV status to people unbound by HIPAA, you are putting the patient at risk of discrimination. This could cause mental anguish or psychological issues, therefore, in essence, inflicting harm on the patient. The most valued application of nonmaleficence is, “One ought to not inflict harm” (Beemsterboer, 2010, p. 42). This would outweigh the ethical argument that you are also preventing harm to your brother, another less important application of nonmaleficence (Beemsterboer, 2010, p. 42). There is one professional ethical principle that I would argue was being applied. This being the principle of paternalism, stating that healthcare providers should do what they deem best for the patient according to their ability and judgment (Beemsterboer, 2010, p. 47). If the patient had a sexual encounter with the brother, and did not inform him of her HIV status, she may be arrested for reckless endangerment according to Pennsylvania law. A case where an HIV-positive person did not disclose their status to their sexual partner was brought before the Pennsylvania Superior Court. According to Pennsylvania law, “Disclosure of HIV status is a defense ag...
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
In recent years the media has shifted more focus on the hot topic of physician assisted suicide. This expanded coverage has caused an ever widening gap on both sides of the debate because of the ethical concerns that come along with this act. Due in part to the advancements in modern medicine, assisted suicide should be viewed as a morally correct decision for individuals to make for themselves when there is no overcoming a life impairing mental or physical ailment. This form of medicine should only be used when the individuals have exhausted all possible procedures and options and the have a bleak chance on being healthy once again. The results of assisted suicide can be viewed as morally correct in regards to consequentialism, social contract theory, as well as deontological ethics. The act of assisted suicide can be viewed as selfless if one does not ultimately want to be a physical or monetary burden on other individuals. A patient can also help to save others in regards of organ donations. We as a country need to learn to observe the choices of the terminally ill patients and understand when they want to concede in their battle. If a person chooses to end their life, it should not be viewed as a sign of weakness, but rather as a statement that this individual does not want to suffer anymore.
Are we all living to die? And if so should we have a choice on how we die? There are many ethical dilemmas surrounding assisted suicide. What things will dictate our right to die: terminal illness, depression, or your constitution rights? The Bill of Rights state in the eighth amendment, “ nor cruel and unusual punishments inflicted”, so would it be considered cruel inflicted punishment to deny a person with a terminal illness and a few agonizing months to live the right to end their suffering sooner? A health care professional takes an oath to preserve life and wellness so assisting a person with suicide would jeopardize their ethical and moral duty to their profession. Also,
Nurses should remain non-judgemental towards patients, families or staff regardless of their back ground, religious beliefs or age (“Equality Act 2010”) Regardless of where you work nurses are duty bound to maintain effective practice through clinical governance frameworks such as, audits, ensuring healthcare is safe for every person every time and the best of available resources are used. (NHS FIFE 2010) Effective collaboration is also important within a multidisciplinary team to enable safe delivery and promote high quality holistic care that will enhance better patient outcomes for instance, referral to the appropriate services, professionals. Throughout a nurses’ career they will face clinical ethical dilemmas for instance, families that want a nurse to deny telling the patient the truth about their medical condition as the families believe this could detrimental to the patients’ wellbeing. The decisions a nurse will make could be affected by a few factors such as, own personal beliefs, values and
Ethical issues are common in the field of mental health, and so mental health counselors rely heavily on sound ethical decision-making to navigate difficult decisions that affect the client’s wellbeing, law, and the counselor’s own liability. Using ethical decision-making models, counselors can make better decisions, however, there are situations where other factors outside of the counselor’s control can influence these decisions. These factors can include the education and experience of the counselor as well as their current emotions. The purpose of this study is to investigate the effects of emotions, both positive and negative, on ethical decisions.
The basic rights of human beings, such as concern for personal dignity, are always of great importance. During illness, however, these rights are extremely vital and must be protected. Therefore, healthcare providers should make an effort to assure that these rights are preserved for their patients. Likewise, health care providers have the right to expect reasonable and responsible behavior on the part of our patients, their relatives, and friends. This is where the patient’s bill of rights comes into play.
The specific issue in questions is whether a nurse should keep the truth from their patient about their illness by respecting the wishes of the patient family or abiding by The Code of Ethics for Nurses and revealing the truth to the patient. The Code of Ethics for Nurses expresses the values and ethics of the nursing profession by stating that: Patients have the moral and legal right to determine what will be done with their own person; to be given accurate, complete, and understandable information in a manner that facilitates an informed judgment; to be assisted with weighing the benefits, burdens, and available options in their treatment, including the choice of no treatment; to accept, refuse, or terminate treatment without deceit, undue influence, pressure, intimidation, or penalty; and to be given necessary support throughout the decision-making and treatment process (The American Nurses Association, 2011). Unfortunately, truth telling to any type of patient is a common ethical dilemma: to tell the truth or to not tell the truth is the main question. Nurses have the closet relationship with patients and therefore are the ones put in a difficulty situation between their patient and the patient’s family. Who should they satisfy? Should they leave their patient in the
There are some questions a patient 's doctor must be a secret, you can not tell a third party about the problem. Another example, if a teenager says to a doctor, "I am depressed, I have been trying to kill myself" ( "Youth confidential: a young person 's right to privacy"). Doctors are not sure of information, because the doctor is this guy right help. Teen confidentiality concerns may be an important barrier to access to health services. Adolescents have the right to contraception confidentiality when it comes to contraception.