When giving patients diagnoses, physicians need to follow these doctrines by creating a balance between telling the truth and providing hope, which is why some may mistakenly turn to benevolent deception as the answer. In most medical situations, benevolent deception is not permissible because the patients’ given right to autonomy is disrespected by doctors. The only time when this practice is justifiable is if it used as a “last resort”, i.e., during circumstances of crises where there are no alternatives to lying. This type of situation needs to be a life-threatening emergency with limited time available for a doctor to fully explain the diagnosis in a beneficent manner. Also, the reasons for deception must be to prevent psychological distress, and its execution must have a high chance of success so that the patient-doctor relationship will not suffer from a break in trust.
This can be done by the healthcare workers exemplifying kindness and compassion to the patient. The patient isn’t going to feel welcome if whoever is working with him or her is rude and impatient. The healthcare worker should also show the patient that they have all the skills that are acquired in order to do their position with excellence. The patient needs to have full confidence in the healthcare worker. This can be done by the healthcare worker being confident in all that they do.
With this statement in mind, one can practice with confidence as what they do is within the guidelines of ethics and legal under the eyes of the law. An example of a dilemma in a clinical setting would be in the decision making process of a patient who is unconcious. Sometimes the physician would want the best for the patient but the family thinks otherwise or vice versa. This will be explored in the essay on the proper way to handle such dilemma faced by a nurse. As illustrated in Appendix A, this case scenario involves establishing the mental capacity of a particular patient according to the
Although in this case the patient will eventually die... ... middle of paper ... ...ot only physical but also mental aspects, and this is something that has only come into consideration lately. It is for this reason that we need to have policies to accurately help patients who have come to the realization that they no longer wish for us as doctors to actively try to prolong their lives. The above is our hospital's policy concerning end life care, which we hope to adopt. First and foremost, we believe that life is foundationally good, and unless we are given specific instructions through the aforementioned procedures, we will always try to sustain life. At our hospital we will also respect the moral beliefs of our doctors.
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.
In reality, I see my career as part of the fulfilment of my cultural responsibilities. In nursing practice, values, morals and ethics play a vital role in what one perceives as right or wrong in t... ... middle of paper ... ...s necessary to arrive at an amicable situational judgement. For instance, while offering services to a patient, at times a prognosis may cause harm to the patient but they have the right to know the truth. Telling them the truth may cause panic or even their withdrawal and lying is morally wrong. The nurse here will face the dilemma of telling the patient the truth or lying.
Sharing power “ evokes the patient’s perspective, conveys interest, flows the patient’s lead, elicit and validate emotional content, shares with the patient, makes the clinical reasoning of the practitioner transparent to the patient and shows the limits of the practitioner’s knowledge”, (Bickley, 2017, pg. 73). This interviewing technique gives the practitioner an opportunity for insight into any social, emotional, physical or economic barriers to health for the patient. This technique shows the patient’s responsibility to follow any recommended advice that the practitioner may give. Throughout the interview, the advance practice nurse should be aware of his or her own body language.
Background of the Problem As I personally observed in our ICU, ineffective communication between doctors and nurses can affect the delivery of care. Unclear communication during the end-of-life care in the ICU can raise ethical questions and pose a challenge to those who are involved. Incons... ... middle of paper ... ...arch are to gain more knowledge and apply the solutions that I will find from evidenced based practice to my own. Identifying the barriers to effective communication and finding ways to overcome them can help improve the gap. As a critical care nurse, I have to provide exceptional patient care to sustain life, but must also accept the circumstances when a patient’s death is inevitable.
Patients must trust their health care providers to get the best care. If they do not trust the nurses providing their care; this can severely affect the care they receive. The diagnosis could be wrong if the patient provides inaccurate or incomplete information about their symptoms and history. If the patient is reluctant to share their private information their care givers will be treating them as if they had blinders on. Only the external information can be seen not the underlying cause of disease.
Patient’s choice to enter the hospital voluntarily or, alternatively, to refuse admission is of pivotal importance. Due to violation of integrity, self-determination and autonomy, client suffers from low satisfaction and legal disabilities. But on the other hand, treatment implied by coercion improves the outcome compared to the outcome with no (coercive) intervention. The underlying belief is that patients with drug abuse and mental disorders are unable to understand their needs of treatment, thus justifying paternalism as a well-intended interference with a person’s liberty of action (Høyer, Kjellin, Engberg, Kaltiala-Heino, Nilstun, Sigurjonsdottir & Syse, 2002). This paper will discuss the case scenario, some ethical principles, different constraints, possible solutions and evaluating those solutions according to ethical concepts and principles.