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professionalism and ethics in patient care
ethics in medical field
principles of confidentiality in counseling
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A clear, well-organized record-keeping system is essential for counselor who provides treatment, nutritional assessment and consultation services. But setting up such systems can be challenging. For one, a counselor need to attack the fine balance between the need to maintain client privacy and confidentiality and the need to communicate with insurers, other treating professionals and larger health systems. Counselor’s records must also follow the state and federal laws (King & Klawitter, 2007). . In addition, a counselor needs to plan for retirement and the eventual disposal of records. In order for counselor to have these records, information needs to be documented. Some of the things that need to be documented include counseling sessions, patient family history, payment history, emergency contact and patient’s vitals, privacy act, informed consent, past and present medical history.
All information for all clients are kept confidential and these can be schedule of appointments, counseling session contents, any information that contain records and the outcome of the counseling are confidential by State law (King & Klawitter, 2007). This type of confidential services is provided and maintained by all medical personals. Josephine’s record consists of both paper file and electronic database components. Her records are much secured, physically and electronically, thus protected by the same confidentiality and privacy laws. Most counseling centers have patients that see more than one counselor; it can be a psychologist and a counselor depending on the issue at hand. In this case there will be sharing of information in order to be able to consult with each other to deliver and provide effective services.
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...counseling requirement. Other negative obstacles that can be identifies include the feeling of depression, sadness and or anxiety. Using her culture, she may also find it hard to tell her mom that her cooking is causing problems for her.
As her counselor, I will have to work with her through any uncertainty by supporting her efforts to change and helping her identify inconsistencies between her goals, and values. Involving her in activities, such as support groups, can also be effective. In regards to her mom, I will suggest maybe get herself in to the kitchen and help her mom on the cooking. As she continues to do that, she can suggest taking something out and adding more healthy choices. With her sadness, depression and anxiety, I will suggest she starts to record when these feelings start to come, at what time of the day and how often it appears during the day.
This case study is an interpretation of a problem or situation that has occurred within a LPC’s (License Professional Counselor) care. As information is gathered, the depiction to this specific problem in this case study may also include additional information that may deem so to be necessary, in order to place possible solutions or actions that could have or will arise from the situation. This document will consist of a step by step analysis of the factors which impact the case, mostly in the order of what appears to be the most ethically sound decision. This document involves Stephanie’s (therapist) treatment of Martha Rose (client). The therapist, Stephanie, has been given a case through referral from an unknown source; Stephanie is working with this new case in SC (South Carolina).
...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.
Ian, D. and Loudon, J (2006) Improving standards in clinical record-keeping: Advances in Psychiatric Treatment, 12, pp. 280 – 286
A promise of confidentiality assures clients that information revealed during counseling will not be shared with others without permission. An individual has the right to choose the time, circumstances, and extent, to which he or she wishes to share or withhold information. Marriage and family therapist have different confidentiality aspects from other counseling areas. Marriage and family therapist mostly have more than one client in a therapeutic relationship, there are different limitations for each individual client. AAMFT Standard II (2015 2.2) states When providing couple, family or group treatment, the therapist does not disclose information outside the treatment context without a written authorization from each individual competent to execute a waiver. Conclusively, counselors may be counseling a couple, group, or family for treatment, each client has their own rights to privacy protection and confidentiality. All counselors must follow specific guidelines when in regards to disclosing information that has potential harm to the client or identified others. If court ordered or third party payers have requested information it is the counselors job to obtain written consent from the client to release information about that
Another concern that counselors struggle with for both individual and group counseling, is maintaining appropriate records (Crespi, 2009). State...
In the event of releasing any patient information it is important to make sure that all of your T’s are crossed and your I’s are dotted before the transaction is complete. However, because specialized patient records, such as behavioral health or substance abuse cases, contain not only strictly medical information, but also therapeutic mental and emotional information, the release of this kind of information could cause some damage (McWay, 2010, p. 227). This is why the release of information concerning these patient records in them. For purposes of this assignment this paper will only be covering the release of information in a behavioral health case.
This paper will examine This paper will examine the Confidentiality and Doctor Patient Relationship .In the rules of law and ethics that information between the doctor and patient should stray confidential the physician should not leak confidential information that the patient did not want this information revealed to others, confidential between the patient and the doctor is very important. It is based on trust and if these are the information were not protected will cease to trust in the doctor-patient relationship would be diminished. Patients should be informed about the information being held about to them, why and how they may be shared, and who may be shared with
There are a number of problems that present in modern practice that can significantly affect or compromise confidential client information. Primarily, these types of problems are usually categorized as belonging into one of two areas of violation that provide unauthorized access to confidential information. The first area of disturbance of confidentiality occurs when the professional boundaries of the client-therapist relationship are breached, such as when practitioners partake in multiple relationships or decide to access public information about a patient online.
I had the opportunity to meet with Dee Laguerra for a few hours and learned so much about the Medical records side of our facility and its impact on healthcare organization. As Director of Health Information Management (HIM) she is responsible for many aspects of managing the medical record; which is a legal document. I did not realize how complex this department is and how vital this department is to the legal and financial position of the organization. Dee’s position as director is the responsibility for the collection, organizing, scanning, and completions of the medical records in a timely matter after the patient is discharged. The reason for the timeliness of scanning the medical records is for the preparation for the coders to review all the charts to code for insurance billing. The time requirement for th...
Remley and Herlihy (2014) indicated the client has the right to obtain their records providing they are competent and we as the clinician do not feel the release of their records would cause harm to the client. The American Counseling Association Standard B.6.e
Self-disclosure: Important aspects psychologists, therapists and counsellors should keep in mind when disclosing personal information.
The meaning of patient confidentiality is that personal and medical information that are provided to the providers of health care cannot be disclosed to others not unless the patient has provided authorization for the release. In fact permission is not supposed to be granted to health care professionals to disclose the patient’s medical information. This is because there could be professional or personal problems by disclosing the medical information of the patients for patients depends on the physicians in keeping private their medical information, American Psychological Association (2003).
Over the course of their therapeutic relationship, Dr. Davenport violates client confidentiality as it is described by the American Counseling
The expectation in the practitioner/client relationship is that any information disclosed will not be shared with others. Confidentiality is emphasized to provide the client with a safe haven in which to share traumatic events or embarrassing personal information about themselves (Krase, 2013). Disclosing this type of sensitive information...
Informed consent. Counselors, whether in a group or individual counseling setting, must obtain informed consent from their clients. Counselors must disclose information about themselves to their clients. They also need to share with potential clients how long counseling will last and the topics that will be discussed in each session. According to the ACA code of ethics (2006), “informed consent is an ongoing process, and counselors appropriately document discussions of informed consent throughout the counseling relationship” (p. 236). Informed consent in group counseling is tricky because you have multiple clients; however, counselors have the option to meet with each group member individually in order to gain consent from their