This essay will explore the reflective discussion on the NUR4021 module, demonstrating my understanding of the professional, ethical and legal values that impact on nursing in a diverse society. According to the Nursing and Midwifery Council (NMC 2015) reflection enables you to make sense of a situation and understand how it has affected you. The NMC (2015) shows the importance of reflection, by requiring nurses to complete a reflective discussion as part of the revalidation. When Nurses reflect It helps them think, plan and deliver high quality and safe care to patients. (RCN 2018). Gillian Bolton (2010 PG13) defines reflection “as learning and developing through examining what we think happened on any one occasion, and how we think others …show more content…
For me the most significant aspect was how it allows the patient to have power and control over their rights. I felt fascinated on how consent changes in all four fields of nursing and the different legislation used to protect patients and nurses. NMC Code of Conduct (NMC 2015) sets the professional standard and behaviour nurses must work to by understanding the legal, professional and ethical framework for caring. Code requires that nurses gain consent from a patient before treatment and respect their right to accept or refuse (Wheeler 2012). Consent is defined as permission for something to happen (Oxford English Dictionary 2018). In terms of healthcare, it’s a legal and ethical principle that consent is gained before beginning examination, commencing treatment or delivering care (RCN 2017). This principle reflects the individual’s rights of what happens to them and the quality of support and care they receive, this is essential to good practice (RCN 2017) Consent can be in a written form or verbally and must be valid. Valid consent must be voluntary, informed, cover the act to be performed and be from a legally competent source (Carvalho …show more content…
Providing the child can show maturity and intelligence to understand the implications of what was consented, this process is called Gillick competence. (Griffith 2014) The Children Act 1989 allows parents to have parental responsibility for their children, which includes right to consent to treatment. Parental responsibility is defined as responsibility, rights, duties and power by law, a parent of a child has in relation to the child (Griffith 2014). According to Lord Fraser’s guidelines the parents have the right to give consent, however their rights must be in the best interest of the child (Diamond 2009). If the parent refuses to give consent for treatment, it will need to be referred to the court for a decision (Griffith 2014). Adult Nurses work with patients over 18, they can work in community and hospital settings such as patient’s homes, health centres or nursing homes (RCN 2018). In relation to a consent, no adult can give consent on behalf of another adult, if that adult has mental capacity to make their own choice (Carvalho
Individuals have the right to a choice, to determine what will and will not be done to their body, including accepting or refusing medical treatment (Taylor, 2010, p. 148). However, one cannot make these types of decisions until they are 18-years-old. This provision explains that patients should be involved in their own plan of care if they are competent and choose to participate. In this case, C.C. refuses to participate and since she is a minor, her mother is the one who can make the decision by law. C.C’s mother agrees with her daughter in the refusal of medical treatment.
This type of consent today is at most unfair, how is someone supposed to understand an endless amount of material that they know nothing about . Who is going to even read those 40 pages ? Most people will just sign and not go through the hassle of understanding , and the doctors should keep that in mind when asking the patient for permission . There are some that also say that the patient should understand and it’s their problem if they don’t. This point is easily unrealistic , because it is suggesting what basic knowledge of every person should have, which reveals that it’s more opinion than
Every hospital has to follow the laws and respect patients’ privacy any rights. Even though the medical staff encourages the patient and the family to go along with the appropriate treatment in order to cure the illness, but it’s still their choice to accept or refuse it. This paper addresses that informed consent is different for every culture, and strategies on how a medical professional can balance cultural preferences with full disclosure. Furthermore, why adolescents shall be allowed to make their own life and death decisions and address the dilemmas on informed consent, also ethics versus legal issues. Informed Consent
Similarly, all clinicians need to gain consent from nearly every patient, either verbal or non-verbal, unless in an immediately life-threatening condition. To refuse consent, a patient has to have all information presented to them by the clinician including; the risks they may face, other alternatives to the initial treatment plan and likelihood of success (SCAS, 2016, 5.3). Consent given by a patient under unfair pressure from a friend/family member or clinician, is not considered consent as it is not the patient’s decision. If a valid consent has been given, then a patient is entitled to withdraw their consent at any time. If a patient lacks capacity to give consent, and has no nominated person with Lasting Powers of Attorney, then no one can give consent on their behalf (SCAS, 2016,
With the type of service that I work for the way that consent is obtained is through communication with the individuals care manager or funder who will complete an individual assessment, gain consent to share information with our service/ staff and will then forward this on to our service. Once we have received the referral with consent we will then arrange a date for a full assessment which will either be a face to face or telephone assessment where we will then discuss with the individual about consent, why we require consent and who information will be shared with. We will also explain that there are different levels of consent such as partial consent, this will be used for information relating to emergencies or to update family members
The Health Care Consent Act (HCCA) sets out explicit rules and specifies when consent is required and who can give the consent when the client is incapable of doing so (College of Nurses of Ontario (CNO), 2009). According to the HCCA (1996), there is no minimum age for providing or refusing consent in Ontario. A person is capable if he or she understands the information given that is relevant to making a decision concerning the treatment, and can appreciate the anticipated consequences of both accepting or declining a treatment. (Keatings
There are even more ethical implications, when working with minors. One of the ethical considerations in this case study is informed consent. According to the American Counseling Association (ACA) Code of Ethics, standard A.2.d, if a minor client is unable to give voluntary consent, the counselor must seek out parents or guardians (ACA, 2014). This was a concerning issue, since Junior was unable to give consent for inpatient treatment. It was my duty to explain the reasoning and importance behind inpatient treatment to Junior’s parents.
De Bord (2014) states that children do not possess the decision-making capacity to provide informed consent. By definition, consent is given for an intervention for oneself; therefore parents are only providing informed permission or authorization (De Bord, 2014). In working with children, I am dealing more with assent. This assent takes many forms depending on the individual child’s developmental and/or cognitive level. This leads to two other elements of informed consent, understanding and disclosure.
Establishing consent is a one way care workers can show respect to the person and their personal dignity and protect themselves. The process of getting consent is to develop trust between carer and person being supported. The person is more likely to want to do activities they have given permission for consent can be given in many ways. Consent is giving permission to do something. In health and social care settings it usually means that the person gives consent to take part or to accept some kind of care or treatment it is important to always remember this.
In a healthcare setting obtaining consent is essential before beginning a procedure or treatment (Koutoukidis & Hughson, 2012). In order for consent to be obtained it must be given voluntarily, cover the intervention about commence, the person must have legal capacity, and they must be sufficiently informed about the intervention. Consent may be withdrawn at any time, and if a health care practitioner acts without the consent of the patient, they may face assault and battery charges. (Koutoukidis & Hughson, 2012). An advanced care directive is a a legal document used by someone to dictate to others what choices they would like made in the event that they lose their ability to make these decisions themselves, or to appoint a nominated person to make these choices for them; if for example they are in a motor vehicle accident and suffer serious cerebral injury.
On some occasions, if the child is fully able to understand the effects of their treatment will impact on their health, they may be able to give their consent (NHS, 2022). Hopefully, the lead adult care workers should provide information and advice and allow the individuals to ask as many questions as possible to understand fully what all the concerns are about their health. However, in an emergency, decisions must be made quickly, whereas, in not-so-urgent cases, you can have more time. Furthermore, if the individual decides not to go ahead with the treatment and they have signed the consent form, they still have the right to change their minds. All individuals have the right to have an interpreter should in case they may need one, and privacy and confidentiality should be always maintained 1.4 - Describe the lead adult care workers responsible for supporting and developing care workers As a lead adult care
Public Health England (2017) states that “Consent to treatment is the principle that a person must give permission before they receive any type of medical treatment, test or examination. This must be done on the basis of an explanation by a clinician”. Selinger (2009) also mentions that patient consent in required regardless of the procedure whether physical or something else as the consent principle is an important part of medical ethics and the international human rights. For example Mr Eric was asked several times and given time to think about the procedure which was going to take place and who was going to do it and the procedure was clearly explained to him to make an informed decision. British Journal of Medical Practitioners (Bjmp) (2017) recommends that consent must be voluntary, valid and informed, and the person consenting must have the capacity to make the decision.
The Term reflection can have many meanings to many people. Reflection can carry meanings that range from the idea of professionals engaging in solitary introspection to that of engaging in deep meaningful conversations with others. But for this assignment I will focus on; what is refection in the clinical setting, why it is important for health care professionals to reflect and where the ideology of reflection came from. I will also provide a personal experience of reflection during my time in the clinical setting that helped me to come up with a solution to a challenging situation. WHAT IS REFLECTION?
Furthermore, in the scenario the situation is complicated because the parents of the patient give the authority to consent by proxy because their interests fall in safeguarding the children’s happiness and maintaining the norms of their faith (DuBose,
Patients have a right to complain about the doctor's refusal to the Management. Provision of Treatment requires patient’s choice and informed consent. Even if a patient has signed a general consent clause, the patient can still refuse medical treatment or procedures. However, in exceptional or emergency situations a doctor may be legally justified in performing surgery or providing treatment without the patient's consent. The patient should be competent and capable of making such a decision to give a consent.