Critical Thinking #2
1. A 14-year-old accompanied by her mother presents with complaints of nausea and vomiting for two weeks. After her mother leaves the room, she admits to being sexually active and tells you that she has had unprotected intercourse recently with her boyfriend. Her parents do not know she is sexually active, and she does not want her mother to know that a pregnancy test is being done or the result of that test. Pregnancy test comes back positive.
• Do you disclose the test results to the patient's mother? Why? Why not?
Defilements of confidentiality encompass disclosure of somebody else's secretive information that she willingly conveyed in self-assurance and faith. When there was an understood or a clear promise to not
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HIV-positive individuals ought to notify sexual or needle-sharing partners of their HIV status. If you are HIV positive and do not tell your sexual or needle-sharing partner, she may perhaps have grounds to file a lawsuit against you. Even if you don’t pass on HIV to your partner she may take legal action for placing her at jeopardy. He needs to let his girlfriend know that he is HIV-positive and practice safe sex.
4. The police bring in a 15-year-old street kid for an evaluation. During the course of your exam, you notice a foreign body in the ear canal that turns out to be foil-wrapped rock cocaine. What would you do?
In this specific situation, I would question the adolescent about the foil-wrapped rock cocaine. I would notify the family and the correct authorities. I would keep it as evidence of the examination for the authorities.
5. Discuss the basis of the duty of confidentiality and its application to the adolescent client.
The notions of informed consent and confidentiality are multifaceted when the patient is an adolescent. This is predominantly accurate when the wants and requests of the adolescent conflict with the sentiments and partialities of the parents.
6. Identify situations in which breaking confidentiality is justified and the conditions that must be met to break
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Discuss some implications to the (a) client/worker relationship, (b) the client (c) to the agency when confidentiality is violated.
(a) Under conditions of trust, such as confessions made in most patient-provider relationships, the patient is betrayed when confidences are broken. They have disclosed personal information to the worker supposing that the worker will not unveil what they have voiced. To do so would be disloyal to that trust. Trust is necessary for communities of citizens to function successfully. Without trust and faithfulness, communities as well as the citizens suffer.
(b) Discretion in the beneficial relationship is expected. Therefore, an inferred assurance exists amongst the patient and the physician. Inattentive a prior notice by the physician to the contrary, to halt discretion is to dishonor a promise made to the patient
(c) If discretion needs to be broken, only those with an absolute need to know should be given access to that information, and only that information that is needed to prevent harm should be revealed.
8. Identify threats to the patient's confidentiality (e.g., the bill that is to be sent to parents).
Leaving messages on answering
A moral dilemma that arises in a doctor-patient relationship is whether or not the doctor should always tell their patient the truth about their health. Although withholding information was a common practice in the past, in today’s world, patient autonomy is more important than paternalism. Many still are asking if it is ever morally permissible for a doctor to lie to a patient, though. David C. Thomasma writes that truth-telling is important as a right, a utility, and a kindness, but other values may be more important in certain instances. The truth is a right because respect for the person demands it.
Children and adolescence that do not have written consent cannot receive services due to liability issues and compliance with the law. In addition it is important to discuss confidentiality and the exceptions to
Billy is a minor, so I must receive an informed written consent. At the start of treatment, I will have a conversation with the foster parent of Billy’s about confidentiality and boundaries. I will make sure that Billy and his foster parents has a clear understanding of what types of information we will have to disclose. The information given will only be the minimum amount allowed.
According to Beauchamp and Childress (2013), the principle of beneficence is the promotion of good and removal of harm while non-maleficence is to do no harm to others. Promoting the welfare and doing no harm to people has always been the goal of nursing. Therefore, we should inform his family so that they can take precaution, which will reduce the risk of HIV transmission. For instance, his wife can avoid unprotected sex with him if she knows about his HIV status. Also, family members can go for a HIV test and seek treatment if
According to the Nursing and Midwifery Council’s The Code (2015), an individual’s confidentiality must be maintained at all times (Nursing and Midwifery Council, 2015). To adhere to the Code, all those mentioned within this assignment have
This, in turn, lead to the incidental disclosure of Joseph Stevens’ health information. To help prevent this mistake in the future, Sue and the compliance officer should work together to institute training that educates employees on incidental disclosure and how to minimize the occurrence. Another aspect of this mistake, is that Sue did nothing to dissuade the nurse from continuing the discussion in front of the patient and in a public space. Sue should have invited the nurse to come to her office
Confidentiality will be maintained as the British Medical Association (BMA,2016) states that “All identifiable patient information, whether written, computerised, visually or audio recorded or simply held in the memory of health professionals, is subject to the duty of confidentiality”, hence pseudonym will be used and the patient will be referred to as Mr Eric. WHAT? Mr Eric’s is a patient who has been admitted to a surgical ward. he suffers from oozing wound and the doctor has
Trust is seen to be essential between the healthcare professional and the patients (Rortveit
Due to this it is important that when children and young people communicate with individuals such as practitioners it is important that they are make children and young people aware that confidentiality will take place. " Therefore, it is of great importance to have guidelines in place that clearly outline the service’s confidentiality commitment. " My Peer accessed on 01/02/18 however if needed to it will be shared with individuals that need to know. For example if a child or young person is at risk. If this does not happen it may lead to individuals not trusting practitioners and then issues will not be resolved.
Confidentiality In a healthcare setting it is important to withhold personal information securely and safely. (Data protection act 1987 protect personal information). This can tell practitioners that information should be withheld.an example of maintaining confidentiality can be in a day Centre for elderly people this is shown when a service user discloses personal information the worker should not spread the information to other people. However it is appropriate if the only time this can be broken is when the person is a danger to others or themselves.
Truth telling and confidentiality depend upon the situations. It is right to tell the truth in certain but it is also right to hide something from the patients in certain situations. According to utilitarianism one should usually tell the truth and keep one’s promise because you should always perform an action that provides maximum utility and if keeping a promise and telling the truth makes someone happy then it is providing maximum utility.
Disadvantages Even though the advantages outweigh the disadvantages of informed consent, it is still vital to talk about the shortcomings involved. It is important for health care professionals to understand the disadvantages of informed consent just as much as the advantages so that they can prevent these drawbacks, if possible. The disadvantages I will be discussing in this section is the act of coercion and undue influence, emergency situations and special circumstances where informed consent does not apply, and therapeutic privilege. When informing patients about their care options, the health care provider may be convinced that one way is the best and may inadvertently pressure a patient to make a different decision than they originally
As a general rule, the law stipulates that clients under the age of 18 are not adults and, therefore, are not competent to make fully informed, voluntary decisions. Although counselors may argue that many minor clients are developmentally capable of making these decisions for themselves, the law does not support this belief. The privacy rights of minor clients legally belong to their parents or guardians (Remley et al.,
When counselling children, one of the ethical issues which we come across is about the Informed Consent. So initial phase in securing the privileges of the client is an informed consent report (Corey, Corey, & Callanan, 2011). Vesper and Brock (1991) stated: “The principle of informed consent was initially intended to assist doctors and specialists to disclose therapeutic procedures to patients and to caution them of any dangers or risks that could come about because of treatment. The purpose of this rule was to allow the patient to make a careful, learned decision in the matter of whether to experience the proposed treatment or system or not” (p. 50). Its base is directly embedded into the autonomy and right of self determination of a client
It is also worth noting that doctor-patient relationships characterised by trust have the tendency to exhibit greater information sharing as noted above. The actors further note that trust is considered conditional and seemingly mandatory, which plays a critical role in consultations. However, it is not something that is often expressed, but the level of importance in driving the consultation is