However, a certain level of generalization is valid to the extent that it provides clues of what the person most likely encounter. In conclusion, when it comes to culturally sensitive care, what's proper and correct in one culture may be ineffective or unacceptable in another. In reality, no culture is right or wrong, better or worse—just different. For healthcare workers, there is no single receipt for communication. The best approach is the development of an understanding of, and a deep respect for, the
The doctor suggested a route of further treatment, but the patient made an informed decision that went against the suggestion. The doctor abided by the principle of beneficence and non-maleficence by suggesting a more beneficial and least harmful route while also respecting the autonomy of the patient. In this example and in many others, beneficence is an important principle because perhaps a patient would change their decision if they were given a route that was more beneficial to them and their situation. By doctors and other healthcare professionals giving patients the most beneficial treatments, they are ensuring that patients have all the options available to them when they make a rational
Despite JB expressing his dislike of being placed in seclusion, nursing and medical staff agreed JB’s capacity to make an informed autonomous decision was impaired due to his current mental distress. Roberts (2004) states that the paternalism in mental health is rationalized through the concept that mental illness can inhibit a persons’ competency and ability to act autonomously in the governance of their care and therefore principles of beneficence and non-maleficence must be introduced to ensure that person receives adequate care. Prinsen & van Delden (2009) also argue that coercive measures such as seclusion can be necessary in reclaiming personal autonomy and control. However this paternalistic viewpoint of overruling a patient’s autonomy is arguable especially if a person is deemed incompetent due to their mental illness. Szasz believed mental illness was mythical and the introduction of a diagnosis was merely to label social deviancy from social norms.
Which further allows the individual to make an appropriate decision in their own interest even if not the best interest. For example, PTs consider a certain intervention to be more beneficial to the patient and the patient is not willing to undergo the treatment; in such circumstances it is the duty of the therapist to explain the need of the intervention and also provide the patient with other treatment options available and leave the decision for the patient to make depending on what suits him/her the best. Autonomy and beneficence have different ideologies but they need to be in sync for the healthcare provider to strike a balance between both and obtain optimum health care for the patient. Even with such an ethical dilemma it is the duty of the health care worker to provide appropriate information to the patient and to convince the individual to make the best choice without affecting the autonomy of the patient. [2,
Patients have a right to privacy and non-interference. The healthcare professionals are obligated to give needed information to patients and relate the risks, and the benefits of a test/treatment. The detail information given will allow the patient to make the best decision on what he/she chooses to do. Hiding information about a diagnosis or not revealing the potential complications because a patient may refuse care seems unethical. Patients have the right to know about their health to make informed
But on the other hand, they need consider whether telling truth would help or make situations more worst. Ethical dilemma among health care professional arises, either telling the truth or withholding the truth would benefit the patient. In health care settings, truth telling about terminal care is a common ethical dilemma: either by telling truth or withholding the truth is the main concern. More often, doctors and nurses work closely
In Book I of the Nicomachean Ethics, Aristotle brings up the idea that in order to discover the human good we must first develop a certain understanding and identify the function of a human being. Aristotle’s function argument is brought up through his belief that the human function is rational activity, meaning that our good as human beings is rational activity performed fine because this is what leads to living well. The good Aristotle tries to get across can be seen in many different forms depending on how it is viewed, because of the idea that the main function of anything is to reach a final end, the final end is considered the good. “The end of medicine is health, that of shipbuilding, a ship, that of military science, victory…” (Nicomachean,
I believe that the characteristics of the model must have a set balance across the healthcare field to prohibit practitioners from neglecting some sides of the BPS model. There are some doctors and psychologists who claim that the model ’s weaknesses cannot be fixed, such as it being impractical due to the large amount of information that must be understood by practitioners and the confusion over how to balance the three facets of the model. While there are weaknesses, the benefits of an overall health model could aid mental health practitioners with understanding their patients in ways that they never had before. This benefit must be weighed against the possibility of using an impractical model that may not direct courses of
By labeling treatment as unnecessary, the doctor suggests that we are in a situation where the treatment does not bring any medical benefit. Of course, in ordinary situations, to not recommend unnecessary treatment it depends of good medical practice, and it is the subject of many studies, protocols and lessons of continuing medical education. In these situations, the decision on the futility of a treatment is a decision to rationalize costs. In life and death situations, however, the physician must ensure that by declaring that one treatment is useless, he has not been driven by costs and does not make an economic judgment. In this case it would be a serious mistake to label his own decision as futility.
An interesting take on healthcare organizations should not be exempted from quality improvement because of only being able to provide minimal services. According to the text, “having a shared definition for quality is critical to the mission of quality improvement in health care. To improve the quality of health care, all stakeholders, including patients, providers, payers, and administrators, must share compatible goals and have a consistent and collaborative agenda” (Sadeghi, 2013, p.68). Deming clearly understood the importance of data. Meaningful quality improvement must be data-driven.
So knowledge of medical terminology is a must. It is used to lessen confusion and support data. Terminology in ICD-10-PCS might be different than what a coder is used to. So it is best to know which term is the best to use, and to know what it is exactly that you are coding. As long as you have a healthy knowledge
Clinician Acceptance Leading to Sustainable use of Telehealth Services Abstract: Purpose: Telehealth which is considered to be promising is facing barriers towards its uptake and sustainable use. While many barriers include less demand, inadequate technology, workforce pressure, the study conducted proposes a single factor which is limiting the uptake and sustainability of telehealth. Which is the factor that influence the uptake and sustainable use of telehealth? How does the study propose the key factor using evidence and model to support its viewpoint and how does it link to other factors while showing its dominance over the other factors? Design/Methodology/Approach: Review of published article on ‘Qualitative Health Research’ Journal Findings: The study proposes that ‘Clinical Acceptance’, is the key factor contributing to sustainable use of Telehealth service using grounded theory.