Managed Care Case Study

There must not be any kind of pressure to do so. Consent must be voluntary and a patient should have the freedom to revoke the consent. By law, Consent given under fear of intimidation, misconception or misrepresentation of facts can be held invalid. The ethical

Issue: Is it legal and ethical to withdraw life-sustaining medical treatments from a terminally ill adult patient? Yes, the right of an adult patient in receiving or not receiving medical treatment under the legal and ethical standards requires the patient to provide informed consent. If the patient cannot provide informed consent, a legally authorized surrogate can make a decision. The same legal and ethical standards apply for the terminally ill adult patient in the case of withdrawal of life-sustaining treatments. In other ways, medical ethics does not involve the life of a patient to be preserved in all circumstances at all costs.

Explain your answer. Why are privacy and confidentiality so important to patients and to health care practitioners? If family members and friends are asking about information on others during the course of my employment, one should allow them to know that it is legally and ethically incorrect to do so. Deepen the explanation allow them to know how important privacy and confidentiality is so important. Privacy and confidentiality are so important because when others know information about a patient some will use it against them.

The mnemonic SOLER is used to remind healthcare professionals that how to that Reducing proximity, maintaining eye contact and using open postures can show they are listening and concentration on what is being said, and making the speaker feel more comfortable (KRASEZWSKI & McEWEN 2010). Active listening often involves using paraphrasing, summarising verbally what a patient has said to ensure a mutual understanding of the messages send by the patient to the healthcare professional (WALKER 1990). However paraphrasing too often can suggest the healthcare professional finds the words the interviewee uses unacceptable, causing frustration (MOSS 2012). In an evaluation of my strengths, weaknesses, opportunities and threats I highlighted my understanding and use of paraphrasing and active listening as strengths and facial expressions, gestures and touch as weaknesses (Appendix 1). I created an action plan to develop my understanding and use of touch in practice (Appendix

This type of disclosure is an organizational violation, but could also lead to legal ramifications as well. Incidental disclosure of protected health information is not considered to be a “violation of the HIPAA medical privacy regulation provided the covered entity has applied reasonable safeguards” (Hatton, 2003) to help prevent them. This error also has the potential to cause distrust in the patient that the nurse is transporting, causing them to lose faith in the company. The nurse stopped Sue in the hallway (a public space), while transporting another patient, to tell Sue that there was an issue. The nurse made no attempt to keep the issue private and rattled of the details in front of the escorted patient, even though the situation was not an emergency or life threatening.

Mr. Simpson family and doctors think it’s the best to get the flu shot because it could save his life. Mr. Simpson does not want the flu shot no matter what the consequences or actions that may be done onto him, in other words, he rather die than get the flu shot. Mr. Simpson is not technically making the right long-term decision; he can take care of

There are several ways these errors could have been prevented. The nurses should have done three different checks on the drugs with the medication administration record (MAR) and the patient. If they had done those checks properly, then the error could have been caught early. According to the report, the problem with the situation with the second patient was the doctor’s handwriting on the prescription. If the doctors would have made make sure their handwriting iwas legible, thanthen the second patient in this sad case may not have been a victim at all.

It is recognizable that assisted suicide goes against human nature. Physician assisted suicide is judged morally wrong because every human is inclined to continue living. In the event that a terminally ill patient cannot be cured, palliative sedation is an option. According Boudreau, “we believe that the art of healing should always remain at the core of medical practice…sedation is morally acceptable to avoid severe pain…sedation achieves a humane and compassionate period for the patient, caregivers, and family without precipitating important concerns about slippery slopes”. Healthcare facilities have to comply with the rules and regulations.

As a rule, health care organizations are not allowed to use or disclose PHI, with few exceptions. 3. Health care organizations must provide an access to PHI to a patient or his representative and data about all information releases on demand of other organizations or persons. The HIPAA rules also describe in detail terms and circumstances, under that health care organization is allowed to use or disclose PHI without patient’s permission.

Following a strict set of rules a patient should be allowed to procure the drugs necessary to end their suffering. These rules should be very through and time consuming so that only the patients that really mean it would be willing to go through all the trouble. Doctors also should have some say in whether or not a patient should be eligible for this drastic option. Physicians also should not be able to inject the drugs themselves only prescribe them to the patient and educate them on how to use them. These rules would be strict enough to keep the patients safe, but also have enough clauses to not ban any specific disease.

Just remember this incident when you want to be inquisitive about a patient that you are not treating or accessing a patient’s medical records for no business purpose. When performing your job function, it is not a HIPAA violation if you release and/or access a patient’s PHI for treatment, payment or health operations (TPO). When accessing and/or releasing a patient’s PHI, ask yourself does this fall under the TPO exceptions? If it does, then you should just release the minimum information necessary to complete the task and if it does not, then you may need an authorization signed by the patient or his/her representative. In the event you are unsure if you can release and/or access a patient’s PHI, contact your supervisor or your organization’s Privacy Officer.

For instance, an employee who only answers the phone and sets appointments doesn’t generally need access to medical histories, x-rays, and other specific medical information. Therefore, their level of access to your practice software should be limited to seeing the schedule and creating or changing appointments. Alternatively, an employee who only treats patients and never handles billing information should not have access to credit card numbers, health insurance plan ID numbers, or other financial information in your systems. It may seem easier to just give everyone access to everything. However,