as cited in Roberts 2004). Autonomy is described as an individual’s right to self-governance around their care and the requirement of healthcare professionals to respect these decisions (Kirby et al. 2004). However the patient and healthcare professional can sometimes have conflicting views regarding a person’s capacity for autonomy particularly persons who are acutely unwell. 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.
But, without trust patients are less-confident that decisions made are in their best interest. communication influences understanding and cooperation increases trust between both parties, nurses must monitor their interaction with patients to avoid a false sense of security. This false sense may cause potential harm to patients because substitute treatments are not offered. So, to lighten or reduce this concern the nurse must understand and listen to the patient’s life circumstances. A failure to do so may limit how much the patient’s concerns are considered in the decision making process(
They may have problems keeping track of appointments or following to the treatments. Therefore, health literacy is important because it is an essential part of active involvement in health care. We need to be able to find, understand medical terms, evaluate, and use health information and services. Health literacy can also prevent many health problems and shapes our health
When possible, have family members or other close persons present and this should be at the patient 's discretion. If bad news is anticipated, the best is to ask in advance who they would want to present and how they would wish the others to be involved. Starting the conversation by introducing yourself to everyone present and ask for names and relationships to the patient. Foreshadow the bad news, “I 'm sorry, but I have bad news.” Physical touch must be used where appropriately because some patients or family members will prefer not to be physically contacted.
(Hogue & Prudhomme, 2012) Another point is documentation on a patient. There is a saying in the medical field if you didn’t document it didn’t happen, make sure as a case manager, everything you do is fully documented in the patient record. Develop habits that are good, you always want to document on a client when everything is fresh. It proves to the case manager’s credibility.
Communication about patient safety can be categorized into: prevention of errors and responding to effects caused by errors (adverse effects). The use of effective communication techniques amongst health care team can help in the prevention of errors, whereas ineffective communication contributes immensely to its occurrence. If ineffective communication contributes to an unfavourable event, then better effective communication skill must be applied to achieve the most favourable or optimum patient safety. There are different approaches and techniques in which healthcare personnel can work to improve patient safety and they include both verbal and the nonverbal communication as well as effective use of appropriate communication technologies.
The case of Lia Lee can be used holistically to showcase the negative effects which a culture and language barrier can produce between doctor and patient. It can reveal how communication and cultural sensitivity can aid in medical practice. Nevertheless, Lia’s case also shows the need for doctors and healthcare practitioners to learn more of about a culture so that treatment may be administered smoothly and without complete comprehension of the patient and their
This is very critical as it helps in the diagnosis and also helps me to get to know the patient’s history [Doctor 1]. However, one challenge with regard to patient active participation in the encounter process is the lack of role clarity. Both doctors and patients shared this view.
Few things need to consider when telling to patients and patients family with regards to their prognosis like patients reactions or emotions and even financial resource. Health care professional are expected to give the detailed information to their client whether it is desirable or undesirable news. 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.
The Francis report is clear confirmation that when the 6C’s, a therapeutic relationship and ethical boundaries are ignored in patient care it becomes a major barrier that leads poor healthcare. (Department of Health, 2013). It is evident that a therapeutic relationship and effective communication underpins good healthcare (Brown & Bylund, 2008). Communication is therapeutic and building relationships is the cornerstone of nursing work, particularly with patients who have learning disabilities or mental health issues (Clarke, 2012). With such patients, nurses have to consider emotional factors as the patients may find it hard to listen, concentrate and communicate if they are emotionally, scared, anxious or maybe just do not understand the
Mike’s Voice in his Cancer Treatment Nurses will frequently be put into situations where they are left to determine if they should respect the client’s wishes when these wishes conflict with medically ordered care. “Ethical dilemmas occur when there are conflicting moral claims” (Burkhardt & Nathaniel, 2014, p. 527). Ethical dilemmas help shape nurses by requiring them to think critically about situations and determine the appropriate decision in order to create the best outcome for their patient.
• Assess the role of 4 aspects taken from the scenario (i.e. one to one communication/ cultural differences etc). Explain why communication is so important and how this may impact on effective communication and interpersonal interaction at Happy Valley Special School. Make sure that you make links to theories of communication.
Effective communication is a vital part of your role as a teaching assistant. Children and young people learn to communicate through the responses of others, if they do not feel that their contribution is valued, they are less likely to initiate communication themselves. Eï¬€ective communication is a vital part of your role as a teaching assistant. Children learn to communicate through the responses of others: if they do not feel what they are saying is valued by others because they have not be listened to or misunderstood, they are less likely to initiate communication or contribute to class discussion. Children of all ages need to feel that they have a voice and an opinion and that they are valued.