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
I believe that even if the hospital leadership are able to understand the climate and culture theory, it would be very difficult for them to translate to nurses, physicians and other professionals who already have a professional and organizational culture they are used to. Consequently, the implementation of creating or improving the climate or culture separately to aid stemming the crisis would be difficult. Although, I believe if it is introduced as trying to create a better organizational climate for the hospital or clinic in general with special focus on opioid addicted patients and organizational culture is treated as a component of the climate it may be easier to deploy and get good response. This is because as discussed/suggested in many of our readings people tend to hold on to culture so resisting change. But I believe people generally want a better climate to work in whatever the culture.
Since nursing homes tend to provide care to a vulnerable population they can be taken advantage of, overlooked or mistreated by staff and with residents potentially underreporting these incidents due to fear of retaliation by staff identifies this as significant ethical issues among nursing homes. The use of restraints that restricts a resident, whether physical or chemical applies to the ethical considerations within a nursing home as it not only impacts the resident, it can affect staff members and other resident’s safety. There is always the conflict between providing the resident with a fair amount of decisions regarding their activities of daily living, special accommodations, and independence. However, there is also the reflective issue of whether these freedoms impact the safety and the ability to comply with the institution's policy and how they are handled to deliver ethically appropriate customer service to those
Ethics committee is a helpful source of advice that can provide consultation about ethical issues in treatment limitation. Because of the valuable outcomes in resolving ethical issues in end-of-life care, the Joint Commission on the Accreditation of health care organizations requires the health care facilities to establish ethics committee (Derse,
There is a correlation between health care members providing information in a timely manner to patients who need to make decisions about their care and treatment and the quality of care patients receive. Lack of care resulted from physicians being reluctant to refer patients to palliative care. Due to a lack of honest open discussions regarding diagnosis, prognosis and treatment options patient’s suffering was prolonged. Since palliative care focuses on improving symptoms, dignity and quality-of-life it is important that sufficient attention is placed on the complex needs of individuals. The delivery of palliative care has become challenging for nurses.
It provides the patient with access to medical care information, encourage participation in healthcare decision making, and enable correction of errors within medical records. Patient education and active engagement in the use of PHRs is essential for success. Cons The downside of the PHR is that not
The electronic systems assist medical personnel with a collection of data patients’ medical health from the time they visit the hospital and provide an internet based clinical diagnosis. The electronic health records offer medical providers efficient and accurate results. Telehealth software can track a patient medical history and progress of treatment in a hospital. This software also records what medications are given to a patient and collect drug reaction through monitoring any sudden shift or trends in the health of a patient (Schwamm, 2014, p.202). For example, telehealth technology can alert medical personnel to a patient whom blood pressure suddenly becomes elevated from a drug reaction.
However, conflict can arise when it is discovered that a client meets the criteria for a diagnosis that could negatively affect the client because of the stigma attached to that particular diagnosis. Clinicians often feel personal internal pressure as they grapple with diagnosing someone who they believe will suffer from more from being accurately diagnosed than he or she will, if given a less severe diagnosis. Clinicians often want to avoid the negative effects that the labeling of a severe diagnosis will have on a client’s self-esteem (1988). Along with internal pressure, external pressure also weighs heavily on clinicians. In order to adhere to external pressure brought on by agencies seeking and insurance companies seeking reimbursement, clinicians may be pressured to over-diagnosis patients.
On the counterpart, holistic approach might not be exclusive to osteopathic medicine. Some allopathic physicians might prefer to take a holistic approach in patient examination without actually receiving an official training to do so. Furthermore, many patients don’t even know their primary care doctors are D.O and only recognize them as physicians. The existence of osteopathic medicine needs to bring to the public’s attention and not just to prospective medical students as it might helps to reduce the social stigma. “ OMT was developed to improve the body’s healing capacity.
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