When it comes to decision making the patient has the right to exercise autonomy. The patient has a right to know their treatment plan, alternative treatments, choose to implement the treatment of choice or chose not to. The patient also has the right to stop the treatment plan that was implemented, but he also has the right to know the consequences of his decisions when he chooses to refuse, stop or postpone treatment until further notice. As I mentioned previously the patient has the right to exercise autonomy, but they are also responsible for the outcome of their choices. If the patient chooses to leave AMA or be transferred to another facility they also hold the right to do that, but we as nurses must always tell them the truth regarding their decision as well as the outcomes of those decisions.
Accountability and responsibility are fundamental components of professional nursing practice. Being accountable for one’s actions means that nurses and midwives must be prepared to justify the decisions they make. All healthcare staff, whether they are students, HCAs, nurses or doctors, owe a duty of care to a patient, and must ensure that decisions are always made in their best interests. A duty of care is imposed upon these individuals by law, and exists even if they are not directly responsible for a patient’s care. Arising from this duty of care is an obligation to protect confidential information.
The act contains the scope of nursing practice. They are meant to establish qualifications for the practice to protect patients from incompetent and unqualified nurses. NPA ensures the practice of nursing is safe and competent. The practice of nursing is a right granted by any state to protect those who are in need of nursing care. The ‘scope of practice’ for Nursing sets out the procedures, standards, conditions, and limitations for any licensed and professional nurse (ANA 2010).
I believe that unless a patient has explicitly said that they do not wish to be told bad news, it is a doctor’s duty to tell them the truth. This provides the patient with the most respect for a person and their autonomy. It also allows the patient to make important decisions regarding their own health, relationships, and finances. If the news is very bad, the patient can then decide to reconcile with estranged family members/friends, have the time to write a will, and settle any unfinished business. If the news is not so bad, the patient can decide what treatment path, if any, they wish to
Another great benefit for joining is having easier access to scholarships as well as potential networking opportunities. Joining these certain affiliations give the nurses the ability to expand their knowledge and explore the different fields of nursing. An example of an affiliation that allows the medical professional to increase their understanding is The Academy of Medical-Surgical Nursing. Their mission statement is as follows: promoting excellence in medical-surgical nursing care, which allows the nurse to use their evidence-based practice to advocate for their patients and provide compassionate care (AMSN, 2016). This affiliation specializes in promoting medical-surgical care by following other professional organizations that are knowledgeable and set a foundation in, “Code of Ethics for Nurses, Delegation, Holding Patients in the Emergency Department, Medication Errors, Nurses’ Bill of Rights, and lastly Pain Management” (AMSN, 2016).
However, the responsible and trusted caregiver team must take an action through multiple processes in order to favor the patient. Although the physicians have known earlier when the terminally ill patient near to die, they are not comfortable with withdrawing of life-sustaining treatments. The intention is not to kill the patient, but using the available technology and creating a moral obligation to use what ethical principle prescribes. Underlining the disease process cannot be reversed, life-sustaining treatment can be withdrawn acknowledging that the treatment limitation (Reynolds, Coper, & McKneally, 2005). Ethics committee is a helpful source of advice that can provide consultation about ethical issues in treatment limitation.
But painful scenario like this where patient cannot make decision. They would have filled substitute decision making document that allows capacitated patient to appoint a person on his or her place in making healthcare decision if the patient become incapacitated. Depending upon the state law designation may take proxy form, surrogate power of attorney, health care agent and allows physician to constant the decision with surrogate and implement the treatment decision (Johnson,
By fulfilling patient needs and not doing anything to put them in harm is an example of following a policy. These policies serve as a resource for doctors, nurses, and other staff. Additionally, the caregiver must understand exactly what the patient needs at the time; they also know what procedures to assist patients with. Code-switching is extremely crucial when communicating with convalescents; using medical terminology with patients can be very frustrating for them. To give a clear example, a nurse would tell a patient to take the medicine before meals, rather than telling them to take the medicine “a.c.” This knowledge that a nurse must possess is indispensable, it serves as a form of admiration, coherence, and reassurance for the most
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.