In healthcare they may arise from a situation in which a healthcare worker is involved in a complex situation that involves a mental conflict between moral imperatives, in which more than one right or wrong option is presented to the professional, but to act on one will compromise the other. For example, in some cultures it is wrong and frowned upon to tell someone they are dying, and you as a healthcare worker are unsure how to deal with this. You wrestle with the hard decision whether to tell the patient the truth or conceal the patient diagnosis. Not to tell the patient may compromise the patient best interest in his or her care and telling the patient might violate the patient culture
Yet, the social worker would be ask to breach confidentiality agreements when one is pursuing involuntary psychiatric hospitalization of a troubled client; or social contact with a former client (Company, 2016). Nonetheless, other ethical challenges relates to agency administration, community work, social policy, and research. For instance, administrators’ decisions about the distribution of scarce or limited agency resources, conflicts of interest among staff, and the use of ethically questionable marketing strategies to solicit clients. Still other ethical dilemmas involve relationships among professional colleagues. For examples social worker’s response to a colleague who has behaved unethically or who is impaired or incompetent or what’s Frederic G. Reamer refers to as the ethics of “whistle-blowing” (Company, 2016).
In this case, patients have made up their mind and have weighed the merits and demerits of the treatment in a rational way. Various elements has contributed to the lack of confidence of the patients to the drugs and failed to motivate them to consume the essential drugs. For instance, due to illiteracy in some patients, it creates a condition where patients are dubious about their medications and may lead to many adverse effects such as drug dependency, development of other diseases as well as decreased in long term efficacy. Psychological state of the patient in which they claimed that particular dugs can remind that they are ill also may bring about the state of non-adherence. Patient counselling and proper communication between patient and physicians are required to encourage patient to adhere to the
The self-understanding responsible for altering her self-concept, attitude, self-directed behaviour is not made available by therapeutic climate. The therapist who attended to her previously caused distrust in her, the client noted authoritative nature of the two therapists, who came out as experts and authoritarian, parents, and the elderly people. The client will begin to feel better if see listens to her inner self (internal locus of evolution). The client is dissatisfied, fearful of not being socially acceptable on condition of
Leaving in denial of their mental illnesses makes it difficult for caregivers to provide them with the necessary care. Others, refuse treatment since their culture do not allows it and that may affect the effectiveness of the culturally competent caregivers. Language barrier is also an issue since some of the refugees cannot express themselves in English. That brings a challenge to the healthcare providers since they cannot understand what the refugees are saying. Some of the refugee women have negative attitude towards the healthcare being provided.
Countertransference is present whenever a therapist brings in their own experiences to the extent they lose perspective of client. In countertransference therapist may act overprotective in fear of opening their own wounds, takes out a bad mood on client, shares too many stories about themselves, offer sympathy instead of just empathy, issues judgements related to their personal perspective not clients, example a therapist going through a divorce so he or she makes negative comments about their spouse when client is telling a story of his. There is always a level of transference and countertransference it could be positive or
ELAHA INDIVIDUAL ASSIGNMENT (35%) Shyween Lim Yi Jean T06 / P11 86080501 Shyween@gmail.com Main body The ethical principles were possible breached in this case study are beneficence, non-maleficence and respect. The first ethical principles that was breached is beneficence. Beneficence is to act in ways to ‘do good’ and prevent harm to the patients. However, the nurse did not promote the patient’s well-being instead of bruising the patient and traumatized the patient. The nurse mistreated the elderly patient causing harm to the patient.
In some cases, people may be fined, sued or even subject to legal punishments such as incarceration if confidentiality is breached. However, the social workers are required to disclose confidential information about their client without his/her consent if the individual threatens to harm himself/herself, or others. Basically, this action limits a client’s right to self-determination against his/her wishes. Yet, the social worker could be asked to breach confidentiality agreements when one is pursuing involuntary psychiatric hospitalization of a troubled client; or social contact with a former client (Company,
This could affecting both nurses retention and patient health care outcomes. It could give stress to nurses as they have to call physicians to ask for clarification in how to proceed with a certain treatment plan for the patient, and doctors are not always reply to such calls. Doctors are sometimes impatient when the nurse does not have all the available information about the patient that the doctor needs to make a decision. Besides that, Gender-based power issues are also a problem as well as the older male doctor may continue to view the largely female nursing workforce as their helper or subordinate which have cause ways to improve the communication to become effective remains as challenging as ever. Abuse could be either through verbal or physical would affect the health care environment between the doctor and nurses.
Malpractice is negligence, offense, or breach of duty by a professional individual that causes a patient to be injured. Much of the time, it includes when a nurse did not meet a standard of care or to deliver care that he or she should deliver in a similar situation. According to Standards of Practices “Standard 2: Responsibility and Accountability”, the nurses have to maintain, practice, respect and promote patient’s autonomy, as well as to provide care in a responsible and accountable manner. However, keeping the truth from a patient will not enable them to come to terms with their condition and give them the alternative for further treatment. Hence, it would be better to tell the patient the truth to guarantee that the nurse will not face any lawful issues unless the patient has a lack of decision-making capacity which could be caused by mental illnesses, such as dementia or being