This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse. The role that I played in the group was a patient who has a mental health disorder and I didn’t want his mother to know about the illness, as a front it seemed as though we had a close relationship. When my mother leaves the room I asked the nurse to keep my illness confidential as she does not really understand it. As a group we all decided that it is best for the patient’s notes to be filed in the nurse’s station due to issues surrounding confidentiality and privacy.
Although there is some scientific evidence that implies the effectiveness of therapeutic interventions for most criminal offenders, the effectiveness of treatment for sex offenders is unknown and remains to be a hot subject of debate for most people. Treatment ultimately depends on the individual and the contextual factors, like a former child abuse victim. With studies, conclusions are not supported and the conducted research is not reliable or valid for that matter. The quality of the research and its consistent results make up the heart of trustworthy research. The quality of research studies continues to change and so do the defining characteristics of the experiments, these consist of narrative reviews, synthesis research, quasi-experiments, and so
Talk to an insurance consultant It is recommended to go and talk with an insurance consultant, in order to obtain the right information regarding your case. Consider taking your lawyer with you, as he will know exactly what questions to ask. He is a professional and he know better than you how to act and what to do in this type of situations. Fill the medical negligence claim After you have chosen a professional lawyer, got the copies of medical records and talked to the insurance consultant, it is now time to fill the medical negligence claim. You certainly can't do that without following the above steps.
The ethical principles involved in this dilemma are beneficence, social justice, veracity and fidelity. The duties of the physical therapist assistant is to carry out the plan of care that is established by the physical therapist, and follow the physical therapist’s plan of care. Furthermore, as a therapist, it is the PTA’s ethical duty to treat each patient equally, be truthful with each patient and allow all patients to participate equally in their treatment. My responsibility as a rehab aide and her colleagues is to report this misconduct to the physical therapist that I am working under and to my direct manager, the outpatient rehabilitation coordinator while keeping the confidentiality of the situation. The desire outcome of this situation is after discussing the situation with the two PTs working at the clinic, and after the PT confirming that the action by the PTA is misconduct.
This could result in malpractice or lack of care standards on the part of the case manager. The case manager needs to talk to the physicians to ensure they are clearly communicating their patients' condition and that they are on board with the plan care all way to the discharge plan. (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.
They have to be trustworthy of the inmates who may have done something against their beliefs and religion. In an ethical standpoint the correctional nurse have to set the tone for how they will set their ethical, legal and professional issues that nurse’s face especially in the correctional setting than a traditional medical setting. Say in a traditional medical setting on some occasions there may be a dilemma but not as often as correctional nurse’s face. They have to make decisions all the time on care of delivery, caring and advocating on behalf of patients and providing safe care however there are other ethical principles on top of a nurses work in the correctional setting such as having, “respect that uses autonomy and self-determination; doing good, trying to avoid harm; having fairness; telling the truth and remaining faithful to one’s commitment” (www.ncchc.gov ) This helps guide the nurse in making ethical decisions though the correctional nurse relates to the
The main focus here would be to make patients aware of the laws that are set in place that allow them to care. Also, letting them know that if a patient denies them care or provides them less care than other patients. Another problem we are faced with is the fact that if we argue that patients have rights, then we also must look at the rights of the physician. That is why all of these laws have come about, because basically the patient is putting their lives in the hands of the physician. The physician has decided to go into this career and this career is for human service.
the need to disclose patient information to protect a third party. Confidentiality is defined as “the ethical principle that requires nondisclosure of private or secret information with which one is entrusted” (Burkhardt & Nathaniel, 2012, p. 526). The court’s decision in the Tarasoff case caused controversy throughout the mental health profession that is still debated today. Confidentiality is the cornerstone on which the therapist-patient relationship is based. Justice Clark’s dissent emphasized the importance of confidentiality: “Until today’s majority opinion, both legal and medical authorities have agreed that confidentiality is essential to effectively treat the mentally ill and that imposing a duty on doctors to disclose patient threats to potential victims would greatly impair treatment” (Tarasoff v. Regents of University of California, 1976, p. 20).
It is stated in the Standards of Practice from APTA (2011) that respect is “up to the individual to assess the appropriateness of behavior in situations.” As what they say, “respect is a two-way street”, if you do not show respect then you will not be afforded the same respect. You meet different people in your practice who have certain prejudices about you, your practice etc. As a physical therapist, I have encountered a patient who was verbally inappropriate with me. Knowing that my primary goal was to provide physical therapy services, I just brushed them off since I knew that I had to see the patient for a specific amount of time in a day and X number of sessions. It was not until later when I reported what happened to my rehab director,
The principle of informed consent come about in the late 1940s when physicians faced prosecution in the Nuremberg’s trials. Informed consent is a process that protects human beings by requiring doctors to obtain consent from patients before performing a procedure. Participants must fully understand the procedures, beneﬁts, and risks before getting involved. The ethical problems include: 1. Communication barriers between participants (patients) and researchers (healthcare professionals) can create misunderstandings and prevent participants from making fully autonomous decisions.