Carley then realizes that Toni won't hurt her so she tells her new friend about herself. This shows that once Carley gets comfortable with someone, she will tell them about herself. Until then she would rather tell them a lie than something true about herself. Carley also keeps Mrs. Murphy, her foster mother, at a distance. Carley speaks disrespectfully Mrs. Murphy to make sure she won't
The American Nurses Association (ANA) approved that address ethical practice issues such as empathy and respect .The nurse primary compliance to patient , patient advocacy, accountability , duties ,responsibility and participation in the health care (shrestha& jose ,2014). With today changes, nurses face cases such as heavy workload, lack of resources, increased patient awareness, low occupational ,various problems related to staff skills, life quality and workplace violence. In But, there is the anticipation that nurses should treat patients in an ethical manner and put ethics first in their professional performance. Across the world, nurses are guided to use professional codes that highlight their obligation to respect, protect and safeguard the essential rights of the patient involved in nursing and health care(Sharifabad
Healthcare professionals should have a clear understanding from the beginning of their jobs to provide care that is catered to their patient’s needs and does no harm to their patient, yet some caretakers tend to walk the fine line between what is ethical and what is convenient. In Carolyn Buppert’s article, “Can I Prescribe for My Elderly Father?”, Buppert describes a situation involving nurse practitioners prescribing medications to family members for different reasons; nevertheless, this is a violation of the principle of justice because it is against the law to provide medications to family members without proper medical documentation (citation). Not only do ethical situations arise within the professional standpoint but also most workers who do not have day to day contact with patients do not realize that they must also provide care that follows the four principles. For instance, a chef that prepares the meals for the patients may not realize that the principle of nonmaleficence affects them, but if they were to prepare a meal that consists of nuts for a patient who has a known nut allergy, then they would be causing harm to the patient. Although the chef may not have been aware of the allergy, it is still could affect the treatment given to the patient if he or she has a reaction to the food.
Although it is the patient’s right to refuse treatment, it is our duty as doctors to educate the patient about her condition, the possible complications, and the benefits of treatment if she agrees to receive any. The doctor should also exlain different management options, blood transfusion or iron supplements. The patient should also understand the risks of her condition in case she decides to get pregnant. Counselling should also be done by asking the patient why she refuses receiv9ing blood transfu=on. The patient for eg may have had a negative experience at a hospital admission and is therefore afraid of the same experience.
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.
The parents should have known that Sarah does need care being that she has not seen or diagnosed by a doctor. The only way that she can be properly be helped is if she is properly diagnosed. The family could also learn about different skills about her condition, which could enable them to be better caretakers. I would help this family by allowing Sarah to stay at her home but recommend that she see a doctor immediately. I will also provide them with documentation that explains more information about her condition and effective ways of treatment.
This means that we need to stand up for the patient and speak on the patients behalf where we feel that the patient is unable to do so for themselves. If mental, sexual, financial or physical abuse is suspected then it is the nurses duty to try and find out from the patient what is happening and who is abusing them. Once the nurse has a good idea of who is abusing the patient he/she needs to speak on behalf of the patient to SANC, the matrom of the ward, the patients family and potentially even the police if need be. Performing an assessment: The nurse concerned about the patient’s wellbeing should ask the patient about the way in which they are being treated, check the patients skin integrity as well as looks for any bruises or signs of physical or sexual abuse on the patient’s body. The nurse should observe the way in which the patient acts towards each staff member (are they afraid, permissive, angry, scared around a particular member of staff?)
Although Ting was considered first by the medical staff under code two, Relationship with Patients, their initial support for the parent’s decision and their inability to create a trusting relationship became a barrier when Ting became ill. “Code two calls for the consideration of culture, religion, gender, and primary language to be taken into account when planning patient-centered care” (ANA, 2001, p.18). The proper steps would’ve been to have open discussions from the beginning in order to build trust and create a comfortable environment for both the patient and her family. The last code, Primacy of interest, was exemplified when the healthcare team used translating services to communicate with the parents. This, however, was unsuccessful since the majority of the discussion took place with her
In addition, Create an environment of trust by respecting patient privacy encourages the patient to get care, to be honest, when as much as possible, this stimulates the patient to accept the full health for conditions that might be stigmatizing for example: public health, reproductive, sexual, and psychiatric health concerns, confidentiality ensures that private information will not be disclosed to family or employers without their consent. To avoid misunderstandings, such as the words of some patients, but I suppose you would deal with it as a secret between us! Can the nurse prevention of this misunderstanding by being candid as possible with the patient about his health. However, privacy and confidentiality between nurse and
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