RECONSTRUCTION Jukka Varelius presents a sensitive topic about what should be done when a patient refuses a treatment that could save them. Patients have a right to refuse treatment due to autonomy, which is generally held with utmost importance in our culture when it comes to healthcare. However, Varelius argues that giving the refusing patient the treatment anyway may actually be the best way of upholding autonomy. He first begins his argument by making a distinction between the subjective and objective views of wellbeing (p.164-165). He explains these theories in regards to prudential principles.
6 Servellen discusses the differences between trust and mistrust. Trust is an extremely important aspect within a patient- provider relationship. Trust is the ability to share information and know that it wouldn’t be misjudged or shared. Trust is also when one knows that they can rely on the help of another. Without a patient feeling respect between them and their provider, trust cannot be instilled.
However, some nurses fear reporting adverse events, because they erroneously believe they will be penalized for the occurrence of such an event. I believe, reporting the occurrence of an adverse event should be rewarded, since it is the initial stage of preventing future events. Quality is a measure of standard that establishes the degree of excellence. In health care, quality culture is related to the process and outcome of care. To enhance the quality of care, adverse events are analyzed in order to develop mitigation measures.
“A breach is, generally, an impermissible use or disclosure under the Privacy Rule that compromises the security or privacy of the protected health information.” (Office for Civil Rights (OCR), 2013) This definition accurately describes what took place in Mr. Steven’s situation. Sue should have taken the time to reach out to Mr. Steven, not only to inform him of the breach (which should also be done in writing,) but also to let him know that the situation was being handled in an appropriate manner. This would have helped Mr. Steven’s view of the practice and also may have helped him not to lose faith in the organization. Not notifiying the patient of the breach is a legal violation of the HIPAA law(s.) It is also an organizational
Riser overall. Utilitarian ethics is the belief that an action (for example the procedure) would have had worth, benefited or maximized utility. The standard of care was not followed; Mrs. Riser should have been given more information about the different treatment options available and proper consent should have also been given as to the correct procedure. It was later discovered that this procedure was not the best option given the patients previous health issues and Dr. Lang pressed for the femoral
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.
I will argue that while the term “meaningful benefit” is open to discussion, it must consist of a significant component of medical judgement. The principle of non-maleficence is often considered as a continuum of beneficence, as many therapies with beneficent aims have harmful side effects. I will contend that the avoidance of harm becomes a much greater moral concern if a clinician believes they are involved in a non-therapeutic relationship with a patient as that unilaterally demanded by excessive
Serious or prolonged failure to follow this guidance will put your registration in danger. Individuals should be able to trust that their registered nurse will behave professionally towards them during treatment and not see them as a potential abuser or threat to their life. For example, some patients may become more vulnerable than others and the more susceptible someone is, the more likely it is that creating a relationship with them would be a misuse of power and your position as a registered nurse. Professional boundaries mean that we have a responsibility to do things to the individual in their best interest, support them and ensure our behaviour does not disengaged them from us. Although dealing with difficult issues can be stressful and draining work, professional boundaries help the registered nurse to manage their
Often the use of restraints has an opposite effect of the intended purpose, which is to protect the patient. The risk of using a restraint must be weighed against not using the restraint and the right decision should occur. Uses of restraints should be documented, be on a time limit, and be frequently re-evaluated. Basic education of professional staff who orders restraints is another missing element in position to statements and recommendations. Successful removal was grounded in staff education, commitment of staff, residents and families, and in alternative equipment (Wang, W., 2004).
Alternatively, in an emergency, urgent and acute prescribing circumstances, supplementary prescribing is not suitable because the clinical management plan needed to be agreed in-between Independent Prescriber, Supplementary Prescriber and the patient before prescribing (DOH, 2006). However, Nuttall and Rutt-Howard (2011) argued that for long term conditions, non-medical prescribers are able to make an independent prescribing decision. Additionally, they stated that for long term conditions, patients are typical, predictable and their response to treatment is straightforward. But they also suggested that if a patient is presented with a condition in which they are competent to prescribe, then non-medical prescribers should be confident and competent to treat patient. ).
When individuals become unwell some know they need help or assistance, but in some cases people refuse help or agree to treatment. This act sets out how and when someone gets treated, when someone can be admitted hospital against their will, or treated in hospital. Also lets individuals know their rights and that there is safeguards in place to protect their rights, this act has a set of principles which are taking into account when making decisions. These principles ensures that the person is not discriminated against, equality is promoted and respect and diversity. Within this act there is a compulsory treatment order which allows a person to be treated for their mental illness, however there is a set number of conditions to comply with and these can depend if the individual is in the hospital or out in the community.