Disclosing, divulging or explaining, the purpose and interests of a case, making secret information known. When responding to an adult at risk regarding disclosure, a health or social care professional should follow the guidelines in the disclosure policy for the institution they work for. A health care professional should never promise to keep information to themselves. Confidentiality should continue to exist up until a staff member is concerned for the wellbeing of a patient, if they believe they are harmful to themselves or others, or if they feel as if a patient is at risk of abuse or neglect. Before disclosing confidential patient information for purposes not directly related to his or her care and treatment, there is currently a responsibility upon health professionals to consult with a patient wherever practicable.
(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. It proves to the case manager’s credibility.
The nurse failed to assign the appropriate task and person to the case. The LPN floated from an obstetric unit to the surgical unit. The nurse should have first determined if the LPN had any surgical or medical background along with assessing the understanding of wound care before allowing the LPN to care for the patient. Also, the RN failed to assign to communicate to the LPN that the patient may need wound care. Prior to assigning the LPN, the nurse could have assessed the LPN’s knowledge and history of wound care.
Print. Sally Fletcher discussed how Health care providers do not take in or include a client’s perspective as an important part of their health care plan. Sally argues that it is important for health care providers to include cultural sensitivity in health care. Capers (1992) defines culture as the "example of educated practices, qualities, convictions, and traditions which are shared by individuals from a gathering and are normally transmitted to other gathering individuals through time" (p. 20).
(Claffey, 2018) The best way to reduce the risk of medication errors is to enquire about which orders wouldn't be appropriate to give to the patient based on their condition. (Claffey, 2018) In addition to successfully completing a physical assessment on the patient, the practitioner must also view the patient holistically, and always report near-miss medication errors. (Claffey, 2018)
The following nursing diagnosis would be applicable in this case: ineffective health maintenance (Ackley & Ladwig, 2014, p. 412). Nursing interventions and rationales include: assess influence of cultural beliefs, norms, values and client’s ability to modify behavior; assess the effect of fatalism on a client’s ability to modify behavior; clarity culturally related health beliefs and practices; provide culturally targeted education and health care services (Ackley & Ladwig, 2014, pp. 413–414). Ideally nurse would possess certain level of knowledge about the patient culture or asked the coworkers to assist. On the other hand it would be impossible to posses knowledge about every culture and its customs. Nurse should explain details of procedures or necessary changes that would bring positive healthy results, withhold the judgement and attempt to understand the patient
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.
According to Singapore Nursing Board Code of Ethics and Professional Conduct (2012), value statement five mentioned about deliver care in a responsible and accountable manner. As a nurse or a student nurse, we should prioritize our patient safety by safeguard and be aware when patient encounter danger situation. For example, patient fall. It's our responsibility to take care our
Like the patients have the rights to refuse the treatments, we as nurses have the rights to refuse any assignment that we think is not balance, bias or that could make our practice unsafe. “The American Nurses Association (ANA) upholds that registered nurses – based on their professional and ethical responsibilities – have the professional right to accept, reject or object in writing to any patient assignment that puts patients or themselves at serious risk for harm” (American Nurses Association, 2015, 1). The nurses' refusal should not be based, however, on personal preferences. Any nurse who acts in such matter can be held accountable in the decisions of refusal an assignment personal preferences patient abandonment. Nevertheless, the refusal can be based solely on moral, ethical, or religious beliefs.
It discusses the importance of detecting early warning signs and preventing the patient from going into cardiopulmonary attack. Through close monitoring, nurses are able to promote patient outcome. Also, educating the staff and detecting early signs can reduce the mortality rates. Knowing the importance of prevention is powerful as it encourages nurses to be more careful, especially with the risk population. Regarding the EOL events, the RRTs will be more aware of the lack of communication with the family and therefore will make more efforts to address end-of-life issues with family members.
Just remember this incident when you want to be inquisitive about a patient that you are not treating or accessing a patient’s medical records for no business purpose. When performing your job function, it is not a HIPAA violation if you release and/or access a patient’s PHI for treatment, payment or health operations (TPO). When accessing and/or releasing a patient’s PHI, ask yourself does this fall under the TPO exceptions? If it does, then you should just release the minimum information necessary to complete the task and if it does not, then you may need an authorization signed by the patient or his/her representative. In the event you are unsure if you can release and/or access a patient’s PHI, contact your supervisor or your organization’s Privacy Officer.
As a nursing student I am taught how to document using special medical terminology, and the importance of documenting, however the article “Stay Out of Court with Proper Documentation” by Sally Austin confirms just how critical it is to be accurate, timely, and unbiased with patient documentation. Proper documentation not only helps keep the patient safe, but just as importantly protects the nurse should a lawsuit occur. Austin’s article defines the legal terms used in the more common lawsuit, negligence, involving nurses and how to avoid them. First, the patient must prove four things in order for a lawsuit to be deemed in their favor: A duty to the patient existed, a breach of duty occurred, the patient was injured, and lastly the injury
In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her.
Values, Rights, and Duties of Patient and Significant Persons It is Jared’s right to make the decision about whether to disclose his disease, based on the principle of autonomy. He has the right to be heard and the right to privacy and confidentiality. Additionally, Jared values his health and the relationships that he forms with his coworkers and wants to consider all aspects before making any decision. It is his duty to make sure that he takes care of himself and is not taking any risky behaviors that may lead to spreading the disease. The other employees of the restaurant also value their health and relationships and want to make sure that Jared feels welcome to his new position, while also having the duty to not discriminate.
Roy Morgan conducted their annual Image of Professions Survey in April 2015 with a total of 598 Australian men and women. Respondents were asked to rate occupations in terms of honesty and ethical standards from a range of very high to very low. This survey proves stereotypes still exists till today as perceptions of certain career fields have remained consistent for a decade. In terms of highest honesty or ethical standards, common stereotypes especially applies to professions in the healthcare field such as nurses, pharmacist and doctors.