Carol Gilligan focused on actual rather than the hypothetical situation of moral conflict and choices. It’s about what people see as moral problems or questions, and how moral language comes into play in shaping the choices people consider to make or the action they would actually take. Her care ethic is the premise that humans are fundamentally responsive beings and that human condition is concerned with connection with one another. She states.” that ethics of care directs our attention to the need for responsiveness in relationships to the costs of losing connection with oneself or with others.”
Patients have a right to privacy and non-interference. The healthcare professionals are obligated to give needed information to patients and relate the risks, and the benefits of a test/treatment. The detail information given will allow the patient to make the best decision on what he/she chooses to do. Hiding information about a diagnosis or not revealing the potential complications because a patient may refuse care seems unethical. Patients have the right to know about their health to make informed
Confidentiality is another ethical issue involved in the dilemma. Code 4.01 discusses the psychologist’s primary obligation to maintain the confidentiality of the client while also taking necessary precautions to protect any confidential information that has been gathered and stored. As previously stated, the confidentiality of both clients may be violated if they were to come into contact in Dr. Dee’s office. In Dr. Dee’s efforts to separate the clients in her office she could possibly acknowledge her affiliation to both clients, thus leading to a violation of confidentiality. Also, by continuing to treat Isabelle and Anthony, there is a potential risk of Dr. Dee accidentally sharing confidential information acquired from one client to the other.
Application of Theory Dorotheas Orem’s theory of Self-Care Deficit notions of were that people should be self-reliant and accountable for their own care. If they are unable to or lack in they need to be helped which is where the art of nursing builds its blocks from. Orem mentions how people are very distinct individuals, and how a person’s knowledge of the potential health risks and problems are necessary in order to be aware of potential risks and signs and symptoms. In order to promote self-care and promote substance in the person’s life knowledge is the key. Orem identified the provisions also known as the ADL’s as a person’s intake of food, air and water.
However, a certain level of generalization is valid to the extent that it provides clues of what the person most likely encounter. In conclusion, when it comes to culturally sensitive care, what's proper and correct in one culture may be ineffective or unacceptable in another. In reality, no culture is right or wrong, better or worse—just different. For healthcare workers, there is no single receipt for communication.
In his essay, "Unreality Star", Andrew Marantz agrees that while all mental illnesses have rules, " clinically recognized delusions conform to a familiar set of themes, including persecution, grandiosity and erotomania", however, he emphasizes the context may vary, "form is fixed, content is not". The essayist stresses the importance of this content when he quotes Joel Gold, a former attending psychiatrist at Belleview Hospital, “All productions of the mind have meaning. To disregard any content, no matter how psychotic it is, seems to me to be a miscarriage of what the discipline was founded on". This content is based on the environment of the patient-an interplay of his social, cultural and technological experiences.
As the role of case management becomes apparent so are legal and liability claims. It makes no matter what practice setting a case manager is in they can be held for damages if their actions fall below the normal accepted standards of care and if the patient has a bad outcome. The case manager needs to be aware of the standards of care and document all intervention done. When preparing to case management a client gather information that appropriated health care history from admission to discharge. So, that appropriate plan of care can developed among the health care team to ensure positive outcome for this episode of care.
Which further allows the individual to make an appropriate decision in their own interest even if not the best interest. For example, PTs consider a certain intervention to be more beneficial to the patient and the patient is not willing to undergo the treatment; in such circumstances it is the duty of the therapist to explain the need of the intervention and also provide the patient with other treatment options available and leave the decision for the patient to make depending on what suits him/her the best. Autonomy and beneficence have different ideologies but they need to be in sync for the healthcare provider to strike a balance between both and obtain optimum health care for the patient. Even with such an ethical dilemma it is the duty of the health care worker to provide appropriate information to the patient and to convince the individual to make the best choice without affecting the autonomy of the patient.
Nurses should be able to do something well/very good in their field to avoid causing suffering to patients. This is a very important element of ethics in nursing profession, and all other health care professionals also take this oath. The principle of “Non-Maleficence” requires a commitment from all health care professionals to avoid any action that might be a cause of harm or injury by the act of commission or mistake. In common language, it can be considered as “negligence” which leads to "irresponsibility" .In the modern age, the role of nonmaleficence extends to making sure you are doing no harm in the helpful act of using technology to extend life or in using experimental treatments that have not been well tested in relation to the rules
To begin with the ethical considerations include confidentiality, non-maleficence as well as consent. According to Brahams (1995), ethical issues that arise from the use of Telehealth involve the responsibility of healthcare professionals; patients confidentiality of their medical information; as well as issues of cross-border consultations (Brahams, 1995). Patient ethical
Neonates do experience pain and controlling that pain can have both short and long term benefits. Neonatal pain or discomfort occurs during patient care, moderate, and severe invasive procedures and nursing must understand the concept of neonatal pain in order to avoid negative influences over neonatal development, prevent damage as well as enhance quality of care (Marchant, 2014). Dr. Jean Watson 's theory of human caring/Caring Science can also be considered a philosophical and moral/ethical foundation for professional nursing and part of the central focus for nursing at the disciplinary level (Watson, 2016). Transforming Watson 's carative factors into clinical practice includes conscientiously practicing love and kindness, being authentically present, go beyond self and cultivating own spiritual practices with sensitivity to others, being present and supportive, and creating a healing environment. It is very easy to get caught up the tasks that nursing has become and not take the time to take a breath and slow down and truly be present with your patient and their
Medication errors We are all human beings and given that we sometimes forget our tasks. One of the things that nurses commit is disbursing an incorrect quantity of medication or giving out the wrong medication to a patient. This mistake should be much avoided and presence of mind should be incorporated.
DOI: 4/16/2012. Patient is a 29-year-old male technician who sustained injury when he was 25-feet up on a ladder when the ladder slid and he fell onto the pavement. He had an open reduction internal fixation (ORIF x 2) for a compound tibia fibula fracture and had hardware removal in 4/25/2013. MRI of the lumbar spine performed on 3/24/2016 revealed L5-S1 small right paracentral disc protrusion without significant spinal canal stenosis or neuroforaminal narrowing.
The covert role and the overt role were the two research roles that Adler used in this field research study. The covert role allowed Adler and her husband to interact with people who would otherwise have refused to speak to them; the nature of their research had to be disguised from lay outsiders and academicians. This role offered the advantage of gaining access to unapproachable people while avoiding researcher effects, but it prevented them from asking necessary, probing questions and from recording conversations. The overt role was used when Adler felt like new people trusted her; some people were informed that Adler and her husband were involved in a study of dealing and smuggling. A concern that Adler had was related to the reliability of data; all conclusions on independent sources and accounts were carefully verified because there is a hidden and conflictual nature of the drug-dealing world.