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.
This is very critical as it helps in the diagnosis and also helps me to get to know the patient’s history [Doctor 1]. However, one challenge with regard to patient active participation in the encounter process is the lack of role clarity. Both doctors and patients shared this view. Some patients are not sure of their role in the consulting room…some believe that with the minimum or scanty information, doctors should be able to diagnose and treat them accordingly [Doctor 7]. It is quite worrying that some patients come to the consulting room and try to suggest what to prescribe for them.
Resolution of these dilemmas requires a thorough understanding of the underlying principles that allow the clinician to make informed decisions and to offer considered therapeutic options to the patient. Some conditions that could propose challenging cases would be those of mental health. Either way, I don 't think there is an easy straightforward answer when it comes to such situations, as it puts a great amount of demand on the physician and care team regarding the correct measures to take- while ensuring patient autonomy, justice, veracity etc. The article I decided to mainly
Working with psych patients require myself to think more about my actions, how I say things, and how I come across to them. Patients can pick up the slightest discomfort and pick me apart. It is also important to remember to take what they say as a grain of salt. They may say offensive sayings directed towards myself or insult me, but it is something that I don’t let that get into my head and affect me. It is not necessarily the patient saying those thoughts, but the disease itself is what may be fueling the outburst.
But on the other hand, they need consider whether telling truth would help or make situations more worst. Ethical dilemma among health care professional arises, either telling the truth or withholding the truth would benefit the patient. In health care settings, truth telling about terminal care is a common ethical dilemma: either by telling truth or withholding the truth is the main concern. More often, doctors and nurses work closely
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.
Physician assisted suicide, although legal in some states, should remain illegal because it goes against religious and moral beliefs. “In physician assisted suicide, the physician provides the necessary means or information and the patient performs the act” (Endlink). Supporters of assisted-suicide laws believe that mentally competent people who are in misery and have no chance of long-term survival, should have the right to die if and when they choose. I agree that people should have the right to refuse life-saving treatments, written in the patient bill of rights. But they should not have the freedom to choose to end their own lives with the help of a physician.
Before I discus on the potential action plans if at all there is reoccurrences on the similar incident, I would like to stress on that such incidence should not had taken place at all. I strongly believe that all the nurses including me had learned a lot from this incident and we do not wish to compromise another patient’s life by repeating the same error again. However, medication error is not something new in healthcare service. Researchers had identified medication error is the high numbers of incidents involving nursing practice. Therefore, we still need to plan as there is a saying ‘if we fail to plan then we are planning to fail’.
Professionals should tell patients about the costs of tests to be transparent. No doubt, testing, and screening are costly, and some may be labeled preventive care that isn’t covered by insurance may not pay for. Further testing may be better to establish a diagnosis. Repeated testing may be overwhelming to patients, but it’s preferable to giving a wrong diagnosis. In the video of the story of HELA, the ethical barriers are portrayed because Henry’s family was confused by the language health professionals used.
However, I need to get assessments done and show difficult patients, who is in charge at the moment. I know in the case of Margret, it was her disease, not her truly personality. Leading me to conclude, when I have difficult patients and I am not present and get anxious; they will feel this negative energy and possibly react in a negative way; just as Margret did. Not only did these horses confirm that I need to improve on being assertive; they also helped me to find an interest in my future career. My love helping people learn things about themselves through reflection; this could be through therapy or class.