It’s important to allow yourself to feel and understand the anger because there are other emotions underlying the anger. Now here is the key to being angry at someone with mental illness, it is not okay to take that anger out on them. It’s like if your friend had cancer and again canceled plans last minute due to not feeling well. You wouldn’t take your anger out on them. It wasn’t their fault.
Conflicts are caused when the patient’s choice contradicts the HCP’s judgment. The most common areas of conflict are: when communicating with patients (with reference to disclosure, the suggestibility, and the power of authority); and preservation of certain values (i.e., freedom of choice, privacy, altruism, and trust) . In order to minimalize the devastating effects of news that bring personal and physical discomfort, HCPs in certain circumstances prefer not to disclose all the facts to the patient. However, non-revelation of facts to the patient disputes the principle of Autonomy. Hence, in modern medicine the need to disclose and provide appropriate information to the patient is the duty of every HCP.
To this day, your doctor aids the patient in understanding their medical condition and treatment, but ultimately, the patient is the one making the decision. For this highly debated topic, I will be agreeing with yes side because I believe that patient autonomy/informed consent is very important when it comes to making rational decisions about your health. I believe that Dan Brock and Steven Warman’s argument not only supports my decision, they also had very strong arguments to why patient autonomy is crucial in the medical field. On the contrary, Gordon Stirrat and Robin Gill say that whether the physician or patient makes a decision, all decisions should be respected based on a mutual level of trust between all
That’s why I feel that legal actions should not be taken at the moment. Fidelity is a core principle in nursing or any other healthcare institution. It involves balancing of so many activities to ensure that the patients are treated in the right way. It takes promising a patient that you would see him or her and in your tight schedule you create time to see the patient. Balancing the so many activities is not easy according to Macciocchi (2009).
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.
Evaluate alternative solutions: In this section we need to evaluate our alternative solutions so that we can understand all the pros and cons to ensure we make the right choice. Some alternatives may seem appealing but implementing them may not be realistic. Starting with the first option, I think the hospital staff does need some coaching to remember the mission of the hospital but it must be recognized that their department is not being utilized for its intended purpose which can understandably cause resentment and hurt motivation. This alternative is important but should not be the main initiative in my opinion. The second program to provide the community with an education about what constitutes a medical emergency, in my opinion, is beneficial and would potentially stop unnecessary ER visits.
The patient must be told what is to be done and why. It is essential to regard patient autonomy and his participation in health service so they could enhance their knowledge & complications about disease (12, 13). Hence, patient can accelerate his recovery by participating in decision making (1, 2). It is also a defence tool for hospital against claimants and it should have requirements, such as: presenting information to patient by attending physician, patient perception and authority, patient competency in decision making, and factors affecting on patient- physician interaction (3, 4). Patient treating without his informed consent probably can sues and consent with reluctance, fear or japery is not valid.
The reasons why I do it carelessly may due to lack of time or the patient is as stable as usual and no additional precautions have to be given. However, this is not a correct nursing practice while handling patients. I should be serious while filling in the forms as it poses great threat to patient safety if I estimated the conditions of patient wrongly. The improper nursing practice not only makes errors in risk management but may also kills a patient. And I hope I can promote this message to the others.
They may believe that objectifying promotes better treatment decisions, and protects physicians from the stress of incorrect decisions or inability to help a patient. Similarly, administrators have so many processes and procedures to follow that they may feel compelled to focus more on paperwork than on serving patients. Many elements in hospitals steer employees away from patient-centric attitudes and behaviors. Changing to be more patient-centric requires a significant cultural change, made harder by the depth of current attitudes and behaviors and the complexity of hospital processes and financial pressures. For example, physicians educated to think of themselves as experts in their specialties are, therefore, often reluctant to adopt new attitudes and behaviors.
In this case, his mistake has to be analyzed and feeling of self-accusation should not appear. On the other hand, this analyze and rationalization should be made by physician himself, because many physician’s have lack of forgiveness and understanding to their colleagues mistakes (Rubin, 2015). Then, their influence can rather worsen the situation than correct it. In addition, medical error has to be reported to physician’s institution. Thought reports to these institutions about errors and prevented errors are useful, because they help to reform the whole healthcare system and make it better, according to Barach et al.