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.
According to (text), one with nonspecific low back pain should not exercise during a flare up. Pain can interfere with a patient’s ability to an exercise test or reach maximal exercise levels. Patient’s cause of LBP can vary for example; some may experience pain when standing for long periods of time, while others may experience pain while sitting and it is best to avoid exercise that causes the patient pain. Aggressive testing protocols should also be avoided since it can cause posttest soreness for the patient and any type of back pain or soreness should be avoided. A submaximal protocol that is unlikely to cause a flare up is most appropriate for individuals who experience pain with activity (book).5 (p467) It is also important to screen for red flags to exclude possible specific conditions.
“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
A patient in torment or at health risk from an intense dental condition ought to be acknowledged for talk of the condition, analyzed if showed, then either treated or properly alluded. If the hygienist would have done her duties in an ethical manner and in compliance with the laws and regulations, the issues could be avoided. Due to her this unethical professional practice, more patients have health issues. This will also be a risky matter for the continuity of her profession as a hygienist. Hence, the hygienist had to ensure a duty of care to the patients with her quality services.
Considering the changes that continue to arise in the healthcare environment, the nursing profession can make a profound contribution if it embraces nursing leadership. Especially to limit failure in care provision, strengthening nursing leadership continues to be fronted as the basis of care provision. Consequently, I view that nursing leadership ought to be central to the nursing professional goals. In this paper, I will reflect on my values and beliefs in nursing leadership and my future expectations from a perspective of a nurse leader in a manner that is consistent to what I would desire in nursing leadership. I believe that progress has been made, but some areas still need to be given more weight.
Ethics committee is a helpful source of advice that can provide consultation about ethical issues in treatment limitation. Because of the valuable outcomes in resolving ethical issues in end-of-life care, the Joint Commission on the Accreditation of health care organizations requires the health care facilities to establish ethics committee (Derse,
According to Quinn (2012), accelerating opioids is based on ending the patient’s pain and giving the patient medication that has the end goal of dealing with the pain even at the risk of accelerating death. In other words, while the goal is not to kill the patient-the reason a patient is given accelerating opioids is to do as much as possible to get rid of the patient’s pain. Pallatiatve sedation is very similar except the specific medications are different and there could be circumstances where the patient is left unconscious-but the end result is the patient not being in pain or in far less pain. Ending or not beginning therapy is based on a tenet of the doctor/patient relationship which is that the patient has autonomy not to seek any treatment, especially if the treatment will only sustain (as opposed to save) the patient’s life. Indeed, life-sustaining therapy is something that a patient can legitimately refuse and while that will almost assuredly hasten death, it does not cause death.
For example, when applying justice and beneficence to a realistic situation, where a person has no insurance and is in need of preventive and/or basic care; one may argue that they are owed and deserve care; and the provider is required to bring good to them. A person could also realistically and logically argue that the treatment does not have to be provided because the person cannot pay for it. The provider is not ethically doing them wrong; or not giving them what they owe or deserve, even if they are ill, because they cannot afford it. If they had insurance and could afford it, and were denied treatment; a person could then logically and realistically argue that a provider was violating the justice and beneficence ethical
Successful removal was grounded in staff education, commitment of staff, residents and families, and in alternative equipment (Wang, W., 2004). When not using restraints properly or not having the right education on how to use physical restraints it leads to abuse. Studies show that health professionals are largely unaware of the various forms of elder mistreatment that take place, and of the proper course of action to pursue when mistreatment is suspected (Baigas, J., Falk, N. L., Kopac, C., 2012). Whether abuse is caused for misuse of physical restraints, or whether a caregiver is overwhelmed with their combative patient, abuse happens for unethical reasons. Federal law prohibits unnecessary use of restraints and specifies that some reasons for using restraints are unacceptable.
Malpractice is negligence, offense, or breach of duty by a professional individual that causes a patient to be injured. Much of the time, it includes when a nurse did not meet a standard of care or to deliver care that he or she should deliver in a similar situation. According to Standards of Practices “Standard 2: Responsibility and Accountability”, the nurses have to maintain, practice, respect and promote patient’s autonomy, as well as to provide care in a responsible and accountable manner. However, keeping the truth from a patient will not enable them to come to terms with their condition and give them the alternative for further treatment. Hence, it would be better to tell the patient the truth to guarantee that the nurse will not face any lawful issues unless the patient has a lack of decision-making capacity which could be caused by mental illnesses, such as dementia or being
S does raise the possibility of higher risks for not doing the surgery, but not having any other health issues contributes to her decision to not take the risk of having the surgery. The physician is ethical in the decision to decrease Mrs. S anxiety. The physician made the correct call which is backed by the principle that the patient is assumed competent unless there is strong evidence to the contrary. Medical professionals may not agree with the patient’s decision but it must be respected to avoid issues. Beauchamp TL, Childress JF.
Ethical and Legal Foundations of Professional Nursing Nursing as a profession committed to the defense of Human and Social Right to Health and Life of individuals, families and communities whose primary responsibility and action focuses on the promotion, protection, recovery and rehabilitation of mental, physical, social and spiritual people and provides support and relief of suffering in compliance with ethical and legal principles. Coordinates its activities with other related groups: professionals and technicians. Take care of yourself and those who share responsibilities in the disciplinary field. The nurse trades as autonomy, justice, fairness, competence, responsibility and honesty; all of which is evident in ethical reasoning and the
When clients present with narcissism or antisocial personality, self-disclosure may be interpreted as a sign of weakness while non-disclosure may symbolize clinically appropriate forms of strength and non-suggestibility. In scenarios of active psychosis, self-disclosure may be contra-indicated when client behavior or self-reports suggests vulnerability to incorporating and negatively responding to external stimuli. In cases where psychotic clients demonstrate relatively non or less problematic interpersonal boundaries, self-disclosure may momentarily encourage if not