• Caregivers may be hearing information that is very contrary to their own personal standards. • Caregivers may be unclear of their responsibility to report or what constitutes abuse or neglect. • Caregivers may be fearful that they will be brought into a legal matter where their reputation and character may be questioned. • Caregivers may not want to become involved. • Caregivers may be fearful of retaliation from the caregiver/alleged abuser or their agency.
Both internal and external conflict can take an emotional toll on a patient who is dealing with the psychological and physiological effects of addiction. Also, these patients lose their able to function normally, and some healthcare personnel perceive their behaviors as deliberately preformed causing an excessive amount of stigma. Addiction leaves patients having to manage the pain and suffering of not being in control of their own bodies without much guidance of healthcare personnel. However, patients would not have to persevere through addition consequences of addiction if professionals – especially pharmacists – had enhanced education of addiction which would possibly alleviate
The dilemma lies in how the social work practitioner would respect the patient’s autonomy and determining whether the patient is competent. Furthermore, the social work practitioner is responsible for assessing whether the patient understands the consequences of his or her behaviours. Because, often than not, there are different risks associated with the patient’s refusal to medical treatment and services. Thus, in such cases, social workers would face the ethical dilemma of deciding whether to protect or limit the right of how the patient should live his or her life. The second ethical dilemma is that social work practitioners and their clients have different personal values.
In addition, Jamison felt as though her diagnosis with manic-depression would hinder her efforts within her career. Resisting the idea of being institutionalized in a psychiatric hospital, Jamison writes, “Mostly, however, I was concerned that if it became public knowledge that I had been hospitalized, my clinical work and
In this report I am going to assess ways in which different types of dementia affect an individual and also the individual’s family and friends. Due to the symptoms and consequences of dementia, a major impact on individual is the feeling of insecurity and the loss of confidence in themselves and their abilities. This can increase a sense of loss of control which in turn may result in the individuals doubting themselves and losing trust in their own judgements. These problems are made worse by the reaction of the people around them that are closest to them, such as friends and family and colleagues will begin to respond to them differently and not treat them in the same way as before. They may feel that they are stigmatised by this as there is a lot of false information and ideas about what dementia is like and what dementia does to people, and the individual may actually be avoided by friends and family member who fear the condition.
Two Encountered Dilemmas One ethical dilemma that mental health counselors encounter would be institutional policies against disclosure (Substance Abuse and mental Health Services Administration (SAMHSA, 2005). In addition, it is important for counselors to identify their clients. Moreover, counselors may have one legal client, but faced with several ethical clients. Disclosure of information of client’s confidentiality need to be protected by counselors, which can be difficult when information has been court ordered. Foote and Shuman (2006) points out clients are sent by lawyers for an assessment of their mental or emotional state of mind, which mean
They might feel trapped in their job, or hopeless in handling their responsibilities, or as if they are unable to succeed with their goals. Yapko elaborates, stating “[The depressed] are notoriously bad at engaging in reality testing, gathering information, and double-checking whether their thoughts or feelings actually make sense in the circumstances” (92). With this, Yapko solidifies his perspective on depression as a social disease. Therefore, when Yapko discusses the effects of depression on relationships, he mentions divorce, destructive relationships, and isolation. As mentioned earlier, when considering how depression gives reason for people to victimize themselves, Yapko agrees with “[Victimized people] don't know how to set and keep clear boundaries about each other's emotions or how to deal with each other in respectful ways when the going gets tough” (92).
The main topic of the paper focused on the negative effects of sexual relationships. It also discussed crossing boundaries with clients and having other relationships such as friendships or other kinds of attachments to the client. In my field placement at Hardin Memorial Hospital social workers may have to be carful not to cross boundaries with clients especially in such a small town in which you may possibly know or know of a client. In addition, my field instructor has made some related and valid points to me. First, Hardin Memorial Hospital is a local hospital in my home town.
Another example of clinical practice that raises legal, moral and ethical conflict when a PWD refuse to take prescribed medication is ‘therapeutic lying’. Therapeutic lying is the practice of deliberately deceiving patients by giving false information for intentions considered to be in the best interest of the patient. Considerably, research revealed that in RACF, almost 96% of all staff acknowledges lying to a PWD. Additionally, 66% of psychiatrist evaluated had sanctioned the use of therapeutic lying with a PWD by carers (Culley et al., 2013; Sprinks, 2013). Factors that contribute to the propagation of this deceptive practice include: (1) medication compliance; (2) ease the PWD and family stress; (3) improve compliance; (4) to save time;
This abuse comes from external stress. External Stress may be financial problems, job stress, and additional family stressors can increase the risk for abuse. This may cause the elder to want to be socially isolated from family and friends. Social Isolation is when an elder does not want to be around people or bothered which may be due to mistreatment of by another or self neglect. Elder abuse is also caused by an individual 's personal problems with self such as alcoholism, drug addiction, lack of money, and/or an emotional disorder in which causes them to become an abuser unlike an individual who do not suffer from such
There is a controversial issue in regards to the violation of the HIPAA privacy rule concerning a client who was received at a small town hospital emergency rule. As a privacy officer, this issue has been bought to my attention. HIPPA violations are serious offenses, and ultimately, it is my responsibility to take corrective actions to resolve this matter upon this investigation. HIPAA’s purpose, Is to protect the privacy of health information concerning a client or an employee. Violations of this law may include disciplinary actions, criminal penalties and fines, and possibly imprisonment.
E/M codes tell what was done in the office. Everything that the doctor or physician has done is documented, and coded. If a certain thing was not done then it should not be coded, and charged for that is considered fraud. Also everything that is done in the office must be documented, and coded using the E/M codes. If the E/M coding was done incorrectly the person would get in trouble for fraud, and not only that the office would have a bad reputation, and other insurance companies wouldn 't probably want to go through that office anymore.
The story of Henrietta Lacks involves an extreme violation of privacy. The book describes and discusses issues related to access of personal information from medical records, use of tissue samples, informed consent, and privacy invasion. These are issues that have raised debate, and are of concerns to me as a social worker. Other significant issues in this book relate to a lack of respect for Henrietta Lacks and her family, as well as justice, race, and social class. Being a social worker and reading this book made me so upset.
Varying on what level of depression one has and the severity of it, treatment may include prescription antidepressants or psychotherapy. There is a large controversy as to whether one should prescribe antidepressants or not. Some say it will improve the quality of life and others say it will lead to thoughts of suicide for those who suffer mental depression. Beyondblue Clinical Advisor, Brett McDermott says, “in terms
This can lead to service users who have some health problems being given housing that can cause health issues, such as damp and poor ventilation. Adults and children living in dangerous neighbourhoods are found to be at a higher risk of neglect, physical abuse and sexual victimisation compared to those who live in a safer area. Ageism can also negatively affect detection of elder abuse as it common to view an elderly person who may be confused as someone who is suffering from dementia. Physical injuries may be masked and concealed by clothing or by isolating the victims from their friends and