Lippi et al. stated that in any misleadingly assumed cases not promptly identified can produce serious harm to patients. In addition to SNB code of ethics, value statement 5, ensure that the safety of their patients is not put at risk by the commission or omission of any nursing care activity. Specifically in identifying patients and distinguishing the identity of patients with the same name. It is to ensure accurate identification in identifying the individual as the person for the treatment is intended of care.
Different principles of health and social care are introduced which are used by the professionals in order to enhance their approach to practice. In order to evaluate this aspect, one professional issue that is confidentiality has been considered. Confidentiality is known as the process in which the shared informed is kept as the secret depending on the situation. It is noticed that it is the responsibility of the professional to ensure the principle of confidentiality at the time of dealing with a patient. Any sort of private information related to the patient must be kept securely.
Introduction Professionalism has been described by the American Board of Internal Medicine as “constituting those attitudes and behaviors that serve to maintain patient interest above physician self-interest.”(1) The word profession is derived from profess which means 'to proclaim something publicly'. Physicians profess two things: to be competent to help the patients and to have the patient’s best interests in mind. Such commitment invites trust from their patients. (1) Professionalism is critical for physicians in order to provide optimum care and achieve better health outcomes. (2) Professionalism is based on the principles of primacy of patient welfare, patient autonomy, and social justice.
Physicians are to respect the patient’s desires and respect their decisions (MissingLink, n.d.). Beneficence is action to benefit others. Meaning, physicians must act in the best interest of their patients and put the patient’s needs above their own. If patients lack the ability to make informed decisions, the physician must act to keep patients from making decisions that are not in their best interests (MissingLink,
• Autonomy is defined as the freedom from external control or influence; independence. Ethically, it is the counselor's position to promote independent thinking and problem solving when appropriate. As a mental health counselor, one must promote self-determination so a client can take what they learned in session and apply those practices outside of the session. This is imperative when working with multicultural clients because the sessions should be based on the client's beliefs and personal courses of action to be able to obtain the independence needed for establishing self-direction. • Nonmaleficence is defined as avoiding doing harm to a client to reach a specific outcome.
Identifying people at risk of abuse and neglect It is important when working in a health and social care environment that service providers are able to recognise or identify people who are at risk of suffering from abuse or neglect. Some abusers are aware the care worker’s role. This role is to make sure that they are able to report concerns and will make user that they don’t abuse or neglect a service user in front of others. In addition to this, it is important that a service provider is able to spot of there has been any changes in behaviour in a certain service user who they are giving help to. However, for a service provider to be able to spot changes in a service users personality they will need to get to know and understand them, they
Identify any relevant professional law or guidelines When there are ethical dilemmas can be resorted to: The GMC , The BMA 5. The subject of the dilemma of critical analysis. Some dilemmas need balance and are more cautious and listen to the opinions of patients and groups and if you are in doubt ask for help It is very helpful when you get into trouble to refer to a medical ethics committee for consideration 6. Be able to explain the decision with sound arguments. Do not expect to be non exhaustive but work reasonably and be able to justify and expect you to solve the moral dilemmas of one direction and yet work that coincides with those good positions to engage in those situations where moral dilemmas confront the recording of medical observations with illness or colleagues and also refer to any petition Professional and medical advice and legal bodies are recorded in the notes In this way there is logic behind the decision (2) To Teach Medical Ethical • lectures • Seminars • Programmed, simulated patients • Role playing • Video interviews • Case
Some examples of sources of information that may be used for evaluating contracted services include the following: • Review of information about the contractor’s Joint Commission accreditation or certification status • Direct observation of the provision of care • Audit of documentation, including medical records • Review of incident reports • Review of periodic reports submitted by the individual or hospital providing services under contractual agreement • Collection of data that address the efficacy of the contracted service • Review of performance reports based on indicators required in the contractual agreement • Input from staff and patients • Review of patient satisfaction studies • Review of results of risk management activities Building a Culture of Accountability you have to build up a culture in your company to be more responsible. We do that through a thorough operating system that provides us better predictability in handling our organization. The main thing is to evaluate all you do, and keep people in charge of
6. Bill of Rights: This topic is taken from module 6.1 of BMN03 of the Ethical Issues in Nursing Practice. It is all about human rights and dignity, that is the patient’s bill of rights, the eight key areas in the bill of rights, the major goals, and uses of the bill of rights, freedoms to be given to the patient, then the evidence-based report on the relationship between ethics and rights. 6.1 Personal context: Personally the patient’s bill of rights includes the laydown guideline that ensures patients are protected and get accurate information, fair treatment and autonomy over medical decisions with other rights and it is formed on the basis of ‘’RIGHT TO LIFE”. It works to meet patients’ needs and at the same time respecting their rights.
The incomes of managers and administrators, underwriters and medical misconduct lawyers, marketers, investors and stockholders of for-profit services, all are attributable to health care costs. Health care sector includes – The healthcare sectors includes the following; • Hospitals • Nursing and housing care facilities • Ambulance healthcare facilities • Medical doctors and healthcare professionals HEALTHCARE ETHICS – Health care ethics, at its simplest, is a set of moral principles, beliefs and values that guide us in making choices about medical care. At the core of health care ethics is our wisdom of right and wrong and our beliefs about rights we own and duties we owe others. Thinking carefully about the moral features of health care decisions helps us in making choices that are right, good, fair and just. ETHICAL PRINCIPLES WHICH HEALTHCARE INDUSTRY SHOULD INCLUDE – According to Market – • Expiry date – The expiry date of medicines should be kept under consideration in the healthcare industry.
The medical and clinical administrator’s role would be to support service providers by offering a good quality of care and safe working practices. Administrators are often approached to provide information. Information must not be passed onto a third party unless the service user has given written consent. However, the service user can ask for access to medical documents and reports under the Access to Medical Records Act 1988 and Access to Health Records Act 1990. Medical and clinical administrators must be accommodating and refer the service user to the appropriate resource.
This will affect each individual in unique and diverse ways. We will look to senior employees as the individuals most likely to help facilitate an understanding of the issue. It is not the job of senior employees to talk with others about the changes but the less resistance we experience from senior employees the less we can expect to see from the workforce as a whole. Senior employees have been through changes with the company in the past and will hopefully comprehend the necessity for individuals to help shoulder the burden of health care costs. The main body workforce will benefit from letters detailing the change and an open healthcare seminar to go over changes.
Under HIPAA, a covered entity could voluntarily obtain a patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Our staff will provide you with a consent form whenever there is a need for one, please make sure to fill it and return in before your procedure. • Informed consent is the process of communication between physician and patient regard his/her rights in their medical treatment plan. It is also the process of communication to help the patient understand and undergo a specific medical procedure. Through informed consent the physician must give the following information to the patient: diagnosis, nature and purpose of treatment, risks and benefits to proposed treatment, alternatives treatments and their risks, the risks and benefits of not undergoing treatment.
HIPAA regulations state that when using or disclosing PHI (protected health information) or when requesting PHI from another covered entity (a doctor’s office, dental practice, etc), a covered entity must make reasonable efforts to limit PHI, to the minimum necessary, to accomplish the intended purpose of the use, disclosure or request. So how do we accomplish the goal of limiting our PHI access and requests to the minimum necessary level? We look at three basic areas: levels of access to PHI, requesting PHI, and sending PHI. Giving employees specific levels of access to PHI Each employee should have just enough access to your medical record system to do their job. For instance, an employee who only answers the phone and sets appointments doesn’t generally need access to medical histories, x-rays, and other specific medical information.
It is extremely important that every patient has the opportunity to control the care they wish to receive in case of medical emergencies. These wishes may be addressed through legal documentation, known as advanced directives. Through the use of advanced directives patients can appoint a healthcare proxy, express their living will, and make decisions about hospice and palliative care. Advanced directives allow patients to make decisions that may be hard for their families, and their providers to make during this difficult time. “A living will spells out what types of medical treatment a person wants at the end of life if he’s unable to speak for himself ("Power of Attorney, Living Will, and Advance Directive - AARP").” When patients become