They fail to understand that sometimes sharing information is best, but other times it should be kept confidential. The opposing side states that some people say that in no situation should information ever be shared with anyone else if it was given in confidence. I agree that the information should be kept confidential, but the information should be shared in certain situations. These situations would be if the patient is in danger of harming themselves or someone else around them. Another time when the information should be given out would be when it’s used in a legal case.
A doctor may have to operate even in the absence of consent, to save the life of the patient. It is possible that even with such an intervention, the patient may not survive. Assuming that the doctor is competent and has exercised due care and diligence, the doctor cannot be held responsible for a patient's death, as the doctor has acted in good faith and in the best interest of the patient. Maintaining a good Doctor patient relationship often works better than the best informed consent! The informed consent issue as discussed is very much driven not by the medical procedure or research being done or what could arise from it.
It has many types which will use based on the patient condition or behavior. The decision regarding the use of restrains is not an easy; it’s really a legal and ethical dilemma especially for nurses. Some theories was supported the use of restrains and some are not, but the important things here that the nurses must have updated knowledge of excellent ethical decision making. Also, to focus on two main ethical principles which are beneficence and nonmaleficence. In mu opinion, the use of restrains must be prevented due to the present of too many alternatives which can make the patient
When providing information to the patient a phlebotomist should be mindful of the particular patients needs and what they would like to know ensuring that they have understood the information given to them. In the past, education of healthcare professionals did not focus on ensuring that the professionals achieve a certain amount of skills needed for effective communication with their patients. This leads to a system in which the healthcare professional deals only with the necessary medical information rather than utilising a more clien-centred approach. It has been suggested that they are reluctant to inquire about the patients concerns in fear of encountering personal issues surrounding the situation which they are not equiped to deal with. Their concern may be that this will result in increased patient stress, a less time
They are not biased and they do not rely on statements and guesswork. Subjective observations are reported by the patient and are just as important as objective observations, except they are not measurable. The nurses need to know when patients have complaints such as those listed above; the nurse can assess the patient and determine what course of treatment or intervention is needed. CNA’s cannot pass judgment on these statements. Nursing, perhaps more than any other health care profession, claims caring as fundamental to its practice.
Therapeutic privilege is the idea that if the health care provider discloses information to a patient it may harm them more than help them. The concept of therapeutic privilege is tricky because it must be well documented that omitting the information is in the patient’s best interest. Also, in most cases, therapeutic privilege does not completely overrule informed consent. The health care provider must provide any information to the patient that they judge not to cause harm to the patient. For example, they may not disclose the diagnosis immediately but may explain and gain consent for the preferred treatment option.
The human factors that affect efficient communication involve patients’ moods or reactions towards the services provided by the nurses. Therefore, nurses are advised to exercise patience and understanding of the conditions of their patients. They should seek to serve the clients regardless of whether they are rude or welcoming. In cases where communication is hindered due to lack of cooperation from the patient, the nurse can seek assistance from their supervisors. Also, nurses are advised to shun from forming predetermined perception of patients to ensure that they can communicate
Besides that, the doctor also should provide a balance view between the options available for the patient and explain regarding the importance of having an informed consent in the process of discussion so that the patient can make a meaningful decision. This is important because sometimes the patient may have limited awareness on legal implications of signing or not signing the consent forms, and they may not realize regarding the role of written consent as primarily serving their interests (Zafar et al.,
Some would argue that while people always have a duty to do no harm, we don’t always have a duty to help. However, in health care, there is an implied duty to help by virtue of the physicians relationship with the patient. This duty is both legally and morally based in that it is reasonable for patients to expect a professional caregiver to act in ways that will promote their health and well-being. On the other hand, there is generally a recognised limit to the level of service and sacrifice owed to a patient by any particular health care professional(10). As with harm, the definition of good is difficult.
Furthermore, safe and quality of care relies on timely decision making by nurses and their previous encounters of critical situations. To focus on patient safety and value someone’s life, novice nurses should not be assigned to critical care areas because they lack clinical decision making abilities and commit multiple errors while
Most patients do not know what advance directs are, so we should clarify the information and make sure they are satisficed with their decisions. If the patient in the last minutes of surgery wants to change anything in the advance directs, we should give them a chance to change it. Even in preoperative phase, we want to teach the patient what will happen after surgery and things they should do like ambulation. As the nurse you should explain what the purpose of ambulation is to the patient. You should always teach and educate the patient about their well being.
That will encourage and motivate others to work as a team and help each other. Identify the barriers of change, which might be the staff nurses who are skeptical of change. They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later.
The principle of autonomy allows the patient to make decisions about their own health care options. This includes selecting no treatment even if the consequences can be fatal. This dilemma can be difficult for some medical professionals, but as long as the patient is competent they have the freedom to choose. (Cordasco, 2015) Mrs. S appears to be denying the problem based on the physicians opinion and is competent to make the decision. Informed consent is required for any medical treatment barring any
Safeguarding patients by building a strong patient physician relationship must be established so that there is no foul play in the outcome. The issue is that it is very difficult to assess the overall competence and voluntariness of a patient. CMA mandates that the protection of physicians is a must; and any change in law must legally protect those physicians who choose to participate from criminal, civil, and disciplinary proceedings. No physician should feel compelled to participate, and patients are free to transfer to another hospital if a physician denies a patients
Most require two or more witnesses and a notary, to assure that the patient is not forced into consenting to treatment they would not otherwise want. Witnesses generally do not include family members, or the person that the patient appoints as their healthcare proxy, because they may be beneficiaries of the patients estate. In some states, the patient’s doctors or healthcare providers cannot be used as witnesses. The patient does not need to share the content of the documentation with their witnesses. Patients should look into their state laws regarding advanced directive to ensure that the documentation meets the legal requirements ("End-of-Life Decisions - CaringInfo").