Had she dealt with transference this could have been a way to use it to her advantage to help Sarah in the therapeutic process. Psychotherapist should outline for both children and parents the limit that exist on confidentiality when treating minors. They should contract with the parents to protect the privacy of their minor child in a way that fulfill the parent need to understand what is generally going on in treatment without violating the minor confidentiality rights (Younggren and Harris (2005 p. 598) Had Jamie done this it would have been clear to the parent and the child the issue of confidentiality and its exceptions. The exceptions should have been clearly explained to both. It would ensure that the child’s rights are protected and Sarah would be informed as to what can be disclosed without permission or not.
How the principle of autonomy fits into this dilemma is because, as nurses we are supposed to respect our patients and their wishes of treatment whether we agree with them or not. Ultimately patients should have the autonomy to choose or deny treatment. In this case the patient is the parent and child; as the legal guardians to the children exemption is a patient choice. The issue is until the child is old enough to make that decision on their own their parents are the ones primarily putting their children and others at risk. Beneficence in nursing is used to benefit patients by preventing harmful situations or improving quality of patient care by advocating for them when they cannot.
In any situation, we first need to assess it, analyze it and then proceed with action. We all have different beliefs and points of view when it comes to ethics and values. Therefore, when you are a healthcare provider you can’t act upon what you believe in, but rather you have to follow the policies and laws that are set based on the facility that you are working at. In this situation the healthcare provider have to assess the situation before jumping to conclusion. The healthcare provider should ask the mother if she asked a healthcare provider if the procedure is safe for a child, and if she has done any research prior to performing the procedure on her child.
The case history forms we chose to use are the ASHA voice case history and the Princeton child voice case history. We chose to use these forms since they provide a thorough look at the patient’s habits, lifestyle choices, home conditions and medical history. These forms ask specific questions regarding patient’s breathing style and patterns, which are crucial when doing a voice evaluation. Directions: To give these evaluation measures, try to have the patient fill out as much as they can beforehand. When using the pediatric form, have the child’s parent(s) or guardian(s) fill out the questions.
It requires an understanding of the care seeker 's culture and acknowledging what matters to them while caring them in the same as other individuals. Article: Culturally Competent Care: Are we There Yet? The paper is written by Gloria Kersey-Matusiak, PhD, RD and focuses on culturally competent care among nurses. The paper tries to define the competent nursing care, explains it significance in our health care community, introduce a cultural assessment tool, and discusses how the knowledge of culturally competent care can be used in the practice. Introduction to the Culturally Competent Care Firstly, the paper introduces a series of important questions a nurse should ask him/her about the importance of cultural competence in patient 's care, the assessment tool which is more feasible to use according to each specific population, and how that knowledge would help to improve patient 's care and reduce healthcare disparities especially for minorities.
Feldshuh includes Douglas’s description towards the importance of the study to signify the ease of justifying a cause; however it is intentional that Doctor Douglas does not reveal the true purpose of the study to the patients. Douglas has effectively begun dehumanizing the patients, he does not think the patients as being capable of understanding the importance of the study, and the risks associated. No efforts towards discussing the study or treatment are made with the patients, and Nurse Evers by supporting the study begins compromising her oath and her position as a nurse, as indicated by her
The first was that of acting on behalf of the patient which implies the nurse represent patients who are unable to or those that feel they are unable to represent themselves. The second attribute is protecting patients which entails actions that promote the respect of the patients. Lastly, intervene in the provision of healthcare. This attribute regards nurses addressing inequalities in healthcare and services. These attributes parallel the attributes identified by Baldwin (2003) in a concept analysis discussing patient advocacy.
Josie’s Story highlighted the importance of altruism, and the need for nurses and doctors to take a step back and truly listen. Josie’s death shouldn’t have happened, and would’ve probably been avoided if someone took the time to truly listen to her mother’s concerns. Reading Josie’s story opened my eyes to the dire need of communication between the medical team and patients and/or family members. Sorrel, Josie’s mother, tried numerous times to alert the medical team of the changes observed in her daughter, yet no one listened. She highlights the severe breakdown in communication and the necessary steps needed to rectify our medical
(Clayton et al., 2005(2)) In the first approach, health professionals wait an offer from patient/carers to discuss the topic. They are afraid of hurting the patients by initiating discussion when their patients are not ready to hear. Also, some doctors pointed that they are uncertain about prognosis and do not want to scare patients. In the second approach, health professionals believe that patients/carers needs permission from them to initiate discussion and, therefore, it is doctor’s responsibility to raise end-of-life conversations. By
Evaluation can take many forms and helps promote quality in education practice (Hughes and Quinn, 2013); it enables nurse educators to ascertain whether their teaching is having a positive impact on patients learning and how (if anything) the steps nurses need to do to improve their evidence-based practice teachings (Ramsden, 2003). As a result, monitoring and evaluating can provide information concerning; the need for modifying the programs, process of implementation and overall program outcomes. This can help support the relevance of the educational pilot program for; empowerment, responsibilities of a nurse educator, leadership, and future research. The consistent use of the assessment of core competencies and questionnaires in nursing education will facilitate the ability to compare nurse educator competencies and the performance of inmates with mental