Moral Dilemma HOSPITAL: You started your first job at a large hospital. You are assigned a patient to treat who no one wants to work with because the patient always says “NO”. The Occupational Therapy team leader tells you that you need to treat the patient because the doctor is angry that the patient has not been receiving therapy. You are told that the patient’s nurse has called to complain to the therapy department about the fact that the patient has not been receiving therapy The case in question the Occupational Therapy staff is confronted with a patient refusing to take therapy, every patient/client has the right under the autonomy code of ethics to decide if they want to participate in their treatment plan that the doctor has set …show more content…
Starting with the doctor, did the doctor explain to the patient why he recommends that the patient go to occupational therapy. It also seems like the nursing staff doesn’t know why the patient did not receive any therapy. Had the nurse known of the refusals, they could have talked to the patient to find out what the reasons for not wanting to go were. The nurse could have then taken the time to explain the therapy and stress the importance of going to the patient, as well as, try to calm any fears that the patient may have. The other problem could be that the patient does not understand what type of impact occupational therapy could have on his recovery while at the hospital or to help them recover …show more content…
There are 3 OT, 2 OTAs, 3 PT, 2 PTAs, and 2 STs. This team is on the floor every day and when one of the permanent therapists is out, a different therapist from another floor floats to the rehabilitation floor. One day an OT with decades of experience comes up to work on the floor because another OT has called out. The OT that came from another floor goes and works with a patient of Indian descent. The patient holds a religious rank for his religion. The OT enters the room and begins to work on ADLs with the patient. During the session, the patient ends up having a bowel movement in the bed. Instead of cleaning the patient, this OT calls for the nurse, leaves the patient on his side without any clothing on, leaves the door open, and exposes the patient’s buttocks for anyone to see. This all happens during the patient’s therapy session. The OT says to the nurse that cleaning a patient’s buttocks is the job of the CNA and that she, the OT, will not do it. As all this is occurring, the patient is still exposed to anyone who looks in this room from the hall. The conflict in case one deals with the fact that the Occupational therapist does not think it’s their job to clean up the patient, as a result of that, the patient got treated in a very demeaning and embarrassing manner. The behavior of the Occupational therapist is a violation to the patients’ rights for being treated with respect and dignity. By neglecting to clean
In doing so, doctors also disregarded the patients’ autonomy in their decision to have themselves committed for their altered mental state. Invalidating the patients claim and affecting their trust, which is the pinnacle of the patient-doctor relationship. With psychiatric patient even more so because there must be a level of trust in the person’s claim and in their determination, that they might be having a breakdown. A beneficial scenario for the parties involves would have been if the doctors’ actions promoted more good, or beneficence, and gave Jessie better tools to cope with his PTSD. Instead, of taking an inactive approach, which allowed the situation to escalate to the point he became a danger to himself and others.
This is used in bed and a nurse comes and helps clean the patient up once they are done. These are just a few of the hospital practices that contradict the need for privacy or secrecy American’s strive to maintain. In other cultures, it is normal to be nude in front of others and some cultures do not have or need private bathrooms that they can use. Other cultures are not embarrassed about these types of things and may view us as peculiar human
Portfolio Reflection Form Name: Alexis Wilkerson Code of Ethics Summary Course: ADRE 6991, 6992, 6993, 6994 Semester: Spring 2017 Competencies addressed: Knowledge: Foundations A.2. the legal and ethical principles specifically related to the practice of addiction and clinical counseling/clinical mental health counseling, including the Code of Ethic of the American Counseling Association (ACA); NAADAC, the Association for Addiction Professionals; North Carolina Substance Abuse Professional Practice Board (NCSAPPB); Association for Specialists in Group Work (ASGW); and American Mental Health Counselors Association (AMHCA) Code of Ethics B.1.
I recently witnessed a conflict between a nurse and a patient care technician (PCT). The PCT who was assigned the nurse’s patient took the patient’s vital signs (VS) and the spirometry pulse oxygen (SPO2) saturation registered 81%. The PCT did not report the abnormal SPO2 to the nurse. When the nurse saw the low SP02 reading, she confronted the PCT in a demeaning tone, as perceived by the PCT. She asked the PCT why he did not report the low SP02 to her at the time that he obtained the reading.
Dental Ethical Issue LaShalonda Marshall Vatterott College Introduction to Dental Assisting Courtney Oetting Some of these cases talked about in this paper are possibly real and some fictional cases of things that could happen in a dental offices. Some characters are imaginary to protect the identity of real people in these crazy situations. Some are sad some or just outrageous and possibly funny.
Occupational therapy services promote a relationship with their patients but not on a personal level but on a professional level it allows them to network. For example, being the occupational therapist assistant, you should not be accepting any gifts from the patient or meeting them even if they suggest treating you to dinner let them know it’s your job to help them and make sure they get back to their
First, the theory of ethical egoism. According to this theory, “actions are morally right because they maximize self-interest” (Farias, 2012, slide 6). When occupational therapists agree to perform duties or work on skills that are outside of the OT scope of services, they are working to promote their own self-interests and well-being. It feels good to help others and when we believe that we are going above and beyond to keep our clients happy, we are doing what is in our best interests.
Instead the patient is actually hot and prefers to have the covers off , but the nurse failed to eye contact and address the patients actual need. Non-Therapeutic Communication Quote: “Get use to that because you’re going to have a lot of that while you’re here.” … “When I got breath back, I asked him what he had done. Nothing, yet,” he replied.
It would be my ethical duty to explain to the rehabilitation manager that as an OTA, I am not qualified to perform evaluations. I would say that it was against AOTA regulations and probably would make the insurance company very displeased. OTAs are only trained to assist the OTs during evaluations and cannot determine goals or develop a plan of action. It is just after the OT has made a plan is when I could help with therapy. So the client would have to wait until a more qualified person was on staff before we could proceed further.
An example of boundary violation is when the nurse discloses personal information such as I am really upset with my ex-husband because he will not help pay for my kids to go on a school trip. The trip is really expensive and I do not have the money to pay for the trip, it’s just killing me that my kids will have to miss this trip. The patient offers to pay for the trip and the nurse accepts the money and states let’s just keep this between
A. Clinical Strengths & Needs • Strengths: Today, I began that start to feel like I am perfect certain skills as well as gaining more confidence. It’s amazing how much I have learned and have grown as a future nurse. I’m also beginning to realize how attached I am to my resident; I am constantly assessing to ensure my resident’s health. Objectives I met today were demonstrating professional values of caring and holism; implementing strategies to promote, maintain and restore health; and demonstrating effective clinical decision-making and safety in practice. An example of objective 1 was during a depend change, I noticed my resident had a redness on his right bottom.
The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para
Healthcare professionals must work on the assumption that every patient has the capacity to make decisions about their care, and to decide whether to agree to, or refuse, an examination or treatment. However, in the case that patients are deemed to be lacking capacity the Mental Capacity Act (2005), The Adults with Incapacity (Scotland) Act (2000) legislations must be followed (General Medical Council, 2008). Gaining consent before providing care or treatment to any patient is very important because patient requires
She is also unsure whether the patient wishes to report this issue. The social worker was presented with the ethical dilemma of choosing between respecting the patient’s confidentiality or intervening to disclose and report the issue to the hospital
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to