Alternatively, in an emergency, urgent and acute prescribing circumstances, supplementary prescribing is not suitable because the clinical management plan needed to be agreed in-between Independent Prescriber, Supplementary Prescriber and the patient before prescribing (DOH, 2006). However, Nuttall and Rutt-Howard (2011) argued that for long term conditions, non-medical prescribers are able to make an independent prescribing decision. Additionally, they stated that for long term conditions, patients are typical, predictable and their response to treatment is straightforward. But they also suggested that if a patient is presented with a condition in which they are competent to prescribe, then non-medical prescribers should be confident and competent to treat patient. ). Nuttall and Rutt-Howard (2011) states that nurses, midwives and pharmacists are capable to prescribe independently, but allied health professionals are able to prescribe only as a supplementary prescribing who needs a CMP to be in place for the patient they want to prescribe.
1. To make sure the care and treatment can continue to be given safely no matter which staff are on duty, 24 hours a day, seven days a week 2. To record the care that has been given to the patient/client 3. To make sure there is an accurate record to be used as ‘evidence’ when there is a complaint from a patient/client about the
Evaluation Single System Research Design in A Female Client in A Nursing Home Single system research design is a form of research that allows professionals to compare the performance of a single system before and after treatment. The single system may be an individual person, a single group, a single family, or a single organization. The goal in single system is to encourage positive behaviors, reduce negative behaviors. The target problem is equivalent to the dependent variable in group designs.
Informed Consent “The Immortal Life of Henrietta Lacks” details the injustice and hardships that an African American woman endured when skin color determined the value of a person/during a time dominated by racial segregation/when racial segregation was the law of the land. Born in Roanoke, Virginia, on August 1, 1920, Henrietta Lacks was forced to follow to racial segregation laws that prohibited Blacks from interacting with Whites in such public places as bathrooms, seating areas, colleges, and hospitals. Like all African Americans, she was treated as an inferior member of society due to her skin color. At the age of thirty, Mrs. Lacks had developed cervical cancer and went to Johns Hopkins Hospital, which only treated Blacks at the time.
Although, in this case the patient request was denied due to her not being of legal age, this court case falls under "rights related to freedom of choice and government interference". Even though was only a few months from her eighteen birthday when this occurred, she was not the legal age and her actions to the courts did not prove she was a mature
Patients are our priority and when there is any complaint from their side, it should be handled and sorted
J.s refused this because he didn’t want to lose the replacement knee (Capozzi & Rhodes, 2000). Therefore in this situation it would be ethical to override his decision. This is an example of the ethical theory of paternalism which is defined as ‘personal freedom and autonomy of a person (or class of persons) with a beneficent or protective intent’ (Britannica Academic, 2015). An example of a healthcare situation in which a nurse may use paternalism is for example; an elderly woman is incontinent in bed and is covered in her own body waste, but she is embarrassed and refuses to be washed. The nurse could go against the patients wishes because her intent is beneficent and the positive outweighs the negative in this
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
The definition for “appropriate medical screening examination” and “necessary stabilizing treatment” were not adequately delineated within the act and lead to many different interpretations on what services encompassed compliance (Rosenbaum & Kamoie, 2003). The definition of what was acceptable medical screening and necessary treatment varied between healthcare professionals from brief and simple, to complex. This became an issue for many organizations and physicians in endeavoring to remain compliant with the law. Another result of the implementation of EMTALA was the increase of patients utilizing ER services. A number of critics have pointed to EMTALA as the cause of over-utilization of ER services, even though there have not been any conclusive studies proving that the law is the cause of increased costs and congestion within hospital ERs (Rosenbaum & Kamoie, 2003).
Discuss the ethical implications of “medical necessity” in patient care. Ethical Implications of Medical Necessity When it comes to medical necessity can often refers to the determination that is made for the insurance purposes. For example, If the patient has a condition that is chronic or terminal, the treatment could be considered medically necessary whether then the patient can afford the treatment or not. Networked doctors may face ethical dilemmas when recommending treatment or specialist referrals. When it comes to medical necessities it can be controversial, it can be the use of marijuana when there can be others that are more a moral ethical in which it can be in manage care and network providers.
Informed consent must never be assumed. On the other side of the spectrum, informed refusal is the patient's right to deny any of the services recommended. From a legal standpoint, it is important to always document informed consent and refusal to avoid any legal
Public Health England (2017) states that “Consent to treatment is the principle that a person must give permission before they receive any type of medical treatment, test or examination. This must be done on the basis of an explanation by a clinician”. Selinger (2009) also mentions that patient consent in required regardless of the procedure whether physical or something else as the consent principle is an important part of medical ethics and the international human rights. For example Mr Eric was asked several times and given time to think about the procedure which was going to take place and who was going to do it and the procedure was clearly explained to him to make an informed decision. British Journal of Medical Practitioners (Bjmp) (2017) recommends that consent must be voluntary, valid and informed, and the person consenting must have the capacity to make the decision.
After 30 minutes, the RN asked the CNA if she took the patient’s blood pressure. The CNA said no, because the RN did not tell her that she need the blood pressure now, so she can give the 9 am medicine. The five rights of delegation that are the right task, the right circumstances, the right person, the right direction/communication and the right supervision should be used by registered nurse to achieve an optimum care
Introduction This essay will reflect on my personal experience, skills, and knowledge gained from my studies and practice of undertaking blood pressure (Bp) whilst completing my professional placement. Bp may be defined as a force of blood against vessel walls in the body, consisting of systolic and diastolic pressure measured in millimeters of mercury. (Waugh and Grant, 2016) Systolic pressure occurs when the hearts left ventricle contracts and forces blood into the aorta causing a heightened atrial pressure, while diastolic pressure refers to complete cardiac diastole, this is when the aortic valve closes and pressure is at its lowest between beats, blood moves into smaller corresponding vessels and the heart rests.
Patients have a right to complain about the doctor's refusal to the Management. Provision of Treatment requires patient’s choice and informed consent. Even if a patient has signed a general consent clause, the patient can still refuse medical treatment or procedures. However, in exceptional or emergency situations a doctor may be legally justified in performing surgery or providing treatment without the patient's consent. The patient should be competent and capable of making such a decision to give a consent.
