In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her.
The Health Insurance and Portability and Accountability Act ( HIPAA) of 1996 provides security provisions and data privacy for protecting a patient’s medical information. HIPAA has guidelines to ensure that a patient’s confidentiality is maintained while allowing the communication of a patient’s medical records between certain bodies or people or officials. Officials that a patient’s medical records can be shared with are other health care providers, health plans, business associates, and health care clearinghouses. HIPAA protects all “ individually identifiable health information”. There is a specific protocol to follow when sharing a patient’s medical information.
A moral dilemma that arises in a doctor-patient relationship is whether or not the doctor should always tell their patient the truth about their health. Although withholding information was a common practice in the past, in today’s world, patient autonomy is more important than paternalism. Many still are asking if it is ever morally permissible for a doctor to lie to a patient, though. David C. Thomasma writes that truth-telling is important as a right, a utility, and a kindness, but other values may be more important in certain instances. The truth is a right because respect for the person demands it.
Giarmo to Randolph Hospital. Dr. Giarmo was called and asked what information she could share with TACT about patient. Dr. Giarmo reports that she had completed an assessment earlier during the day and left nursing staff her contacted information for for hospital staff to ask questions. Dr. Giarmo expressed Dr. Giarmo reports that the patient has experience the loss of her mother a year ago, the patient sister is name Donna and brother is David. After this information was given, Dr. Giarmo ask for my credentials, which were given, then reports that she did not agree with TACT assessing patient at this time, she refuses to share anymore information due to the fact she sign a release to Randolph Hospital and not TACT, and that TACT should not assess the patient because her condition is due to a medical problems.
There is a controversial issue in regards to the violation of the HIPAA privacy rule concerning a client who was received at a small town hospital emergency rule. As a privacy officer, this issue has been bought to my attention. HIPPA violations are serious offenses, and ultimately, it is my responsibility to take corrective actions to resolve this matter upon this investigation. HIPAA’s purpose, Is to protect the privacy of health information concerning a client or an employee.
It is very clear to most that Grey ’s Anatomy is an inaccurate depiction of medicine and the healthcare industry. Though heavily dramatized and ‘doctored’, there have been moments of learning, especially with this ethical issue.
Finally, it will explain the importance of ethics in communication and how patient safety is influenced by good or bad team communication. The first method of communication is mutual respect. The patient and clinician have a partnership based on trust. The patient has respect for the clinician 's experience and the clinician has respect for the patient 's wishes, needs, concerns and builds on past experience to meet immediate needs. (Paget, 2011).
Healthcare Ethics: Savior Siblings A current ethical debate in the world of healthcare is Savior siblings. A savior sibling is a child who is born to be genetically compatible with a sibling that is suffering from a life-threatening disease. The child is born to provide either organ or cell transplant, and/or blood transfusions for the ill sibling. The child is created through in vitro fertilization (IVF), once the embryo goes through preimplantation genetic diagnosis (PGD), it helps identify genetic defects within the embryos.
The Singapore Nursing Board (SNB) Code of Ethics and Professional Conduct states that confidentiality means to protect the privacy of clients’ personal information (SNB, 2014). According to Lockwood (2005), confidentiality could be viewed as information that a doctor learns about a
If nurses make mistakes, they have to admit it. In addition, Nurses have an ethical responsibility to keep their patients ' medical record confidentiality. Nurses shouldn 't release this confidential data to other persons. Furthermore, Nurses need to be trusted with a great deal of high profile information. A patient counts on a nurse 's professionalism and integrity to keep their medical information confidential.
Describe the duties of the professional nurse in this case with Mr. Cole As a nurse we are supposed to have compassion and build a rapport with our patients but we must uphold our ethical principles when it comes to this dilemma. As for analyzing this situation and coming to a decision I would use the nursing process since it provides a helpful mechanism for finding solutions to ethical dilemmas. (Whitehead 2007). I would assess the situation and ask myself about the medical facts, psychosocial facts as well as cultural beliefs, patients’ wishes and what values are in conflict. I would then move on to planning and make sure that everyone is involved during this stage and continue on down the line with the nursing process.
Response to Compliance Management Scenario Compliance management in a complicated and ever expanding portion of the Health Information Management (HIM) field. As federal, state and local laws are created and revised, HIM professionals must stay current of not only the regulations but also the consequences of non-compliance. Along with federal, state and local laws, attention must be paid to the guidelines of various accreditation and credentialing bodies. Scenario Mistakes, Type of Violation and Preventative Solution There are several mistakes made in the provided Compliance Management Scenario.
The author highlights how vulnerable patients will give their trust to nurses, they should begin their relationship with a rapport (Price, 2017). “Patients often feel vulnerable and there can be an imbalance of power between the nurse and the patient; similarly, patients who are receiving treatment in hospital can find themselves in an unfamiliar environment” (Price, 2017). In this situation the client was degraded, there was an imbalance of power. The client had an unfamiliar caregiver, creating confusion and anxiety. To create a therapeutic relationship trust must be created, it requires effective communication, honesty, and respect.
This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse. The role that I played in the group was a patient who has a mental health disorder and I didn’t want his mother to know about the illness, as a front it seemed as though we had a close relationship. When my mother leaves the room I asked the nurse to keep my illness confidential as she does not really understand it.
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
