Physical abuse can result in psychological distress such as depression, emotional distress and even thoughts of suicide. Signs of physical abuse include bruises, grab marks, burns, cuts, depression, swelling and injuries that doesn't fit the explanation. Sexual abuse (Molestation) is the forcing of undesired sexual behaviour by one person upon another. According to research, people with disabilities are at greater risk of victimization of sexual abuse due to a lack of understanding. Even though the number of cases are high, a lot will go unnoticed this is because of a number of factors including not being able to communicate effectively, lack of education or understanding regarding sex and being socially isolated and not having a way of telling someone other than the abuser in confidence.
Kay Neal Mike Jackson Ethics June 24th 2013 Ethical Dilemmas of A Licensed Clinical Social Worker There are several ethical, as well as moral dilemmas that face A licensed Clinical Social Worker. Among them, and perhaps one of the most important, is the patients right to confidentiality. Society as well as legal authorities have recognized the right of patient confidentiality. The problem here, is when a patient informs the social worker that he or she is misusing, or abusing a medication. Morally the social worker may feel inclined to inform the patients doctor that the patient is at risk of a possible overdose, However bound by patient confidentiality the social worker is not allowed to inform the patients doctor.
When the level of emotional pressure becomes too high, punishing oneself as a form of communicating the unhappiness can make someone fell alive when feeling dead inside or when it’s too difficult to talk to anyone. Bullying or discrimination is one of the self-harming causes among teenagers. Bullying is a repeated and deliberately hurtful attempt to humiliate someone. It is difficult for people being bullied to defend themselves because, most of time, the person bullying is stronger than the person bullied. Bullying can be physical (hitting, pushing or damaging others’ property), verbal (name-calling) or social (excluding someone, spreading rumors).
Childhood sexual abuse has been correlated with higher levels of depression, guilt, shame, self-blame, eating disorders, somatic concerns, anxiety, dissociative patterns, repression, denial, sexual problems, and relationship problems. Depression has been found to be the most common long-term symptom among survivors. Survivors may have difficulty in externalizing the abuse, thus thinking negatively about themselves. After years of negative self thoughts, survivors have feelings of worthlessness and avoid others because they believe they have nothing to offer. Ratican (1992) describes the symptoms of child sexual abuse survivors’ depression to be feeling down much of the time, having suicidal ideation, having disturbed sleeping patterns, and having disturbed eating patterns.
There are some legitimate reasons for breaching a patient’s confidence but there can be some considerable consequences as well. This paper will use the article by Pamela Nelson entitled “BIOETHICS ON NBC'S ER: Betraying Trust or Providing Good Care? When is it okay to break confidentiality?” as an example of an ethical dilemma involving patient confidentiality. Luckily for today’s healthcare workers we have several ethical frameworks to guide us and we can ask for the assistance of an ethics committee when we are faced with an ethical dilemma that involves patient confidentiality. Why is Patient Confidentiality Important?
Non-compliance with medication is often due to adverse effects however involving the clients in the recognition and management of them can help to overcome this. The author has chosen to set up a clinic with the primary focus is to monitor and assess for any/all side effects which are commonly attributed to antipsychotic medication use. The clinic will also be used as a platform to encourage and promote healthy life styles, offer education regarding the illness and management of side effects and a great emphasis will also be placed upon encouragement of concordance with prescribed medication. Regular assessment and monitoring of medicines is essential to ensure optimal treatment for clients. Consideration of both the positive and negative effects of medication and the consequences of these on the clients is essential.
When contacting other providers they may be treating a client for other mental health disorders. Screening for substance abuse is important as well and a clinician should always keep in mind that with substance abusers co-occurring disorders are not uncommon. They should always screen for keep their eyes open for clients who are bi-polar, experience depression, and manic depressive disorders. At this point a clinician should refer to the DSM-IV for an accurate diagnosis. A clinician should always ask a client about their strengths and weaknesses to find out exactly how the client sees
Ethical Issues in End of Life Care Jessica Moore Abstract In nursing, there are issues that others may not realize that go on at the end of life care. End of life care is about comfort and care of the patient and treatment of the patient during the end stages of their life. Drug use like opioids in end of life care could possibly be an ethical issue for nurses because some people might say that in trying to keep the patient comfortable they are also causing problems with the patient’s respiratory system functions. Opioid use might be good to help ease the pain of the dying patient but it could also be causing the patient to go through the dying processes faster due to loss of function in respiratory functions (Mohanti, 2009). Ethical issues can be in any end of life care situation through, no matter if the patient is an elderly patient that you were expecting to be there or a patient that was diagnosis with cancer and is still very young.
Nursing Roles and Values Paul Hubbard The struggle for any nurse is the conflict in doing what’s best for the patient (paternalism) and the patient’s wishes (autonomy). Paternalism is rooted in the Hippocratic Oath that states to “first, do no harm” regarding the role of the healthcare provider in the provision of patient care. While the Hippocratic Oath has played a significant role in treating patients, it at times conflicts with one of our country’s most revered documents, the Declaration of Independence. As almost every citizen of the United States knows, liberty is one of man’s inalienable rights. When Thomas Jefferson was asked for his interpretation of liberty he stated "rightful liberty is unobstructed action according to our own will within limits drawn around us by the equal rights of others.
It is the responsibility of all health care employees’ to take care of patients. Management and leadership have to be careful with confidentiality, this one of the important ethical issues in the medical field. Confidentiality is protecting patient’s information which is private and personal, and the conversation between doctor and patient. Management need to make sure patient health information is secure and the conversation between patient and doctor is safeguarded. For most hospitals manage, leaders, doctors, nurses are concerned about communicable diseases from patients, especially if the medical staff cannot obtain medical records.