Assignment 301 Principles of communication in adult social care settings 18.06.12 Task B Case study You are a social care worker and a service user, Hannah, tells you that she is unhappy taking her new medication as she thinks she does not need it and so she is throwing it away. You know from her care plan that Hannah does need to take the medication regularly and gets confused. Hannah begs you to keep this confidential and not tell anyone especially her daughter, who she sees regularly, as her daughter will be very angry. Bi How would you explain the term ‘confidentiality’ to Hannah? Whilst it is Hannah’s right to make decisions for herself and choose to take the medication or not, in this case from the information given it could be detrimental to her health and therefore I would explain to Hannah that the information given to me in confidence; through Hannah not taking her prescribed medication she may be at risk of harm and therefore I would need to pass the information on to my Manager to ensure her wellbeing is being addressed.
Assignment 301 - Principles of communication in adult social care settings Task B - Case Study You are a social care worker and a service user, Hannah, tells you that she is unhappy taking her new medication. She thinks she does not need it and so she is throwing it away. You know from her care plan that Hannah does need to take the medication regularly and gets confused. Hannah begs you to keep this confidential and not tell anyone especially her daughter, who she sees regularly, as her daughter will be very angry. Bi.
The information Hannah disclosed would be recorded, signed and dated, reported to my line manager and those directly involved in Hannah's care such as her G.P. who could try to help her understand the benefits of taking her medication. If I failed to record/report the information I would not be fulfilling my duty of care to Hannah, this could lead to her becoming ill from not taking her medication, which would then be negligence on my part. If the information was shared with Hannah's daughter without her consent she could lose all trust in me and other staff and could withdraw and not tell anything. It could also lead to tension between Hannah and her daughter.
An article by Nathanson (2000) described the condition of the ethical problem when a nurse had to disrupt the confidentiality of patient information to a suitable person. In this situation, nurse faced an ethical dilemma. Take the decision for patient safety or keep patient's confidentiality is the choices in this situation. The purpose of this article is to explain the possible decisions taken by this author in the situation mentioned in the above article. Ethical Implications of a Breach of Confidentiality Confidentiality is the right of every patient.
From now on we are following a updated risk assesment plan and moving Mrs.A how she requested. 4. If a relative or friend has made a decision about Mrs. A care, support or life that she is not happy or comfortable with, i need to support Mrs. A to question or challenge the decision.My job is to make sure Mrs. A has a clare understanding. If Mrs. A remains sure that she is not happy with the decision, once she has information i can work with S/U to support her to challenge the decision. Any changes that are made as a result of this challenger must be safe for me, Mrs. A and anyone else involved.
If she was educated about the importance of prenatal testing Nahla might have been normal today. Sadly, many minority women avoid the distress and discomfot of the medical industry and refuse prenatal care entirely. The skepticism results from doctors failing to effectively communicate the reasons behind such testing and failing to provide the patients with information regarding what the prenatal test is looking for and what such results mean. Because there is a lack of clear communication, some mothers are uncomfortable about recieiving such
June, a 34-year-old divorced woman diagnosed with severe anorexia, is hospitalized. Her doctors feel she may need to be placed on a feeding tube soon to save her life. Initially June agreed to the feeding tube. However, in the evening (before the tube has been placed), she became combative, disoriented, and refused to have the feeding tube placed. Her mother and father insisted that the feeding tube be inserted despite her refusal to allow it.
Knowledge of pressure ulcer prevalence. Knowing the stages of pressure ulcers, repositioning the patient every two hours, and not replacing him back onto his back when putting back to bed would have helped the nurse and CNA prevent one with this patient. Restraint prevalence knowledge by the nurse of when to use restraints and the proper management of patients in restraints. Patient satisfaction is another nursing sensitive indicator not taken into account here because of the nurse’s attitude towards the wrong diet being delivered and not keeping Mr. J.’s daughter informed of the incident and how it was remedied. The remark the nurse made was also inappropriate and shows she did not have the patient or family’s satisfaction in mind.
The patient constantly asks the medical assistant about her step daughter. However the doctor told the medical assistant not to tell the patient about her step daughter’s death without giving any reasons for such instructions. Hence, the medical assistant encounters an uncomfortable position of whether to tell the truth or withhold it. The moral principles in conflict are honesty and loyalty because the medical assistant wants to be honest with the patient without being disloyal to the doctor. Another issue of conflict is breach of confidentiality.
Case Study Option 2 The main conflict of this case gyrates around whether or not it would be appropriate and moral for the caretakers, Mary Grange and Fran Lapointe to force treatment on Mrs. Black, after she obdurately refuses action for the pressure sore on her buttock. The issue arises when the nurses have to decide whether to act paternalistically, and do what is best and most beneficial for their patient. Or, respect the autonomy of the patient, though it may be harmful or even deadly, for her. Briefly, the principle of utilitarianism “recognizes that certain activities are more conducive to happiness than others and that those experienced in a variety of activities will agree” (utilitarianism handout). It seeks to promote the greatest happiness for everyone that is affected by the act.