Ethics Case Study Jerry has the credentials to write a prescription and to authorize a refill. In this circumstance, although Jerry has the medical training that allows him to make requests for medication and refills, Jerry should not put in the refill or authorize a new script. Jerry should take the patients information and make sure this information is correct. Once confirmed Jerry could have this authorized by the Doctor and contact the patient as to what will take place. The patient may be on a time constraint but this liability is much more important to weigh.
As a nurse it is important to make sure that tasks are being delegated appropriately to UAPs and they understand when they need to report problems of concern to the nurse. The CNA in Mr. J’s scenario did not take the reddened area on the spine seriously and reapplied the restraints and left Mr. J on his back after toileting. The nurse knows that areas of breakdown occur over bony prominences and the area of breakdown discovered should cause concern to the CNA as well as the nurse. With this not being reported to the nurse, no measures to prevent this from worsening can be implemented. Oftentimes a diet is used not only to complement treatment but respecting individual’s religious beliefs.
In the article by Garrett, Baillie, McGeehan, and Garrett (2010), the health care professional’s obligation is to “provide the health care information and leadership to ensure that this distribution is accomplished in ways that allow the goals of health care to be achieved” (p. 71). Although the physician informed Ms. Selbstmord of the lifestyle changes she needed in order to improve her condition, he failed to inform her of other important treatment options. The physician decided against prescribing Ms. Selbstmord a medication for asthma because of the side effects that would result. However, the principle of double effect of nonmaleficence would suggest that improvement of her asthma by the medication would create more good than the harm of the side effects so it should have been given as an option for the patient to decide. If the health care professional would have provided Ms. Selbstmord of all of the options for treatment and their consequences, it would become Ms. Selbstmord’s responsibility if whether or not her condition improved or worsened.
This form requires health professionals to document both how they have come to the conclusion that the patient lacks the capacity to make this particular healthcare decision, and why the proposed treatment would be in the patient’s best interests. It also allows the involvement of those close to the patient in making this healthcare decision to be documented. The development of these forms does not change the current position on when written, as opposed to oral, consent to treatment is necessary. It is a matter of local determination what form of consent is appropriate for individual procedures, within the broad guidelines set out in the model consent
The informed consent presents the treatment information in an understandable manner in an effort to avoid any misunderstandings leading to a possible delay in care. A lack of understanding opens the door to further communication between the physician and the patient or their appointed surrogate. If the patient has not appointed a surrogate, health care professionals cannot treat a patient against their will unless the courts have appointed a health care surrogate. However, when the wishes of a patient conflict with the decision of their surrogate, the health care provider should revert to their institution’s policy or court intervention. When
Therefore, to protect them, they are kept away from mainstream society and excluded. * Rights: The medical model of disability believes that medical professionals know best. This means that therefore the rights of the individual are seen as unimportant and are pushed aside to follow the opinion of the medical professionals. * Autonomy: Decisions in health and social care services for people with disabilities are usually made by carers or medical professionals, as they feel they know what is best for the individual. Therefore, autonomy is not an important principle in the medical model.
A DNR order is when a patient states that they do not want for the doctors to try and bring them back to life after they have stopped breathing on their own. A living will is a document that is completed by the patient so that they are able to make the final healthcare decisions before they become incompetent to say so. The durable power of attorney for healthcare is the legal document that tells which person or persons the patient has appointed to make healthcare decisions for them after they have become incompetent to do so for themselves. 3. What is the purpose of the Uniform Anatomical Gift Act?
This nurse should have requested assistance from a nursing supervisor when the physician failed to acknowledge the patient’s right to self determination by stating “No” when the physician wished to intubate him as well as acknowledging that this patient had an advanced directive. This nurse also failed, when she initially spoke with the DPOA, to notify him that the patient had an advanced directive and she should have taken steps to notify him of this as soon as she realized that she had made a
Modifiers help with duplicate billing and unbundling of codes. The coder must understand professional courtesy and discounts to uninsured or low income patients. Professional courtesy is when the doctor may not charge for services to other doctors or their family. This is not allowed because health insurance deductibles and co-pays must be paid. When giving discounts the system used to determine who gets the discount should be documented in the compliance plan.
Smithsonian desire is for all patient to be well informed of his or her care plan. To make certain that patients understand the facility provides interpreters to help individuals participate in his or her procedures. Informed consents allows individuals to give permission prior to provider treatment. The consent protects patients and the facility, however situations may occur in emergencies when minors or adults are not available to sign and providers must make an ethical decision to save the patient. Religious beliefs also affect healthcare, some individuals refuse to receive blood transfusion if the patient is available to sign the refusal care providers