Thus, a person’s health should not be sacrificed due to that patient’s autonomy or right to make his or her own choices. As long as a patient is informed about the consequences of their actions, then one should be able to do what he or she deems necessary. Ms. Selbstmord’s case illustrates the shift that society is beginning to make further from autonomy and to other principles that place less value on a patient’s rights. References Callahan, D. (1994). Bioethics: Private choice and common good.
Whereas by definition, paternalism restricts a person’s right to autonomy, and takes another person’s autonomous right away and makes decision on their behalf, even if it is contrary to the wishes of the patient (Beauchamp and Childress 2001). Paternalism with Mrs Jones was not the case, yet with regards to safeguarding her from further harm justice, beneficence and non-malfeasance would have been insuring long term interest. To be deemed competent professionals work within trust guidelines and trust protocols and must treat patients fairly, without discriminating against them; ensuring that the patient is able to make autonomous decisions regarding their own care (NMC
The care assistant may also hold the cup or glass for the service user as a precaution against spills or dropping the glass/ cup. This falls into the moving and handling principle. A(iv) As there is a care plan in place for the service user, the nurse on the day trip with the residents should know that service user C is a type two diabetic and should have the necessary tablets and medication that this service user needs. If the nurse did not read the care plan for this person and this scenario were to happen, this could prove to be dangerous and stressful. By following the care plan the nurse was able to know that she needed a sugary drink with her and that the service user had taken her tablets before the trip began.
The patient is a minor and may not comprehend the severity of her diagnosis. The nurse as an adult needs to tell the parents so that the patient does not experience harm. The principle of autonomy is another principle that I would use to justify my position in this case. Autonomy is the ability of a patient to give informed consent and make their own decisions (University of California San Francisco School of Medicine, 2008). Because this patient is a minor she is not mature enough to understand all of the implications of her diagnosis and treatment.
Also, avoid the types of food that could set of flare, which may not be the same for every patient. People can live normal lives—grow up, graduate, marry, have a family—if they follow the instructions given to them. With some hope a cure will be found and people with Crohn’s disease, Ulcerative Colitis and other inflammatory bowel diseases can live free of
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
A physician job description is to aim at the provision of treatments with health benefits in the patient’s best interest, and to avoid adverse outcomes (Fiona Randall & Robin Downie 2010). Once a patient has died it is no coming back and the physician does not want this one their conscience when one day a cure could come along for terminally ill patients. Physicians are to heal and prolong life not take a life. Granted, physician assisted suicide if it does become legal it is still a decision left
I feel that withholding information on a lucid patient fully in control of her mental faculties is tantamount to lying. I believe the patient has the right to know the conditions surrounding her health care treatment plan. Step 4 I verbalize the problem by saying, “Should I inform the patient of her terminal health care condition or should I follow the wishes of the patients’ daughter and withhold information on the seriousness of her condition?” Step 5 There are many courses of action possible, but I believe the best outcomes would like along these three possible scenarios. The first option would be to disclose all medically pertinent information to the patient so that she is fully informed. The second option would be to as for assistance from a social worker or a preacher or priest from the members church to talk with the daughter and mother.
Quality Health Care in a Modern World Stephanie Jordan HCA 304 Instructor: Kori Novak October 15, 2011 Quality health care in today’s world consists of more than just a doctor or a nurse providing care to a patient; it is the combination of technology, management, training and the human aspect. The legal issues of providing the best health care are important because they involve not only protecting the patient but insuring that processes are put into place to change problem issues into stronger policies to protect the patient. Ethical issues come into play when a patient’s rights are violated or services are refused because of ability to pay. How do we build a strong community of health care? The first step is the role of the health
Speaking to a loved one about end of life decisions is never easy, and in most cases is not discussed until someone has been diagnosed with a terminal illness. When a loved one is faced with a poor prognosis, the family is confronted with important decisions on how to provide end of life care for them. The nurse can be instrumental in helping the patient and family decide whether they want to stay in the hospital, or go home for their final days. Helping the family set up an advanced directives is important so the family is aware of the patient’s wishes in the event that they can no longer make their own decisions. It also reduces any anxiety that the family members may be feeling if the patient has their wishes laid out for them to follow.