Analyzing Perri Klass 'Invasions'

Confidentiality is a concept of vast importance for professionals in the medical field. It is a professional obligation in this field and is considered to be an ethical concept that falls in line with integrity, compassion, veracity, charity, and fidelity as explained in both the International Council of Nurses Code for Nurses (1973) and the American Nurses Association Code of Ethics (1985). However, in today’s ever growing world of technology and demand for information, challenges continue to arise that force doctors and nurses to reexamine virtues such as confidentiality.

Disclosing confidential patient information without patient consent can happen in the health care field quite often and is the basis for many cases brought against health care facilities. There are many ways confidential information gets into the wrong hands and this paper explores some of those ways and how that can be prevented.

Concepts of reasonable limits refers to limiting one’s actions or in reference to nursing, limiting what one can say or do in terms of a patient’s care (Jonstone & Fry, 2002). When discussing reasonable limits, a nurse has to take into consideration at what point is enough, enough. For example, in the case study regarding Mrs. Z, reasonable limit would prevent the nurse from pushing the patient further into pursuing treatment and disclosing her medical prognosis to her family. Mrs. Z is a lucid individual, so the nurse and doctor caring for her would have to limit their interference in disclosing information to her husband due to reasonable limits. In nursing, there are times when breaking a patient’s confidentiality becomes an ethical issue. If the nurse was thinking in terms of Utilitarianism, breaching confidentiality would be the only reasonable thing to do. For example, if a patient who is HIV positive is knowingly having unprotected sex in order to infect other people, it would only be right to break the confidentiality of their diagnosis to prevent further harm to other individuals in the future. Sometimes, in order to protect the greatest amount of people, confidentiality has to be broken. Another example where a healthcare individual can break confidentiality is if a minor is being harmed and the minor does not want to disclose to anyone their situation. For

The resident physician violated confidentiality, because when he left the patient’s room and made a comment about “She-male,” everyone in that vicinity may have overheard him. Only the health care professional taking care of him should know about the patient being

Although Henrietta lacks and John Moore have contributed a lot to the science community their stories has raised many ethical issues concerning the privacy and consent of a patient. Similar cases might not occur so often nowadays because we have established laws that protect a patient's privacy and acknowledges them before making any

Seeing information about a healthcare user in such terms makes me realise that some information is not necessarily in the public domain and therefore I have a privilege and responsibility to not only care for the patient but also for the knowledge about them that I am privy to. I realise that, although I have a duty to retain confidentiality, I may be placed in a position where the confidence has to also include other healthcare professionals and I need to involve the patient in such a situation (ibid).

The article, Keep Privacy in Health Records, was written by the Monitor's Editorial Board on February 2, 2009. It condemns some of the provisions of a House Bill that was passed by the ACLU and other privacy groups. According to this bill, data encryption would ensure that authorized persons are barred from accessing patient’s health records in the institution. Audit trails are also crucial in determining and tracking who accessed the records, at what time and what type of information did he/she get. Lastly, the patients should be allowed to see their records to improve their notification and strengthen enforcement in health institutions. However, despite these initiatives to improve accountability and confidentiality of patient’s records in most institutions, the board believes that the bill has not solved some of the privacy issues as far as patient health records are concerned.

Being a doctor requires a lot of hard work and commitment to help others and look for the patient’s well being, but has it always been this way? In “The Immortal Life of Henrietta Lacks” by Rebecca Skloot, she claims in paragraph 4 on page 130 that doctors used to withhold information from patients just so they won’t deny the test being made, and this way obtain their wanted benefit. The author’s claim is supported by the events of the patients from jail, Henrietta’s autopsy, and Henrietta’s cells overall.

As a member of a medical professional team, you will work closely with many physicians. As you have read this week, guarding the physician-patient relationship is serious business.In this assignment you will practice what you have learned in chapters 5 and 7 in the Medical Law and Ethics textbook: * Federal privacy laws that pertain to healthcare and the "Patient's Bill of Rights" * Privacy, confidentiality, and privileged communications * Filing birth and death certificates * Examples of communicable diseases which must be reported to local, state and/or federal

Even if you are not familiar with the medical world and all the privacy or ownership rules that are constantly forming, think of this in general terms. Invasion of privacy from the government listening in on your phone conversations, email, and so on. Think of the ways some companies break ethical rules by sharing our private information all over the web. An invasion of

The first commentary by Leonard Fleck defended the patient confidentiality by stating the physician is morally obligated to respect the patient’s confidentiality. The argument is well supported because Fleck implies that there is no

The main focus of the article is to look at the absolute value of patients’ confidentiality. Blightman et al. look at the pros and cones of breaking patient’s confidentiality and conclude that a breached of confidentiality is in order when it is necessary to obtain consent, as required by law, or when it is in the best interest of the public. The article is useful to my subject, since it examines in details the main issues involving the safeguard of patients’ information. In addition, the authors define confidential information, looks at breaching confidentiality for consent, audits, protection of children, disclosure to family and friends, statutory disclosure, prevention of crime, public interest, public safety, public health, and disclosure to the media. The paper publication is Continuing Education in Anaesthesia, Critical Care & Pain, which s a joint publication of the British Journal of Anaesthesia and The Royal College of Anaesthetists in the UK. It is also the official journal of The Faculty of Pain Medicine and The College of Anaesthetists of Ireland. Publication in such an esteemed journal requires utterly scrutinized of reliability and credibility of the information provided. I found the article educational and thorough in its coverage of aspects of breach of patient information. It is also well written and easy to understand.

Confidentiality is central to trust between doctors, medical team and patients. Patients have a right to expect that information about them will be held in confidence. The birth of the Hippocratic Oath in the fourth century started the responsibility of physicians to preserve the privacy and confidentiality of their patients. One of the provisions of the Oath lays the ethical foundation for the physician’s duty of confidentiality even beyond the circumstances of medical care. The Florence Nightingale Pledge, which was composed in 1893, was a modification of the “Hippocratic Oath,” a statement of the ethics and principles of the nursing profession. Included in the pledge is to hold in confidence

Privacy and confidentiality are basic rights in our society. Safeguarding those rights, with respect to an individual’s personal health information, is our ethical and legal obligation as health care providers. Doing so in today’s health care environment is increasingly challenging (OJIN, 2005).

Yeo (2010) point out that the possibility to retain some information from patients has been ordered for long in Australian law, as in other countries for the benefit of the patient. This has now been combined with the greater autonomy acknowledged to the patient in many jurisdictions. Although a clinical approach reveals that loyalty should guide the patient-physician relationship, there are still some situations in which information consent and truth telling may be controversial: in some circumstances, the physician should or may not tell the truth. The case at hand poses a dilemma regarding the right to know (Cherry & Jacob 2008).