Case Study Of Disagreement With Trimere Venning

Mrs. Maness is a 53-year-old female who presented to the ED via LEO under IVC. Per documentation Mrs. Maness has been brought in by LEO for alleged paranoia, not taking her medications, and "running around with multiple firearms in her car." Mrs. Maness has stated before assessment to nursing staff, "This is all a lie, but I do carry a pistol for my personal protection." At the time of assessment, Mrs. Maness denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mrs. Maness is accompanied by her friend. Mrs. Maness informs this clinician she is comfortable having her in the room at this time while sharing information. Mrs. Maness reports family conflict as the primary stressors contributing to her current distress. When

The narrator first talks about her experience with an elderly patient who had Gonorrhea. While presenting about a patient, Mr. Z the medical student reveals that Mr. Z has Gonorrhea because she feels that it might be relevant to the patient’s current diagnosis of dysuria and intermittent hematuria. When the resident made a comment that led the patient to realize that the medical student and revealed his secret, I realized how unlike the residents the medical student seemed to be more mature as she felt like a traitor in revealing the personal information to his colleagues. It really bothered me how later when the narrator said that the “privacy of your body is violated constantly by doctors and nurses.” While in context this makes sense, as doctors need to do physical examinations and ask multitudes of questions in order to ensure an accurate diagnosis, I don’t think it is doing justice to the

You are conducting patient education with the family, discuss in our own words, the potential complications for Jessica if she is not compliant with her medical regimen when she goes home.

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

I learned that as a nurse it is my duty to always consider my own well being, along with my patient’s. I must keep a high moral character both in the workplace and in my personal life. I must continue to educate myself and keep myself up to date with all the latest nursing practices and research. I must subject myself to peer review and evaluation. I must never let my personal feelings about a patient’s lifestyle affect my care for them. When met with a tough choice that places me in an ethical crisis I must keep a good head on my shoulders and always have my patient’s best interests in mind. If I feel that a situation at work is in direct conflict with my personal values or my oath to be an ethical nurse I must go through the proper channels to work through the problem.

She had forgotten that she signed a consent to follow-up with her friend’s and her mother’s phone numbers and became somewhat combative over the intrusion. Then, she began complaining that there were scabies and bedbugs while she stayed at the Y. She also was upset that I was bothering her after a year and was going to file a complaint with Jami. After she caught her breath, I explained that it was a one-year follow-up, and said in as soothing a voice that I could muster, that I was only an intern, but I believed the Y had her best intentions in mind. Further, I elaborated that we only want to know if their former residents are doing well, and if not, how may they

The scenario also states that the nurse tried going through the admission process by asking the patient some questions. This process was carried out in the presence of Mr. Jones daughter. Clearance was never sought from Mr Jones as to whether he was comfortable going through the questioning process in the presence of the daughter which was a violation of Mr Jones’s right to confidentiality (IBID).

Evan and the other patients have a right to confidentiality; therefore, legally his HIV status cannot be disclosed to the other patients (HIV/Psychiatric manual, 1997). In assessing Evan's rights and the duties of the nurse, Evan has a right to confidentiality, trust, informed treatment decisions and quality care. An Bord Analtrais "Code of Professional Conduct" (2000) states that the nurse is obliged to dutifully undertake these rules. However, Claire's health and that of the former partner are at stake. The nurse will break the confidentiality and trust rules by telling Claire of Evan's illness. The nurse has a responsibility towards other professionals therefore informed decisions and quality care will not be carried out until information of Evan's HIV status is divulged. The last aspect of "Defining the Problem", is to recognise the main ethical problem to be addressed which is whether or not to dismiss patient-nurse confidentiality and trust in order to get adequate healthcare for Claire and Evan's other partner.

In this case study, I will explore the concept of stare decisis and wherether it is in exorable command. I will be explaining what the court means when it say that” stare decisis is not an inexorable command”. Also what it would mean for the American system of criminal justice, if stare decisis actually was “inexorable command”.

As part of my clinical experience at St. Joseph unit, I had an opportunity to work with my classmate, Kingly and Dat. Dat was a very kind and efficient nursing assistant and I felt fortunate to have had the chance to work with and learn from him. Our day together seemed as though it was typical for the residence. The first resident was Ms. Nancy; she is in room no. 220A. My duty gave her breakfast and feed her in morning. Upon waking Ms. Nancy I respected her privacy by always knocking before I entered the room and asking permission to enter. I have introduced myself and followed standard precaution by washing my hands before start any procedures. I tried to talk to her while I was feeding her. I tried to wake her up before the breakfast is over. She only ate 35% of her meal. Then, Dat showed me how to use a full sling mechanical lift to move Ms. Nancy to shower chair and show me how to use shower chair while showering Ms. Nancy. After finishing

Nurses have a professional responsibility to ensure that safe boundaries are understood and maintained in a patient/nurse relationship. Nurses should be knowledgeable regarding professional boundaries and continued education assists them to achieve this. It is these boundaries that provide the nursing profession with integrity, and according to Baca (2010, pp.195) it is essential these boundaries be maintained because of the difference in power between the nurse and patient. However, boundary violations can occur, when a nurse crosses from the zone of helpfulness to over involved, the ANMC (2011 pp.3) believes that when a violation occurs a nurse is behaving in an unprofessional manner and misusing their power in the patient nurse relationship. This misuse of power can be categorized into 3 types; boundary crossing, boundary violation and the extreme form, of sexual misconduct. Often a nurse could cross the boundary without thought, a violation is a more serious matter when according to the ANMC (2011 pp. 5) the nurse puts his or her own needs in front of the

Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.

Nurses are faced with ethical dilemmas every day. There are a lot of different beliefs surrounding ethics and the code of ethics. Ethics and ethical issues have always existed, that is why they have put in place the code of ethics. The American Nursing Association (ANA) Code of Ethics isa guideline to help nurses determine which course of action to pursue. Every minute many ethical decisions are made, some may not comply with guidelines and others the patient’s will never understand. In this case study the nurse is put in an uncomfortable position and has two find a way to comply with the family, the patient, and the doctor’s orders.How can she report to the doctor the information the daughter has told her? How she approached

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).

Despite the negative reaction and with guidance from Emily medical center’s nurse ethicist she was able to stand firm and stay resolute in her determination to do what was right. Emily was able to properly handle the situation, which is important because the negative effects of leaving this could have been profound.