Confidentiality Debate

How I would explain the difference between privacy, confidentiality, and privileged communication to a client.

Some of our service users have profound learning disabilities and their level of comprehension and understanding is very limited, however they communicate constantly.

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.

In the article “Taking a ‘War of Words’ Too Literally”, Deborah Tannen defines “argument culture”, as “the best way to get anything done”. Debating is when “Issues are routinely approached by having two sides stake out opposing positions and do battle. This sometimes drives people to take positions that are more adversarial than they feel-and can get

4.3: Describe the potential tension between maintaining an individual’s confidentiality and disclosing concerns to agreed others.

All settings should have a designated person to deal with child protection issues. If you have concerns that a child is being abused it is our job to disclose this information to the designated/manager of the setting unless you think by disclosing the information will put the child/young person in further danger.

Remley and Herlihy (2016) defines confidentiality as an ethical concept which refers to the counselor 's obligation to respect the client 's privacy and in session discussion will be protected from disclosure without their consent (p.108). The receptionist never disclosed what was being discussed in wife A session; however, her inadvertent breach of confidentiality occurred the moment she divulged the fact that wife A is a patient at a mental health facility. An important premise to understanding the ethical principle of confidentiality is base that a counselor respects the client 's right to privacy (Remley & Herlihy, 2016; Quigley, 2007). Premise one states the "counselor honor the rights of clients to decide who knows what information about them and in what circumstances" (p.110).

The subject I intend to reflect upon is confidentiality within a professional healthcare setting. Confidentiality formed a part of our professional issues lectures and it piqued my interest due to how differently it is interpreted within healthcare as opposed to education, which is my background. In an educational setting I was taught repeatedly that I could never ensure confidentiality between myself and a child. Comparing that to what I have now learnt in healthcare, this seemed to me almost the opposite way of working as I was used to and so I wish to reflect upon this.

debate. Politics are not the same as they use to be. We as a people now live in an era, which

The nature of the banker-customer relationship is one of agency. Amongst the duties that stem from this relationship, the bank’s duty of confidentiality is clearly an issue of great importance. The focus of this essay is on the scope and limitations of the bank’s duty, both to its customers as to the public. In order to analyse this it is necessary to firstly consider the idea of duty of confidentiality, Secondly, it is necessary to study the Court of Appeal’s judgement in the case of Tournier. Thirdly, this essay will take the Jack Committee report into consideration. Lastly, this paper will briefly mention the Banking Code, it will also discuss whether the principle in Tournier may be outdated and if so, whether it is in need of a new crystallised self, clearly stating the limits and boundaries of the bank’s duties both to the customer and to the public itself in the form of a statute. To conclude this essay will consider the future of the duty of confidentiality.

Confidentiality is considered a core value or principal in the medical practice. Confidentiality is a right that all people have within the medical field. This is the requirement of health care providers to keep a person’s information exclusive unless the patient or the person consents in the form of a release to share that information with other people that practice. Usually the consent is given when a doctor wants to consult with a different doctor for example. In this case it would be for the betterment of the person.

In the excerpt by Deborah Tannen entitled, The Argument Culture: Moving from Debate to Dialogue Tannen speaks about the oppositional nature of public discourse. She expressed her thoughts on how we are determined to seek certainty by using arguments from two different standpoints, as if there are no additional angles that can be examined. Oftentimes, there are more than two sides of an issue, but due to the way society has taught us, we only look at issues from two extreme perspectives. I find Dr. Tannen to be extremely intelligent in her observations of how people communicate using debates and opposition as a means to express what we believe to be true. Although Americans habitually view issues from only two extreme points of view, dialogue solves more problems than debates because it does not cause division among people as frequently as debates does.

Everyone is entitled to confidentiality unless they give permission for someone else to see their information or they can no longer make decisions on their own (for example, if they are confused or comatose). A federal law, Health Insurance Portability and Accountability Act applies to most health care physicians and its guideline, known as the Privacy Rule. The Privacy Rule sets specific rules regarding privacy, access, and disclosure of information. For example, HIPAA specifies the following:

a swing in the emphasis and the resources devoted to this activity. Note; In all areas, confidentiality is of critical importance.

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