Ethical Dilemmas In Health Care

One of the main ethical issues that faces health care is the security of patient information. This information is protected by laws and regulations such as HIPPA, but there are still concerns Scott, et al, 2005). Among those concerns is the new concept of electronic patient records and information. These records are designed to help hospitals and doctors get patient information more quickly, so that patients can receive treatment as soon as possible. Unfortunately, anything kept and transmitted on a computer has the potential to be hacked, so that is a serious concern for patients. Not all patients want their medical records to be available electronically, but they may not have too many options (Romano & Stafford, 2010). Opting out may not be an option for them, and if they do have that option it could reduce the speed and quality of treatment that these patients would receive. Do they want to risk that, just so they can feel as though their medical information is better protected?

According to the U.S Department of Health and Human Services, the Affordable care Act from President Obama gives consumers more options and benefits when seeking coverage from insurance company. It offers lowering cost as well as gets more access to high quality of care. This law creates Patient’s Bill of Rights that is very effective to protect consumers from any abuses or fraud from insurance company. Some preventive services are available to many Americans especially Medicare recipients at no cost. Not just that, they also receive a special offer of 50 percent discount for any well-known drugs in the market place under Medicare named “donut hole.” The Affordable Care Act helps other organizations and programs to convince healthcare providers

Based on this disclosure and admission, I was able to begin my work. I reinforced what the treatment center began to implement, the 12 Steps of Alcoholics Anonymous. We created a structured schedule of meetings and the 12-step work began. Weekly he came to therapy and we “sparred” back and forth of his lack of interest and motivation on the program. It became clear to me that I was not making any headway on this type of counseling and my client could be in danger of relapse. I suggested over and over the vital importance of this activity. It was frustrating, because although he recently achieved two years of abstinence, I feared he was only “Dry.” Without the daily maintenance of a, “spiritual program.”

Discuss one main issue of substance abuse that the NP should discuss with Mr. HR and his girlfriend?(15pts)

Substance abuse and additions: One of the unique ethical challenges involves the myriad of dual relationships inherent in the field and include dilemmas stemming from recovering workers attending AA meetings with clients or with their supervisors, or the changing role of some individuals to service providers within the very programs in which they had recently been clients. Dual relationships are a concern frequently addressed in the substance abuse literature (e.g., see Bissell and Royce, 1989). Additional challenges arise from the increased use of physical contact in treatment between clients and service providers, the hinging of services to abstinence, and the debates surrounding abstinence versus controlled drinking and harm reduction,

The client understands that he has a problem with alcohol, perhaps talking about the problem with alcohol can open up the door to talk about the other drugs use by him. The client might feel threaten and uncomfortable talking about addiction and might not want to attend AA meetings. It is important to let the client know that the program is there to help and improve his chances of

Patient stated that he was on detox unit in October of 2016. Patient stated that after his discharge and went to Salvation Army in Jersey City. Patient stated that he AMA'd from Salvation Army in February of this year. Patient stated that he felt that it was time to go get his own place, start working, and get his life together. Patient started working in construction Stated workin. got house care and within two to three months started using. Patient stated that he was stressed from life and physically tired from work as the reason for his relapse. Patient stated that he was fired two week ago. Patient will attend groups to identify coping skills for maintaining sobriety from drugs. Patient will increase socialization by interacting

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice

Healthcare professionals will be faced with ethical dilemmas throughout their career, particularly in the hospital environment. Having an education regarding professional healthcare ethics will provide some direction in how to best address these dilemmas at a time when either the patient or their family is in need of making decisions for themselves or their family member. It can be difficult for healthcare professionals to weigh professional protocol against their own personal beliefs and ethical understandings when determining critical care for their patient.

Substance Use: Client struggles with Alcohol addiction. Patient consumes at least a half-gallon per day.

Everyday, healthcare professionals are faced with ethical dilemmas in their workplace. These ethical dilemmas need to be addressed in order to provide the best care for the patient. Healthcare professionals have to weigh their own personal beliefs, professional beliefs, ethical understandings, and several other factors to decide what the best care for their patient might be. This is illustrated in Mrs. Smith’s case. Mrs. Smith is an 85 year old who has suffered from a large stroke that extends to both of her brains hemispheres which has left her unconscious. She only has some brain stem reflexes and requires a ventilator for support. She is unable to communicate how she wishes to proceed with her healthcare. Mrs. Smith’s children, Sara and Frank have different views regarding their mother’s plan of care. The decision that needs to be made is whether to prolong Mrs. Smith’s life, as Sara would like to do, or stop all treatments and care, as Frank feels his mother would want. In the healthcare field, there are situations similar to this case that happen daily where moral and ethical judgment is necessary to guide the decision that would be best for the patient. The purpose of this paper is to explore and discuss, compare and contrast the personal and professional values, ethical principles, and legal issues regarding Mrs. Smith’s quality of life and further plan of care.

5. Client is at a high risk for relapse as evidenced by his continued alcohol use. Client appears to be unable to maintain sobriety on his own and has little recognition and understanding of alcohol and substance use relapse issues. Client appears to have poor skills to cope with and interrupt addiction problems, or to avoid or limit relapse. Client would benefit from an inpatient treatment to target problem

The Treatment method I would recommend for Brian is the Motivational Interviewing technique. It’s a non-confrontational way of talking and interacting with clients to motivate them to talk openly about their drinking, and to help them decide if changes are necessary. The main objective of this interview is to gather information in order to assess which of the services will best benefit Brian. Because Brian is not willing to give up his alcohol completely, I believe a harm reduction approach would be appropriate for him. WHY?

The social problem that was identified in the helping relationship is a return to alcohol use or relapse. The participant in the helping project admitted she had been in substance abuse treatment twice, but was unable to remain abstinent from alcohol use. This, according to her is a relapse, however, Miller (1996) identifies relapse as a return to alcohol and/or drug dependent behavior in a person who has previously achieved and maintained abstinence for a significant period of time beyond withdrawal. Unfortunately, the participant was unable to remain abstinent for any significant period of time, therefore does not meet the definition of relapse. Hence, we will discuss relapse, but the core social problem

The problematic situation that brings a client to seek counseling is not often seen clearly by the client or others that may be associated. This is the reason that a therapist must use various assessment tools to determine potential disorders that may be the root to a problem. Though at times a client may seek counseling with a known substance abuse issue there are more cases where a client is oblivious to the potential contribution that substance abuse has on the problem that help is sought for. Understood that substance dependency is nondiscriminatory to age, gender, race or creed, a therapist approaches the matter with the client knowing that a problem is recognized and there is a hope for a solution being sought by the client. At the same time it is also known that an addictive personality will be protective of this disorder, producing a defensive posture and plausible deniability. A therapist must assess the potential of such a disorder existing and the readiness of the client to change within the initial interview. Chamberlain (2013) notes that it is initially important to ask a client directly about his or her use of drugs (p. 125). The interview process will assess the proper screening that must take place in order to derive a proper diagnosis for treatment. Five such tools used by therapists to screen and assess a client differ in various ways depending on the client’s age and willingness.