There is one issue that I could think of that is challenging regarding to patient care throughout my preceptorship this week was one of the patient in my unit refuse to come out of her room to receive treatment and allowing the lab technician to draw her blood. The patient already refuses to go to the cafeteria in the morning to have her breakfast because she said she was having a back pain. When the nurse asks us to have her go to the treatment room for her assessment, she refuses to come out from her room again. Until the lab technician arrived in the unit for lab work, I have gone to her room and ask her to come to the treatment room again for the lab work, she did not respond. I cannot tell whether she was breathing this time because she
The ethical-legal concern in this situation was when Stephanie went outside of her scope of practice to call in an unauthorized medication refill using the nurse practitioner’s name. Even though Stephanie’s action caused no harm to the patient, potentially it could have and resulted in a negative legal litigation for the NP and practice. Stephanie is an unlicensed employee who made an unethical decision, which was not within her scope of practice. According to the American Association of Medical Assistants (2017), certified medical assistant alongside their administrative duties can perform certain medical task in an outpatient care facility, such duties include taking patient’s history, preparing patient for procedures, collecting laboratory
A medical office administrative assistance must know the importance of proper medical documentation,the legal aspects of documentation and the various medical laws, regulations, and acts; understand language and other communication barriers, proper billing and reimbursement procedures, workplace conflict and diversity; and know how to properly maintain patient ledger cards. Accurate medical documentation ensures the patient receives the proper treatment and aides in validating medical necessity. This documentation is not only critical to the patient but the facility as well because it ensures proper codes are assigned, clean claims are submitted, and allows the reimbursement process runs smoothly. Medical office administrative assistants must understand the imporatance in protecting patient privacy because they have an ethical and legal
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
In this situation I first refuse to render services due to this is a matter of committing fraud against insurance company. Second, I would inform the school that this is unethical pertaining to my code of ethics as well as inform the child’s parent of the schools manipulation of my services as the Behavioral Analyst. Finally I would report the school’s intention to the insurance company as this might has been an on going situation with other children at the school. The Analyst responsibility is to report this to the insurance company in order to maintain their integrity of their position. According to Bailey & Burch (2016) it states that the behavior analyst needs to leave the company and seek employment else where who is more
Ethically physicians are required to provide an appropriate plan of care for all of their patients without insurance bias. The discrimination lies in the fact that most uninsured patients cannot follow the plan of care they have received. The Kaiser Family Foundation found that, “uninsured adults were three times as likely as adults with private coverage to say they postponed or did not get a needed prescription drug due to cost” (2015). This creates problems for both the patient and the hospital/place where treatment was provided. If the patient cannot afford the proper post care, the patient's condition will worsen. The patient will have to decide to either go to the ER or continue on due to the fear of a high bill. The Kaiser Family Found:
I will agree that having healthcare professionals, their ultimate goals are to save lives. Besides, their vocation, nonetheless, with the Hippocratic Oath, they are to protect, and care for the patients as well. Nevertheless, the patient’s rights are not to be ignored or disregarded. In such case, there were some unethical issues. The team has not only violated the patient wish, but rights. Additionally, her religious belief as Jehovah's Witness was overlooked. According to Jonsen, A. R., Siegler, M., & Winslade, W. J. (2015). “Religious belief and the teachings of various faith communities are relevant to medical care”
Cases such as this are eventually resolved in court, but it does not close the gap in how to ethically handle future problems, or improve the current problems in death laws. This is where an ethics committee becomes the strongest asset to not only solve disputes, but do so in an ethical manner when policies provide little guidance and the public misunderstands the limitations of medical intervention.
In practice, I have encounter a few ethical dilemmas in the delivery of care. However, I feel that we should carry on the care according to the patient wish, regardless of our personal belief. I’m able to do nursing care without discriminating any patients. I recognize and respect personal beliefs and decision of the patients.
The right to refuse has many components to it: there are family implications, religious implications, and social implications. Every patient has the right to consent for treatment, care, or blood products. The decision to consent or not is theirs to make unless otherwise implicated. In every action in health care there are many perspectives to a topic and can bring many ethical conflicts each seen differently by another individual.
Interesting most ethical issue within the health care environment, there are so many contrasting opinions or ways to address this topic.
My initial approach would be to save the patient by monitoring her blood pressure and heart rate. To keep her alive would have been my top priority before proceeding to any other step. Once she is stable enough to respond to the treatment, I will advised with the staff to cleaning the patient to perform other tests. First, I would do my best to save her life at all cost, and place her on a ventilator for a period of time hoping her respiratory condition to improve before contacting her primary care doctor and relatives regarding her status. Because many risks are involved using a ventilator such as lung damage, infections, I would urge the staff to contact any close relatives about the procedure and contact her previous doctor to know any past
Due to the nature of this essay, it is important to consider parts from both sides of the argument, as it provokes critical thinking on the matter and demonstrates how a paper of this kind operates. The very first argument from the Point’s side of view is concentrated around liberty and freedom that is the outcome of the free market: supply and demand. In short, the writer is asking why healthcare cannot obey the same rules of supply and demand as other services and goods do. That means all people need is to prioritize what they need and make money to obtain it and those who do not want it the same way have freedom to prioritize something else. The reason why healthcare cannot obey these rules, as the writer puts it, is the fact that it is “morally special” (P.3). One of the points that the writer uses in support of her opinion is The President’s Commission’s volume, analysis of which I find incredibly interesting from both legal and ethical points of view. “In the absence of health care people may not be able to live full lives in which they can enjoy a full range of opportunities.”(P. 4) This argument states there is a significant difference between opportunities a person with good health care system to back him/her up has and a person with no access to health care. However, this situation can also be analyzed from different perspective, such as a relatively healthy person with no genetic problems, with a relatively healthy life style ( no substance abuse, no smoking, overeating, normalized fitness system ) relies on healthcare system much less compared to a person with, as
Although African Americans speak English just as well as white, there is room for misunderstanding due to lack of culturally competent communication. After Jackie sought immediate care for Mrs. Jackson and her black toe, she was turned away until it was too late. Eventually this caused Mrs. Jackson’s toe to be amputated. Because of the severity of the infection in her body, this surgical procedure never healed caused eventual amputation of Cora’s right leg (Abraham, 1994, p. 62). Mrs. Jackson was being seen by a home health nurse to help care for her healing stump.
My group was assigned the topic Deaf/ Hard of hearing friendly world adjustments and when thinking about it there may be issues with ethics here such they are such a vulnerable population. The deaf or hard of hearing are vulnerable because they are not able to communicate the same way as other individuals and they might have a harder time understanding what the physicians are trying to tell them. When I was reading the article "The Ethics of Patient Care" by W. Branch I found many different aspects that will help protect the patient from an harm. It is important to form a trusting patient- physician relationship so you know they have your best interest at heart and the patient is not treated like an object. These physicians need to have skilled
As nurses, we honor and seek what is important and meaningful to our patients. In caring for patients individual beliefs should always be included in the caring process. By respecting and encouraging patient’s beliefs promotes healing and reinforces hope thus, results in a professional, ethical