Ethics Principles for the Patient’s Experience Introduction The purpose of this paper is to provide future healthcare administrators with a comprehensive understanding of patient experiences in real healthcare settings. It is critical to understand your customers and their points of view regarding their healthcare experiences, because understanding your patients will help you not only provide efficient and quality care, but will also enable you to exceed customer expectations. In this paper, we will take a look at a real-life patient’s experience, who was first referred to a medical oncologist by her primary care physician. The patient, hereinafter referred to as Patient A, underwent a bilateral mastectomy and ongoing radiation …show more content…
She felt a range of emotions that fluctuated between being scared, confused and embarrassed. After a week-long emotional struggle, she decided to tell her husband about her cancer. Primary Care Physician A was very supportive during this hardship and clearly explained to her and her husband about the further steps she should take. Primary Care Physician A then referred Patient A to a medical oncologist, hereinafter referred to as Medical Oncologist A. Medical Oncologist A examined Patient A’s cancer conditions and found that, luckily, the cancer was still in stage one. Medical Oncologist A clarified to Patient A and Patient A’s husband that chemotherapy was not necessary. However, he also explained there was a risk that the cancer cells could spread to her lymph nodes if she did not begin her treatment immediately. Patient A was then admitted to a hospital, which shall be referred to as Hospital A moving forward. Even though Hospital A holds the reputation of being one of the best hospitals in town, Patient A had never been hospitalized before and she felt very scared and anxious about her upcoming surgery. To help alleviate her concerns, the surgical oncologist (who we will refer to as Surgical Oncologist A) communicated with her extensively about her upcoming procedures. In addition, before the surgery Surgical Oncologist A held Patient A’s
The purpose of this paper is to explore a specific patient scenario relating to the nurses’ dilemma of caring for a patient who is prescribed a placebo without having first given informed consent. The intent of placebo use in the scenario is to prevent the patient with a history of drug abuse from being given more narcotics. The dilemma will be approached systematically by first exploring potential solutions. The potential solutions will be weighed against the following three sets of data:
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?
This assignment will explore an encounter between a student nurse, a qualify nurse, a doctor, a physiotherapist as well as other multi-disciplinary team. The main purpose of this case study is to critically analyse and discuss the ethical, legal and professional implications that may arise when dealing with patients and patient’s family. The essay will especially focus on ethical principles, statue law, duty of care and professional values under the Nursing and Midwifery Council (NMC, 2008) as well as the Code of Conduct and the importance of multi-disciplinary team (MDT) working in health and social care settings. In the United Kingdom all nurses and Midwives are governed by a professional body called Nursing and Midwifery Council (NMC). In order to protect the patient confidentiality, in accordance to (NMC, 2008) the patient alone will be given the pseudonym “Eve” throughout the case scenario.
The purpose of this paper is to provide future healthcare administrators with the comprehensive understanding of patient’s perception in real health care setting. It is important to understand your customers and their point of views regarding their experiences in the current healthcare system. Understanding your patients will help you not only to provide efficient quality care but also to exceed customers expectations. I chose to share Patient A’s experience because she was first referred to a medical oncologist by her primary care doctor. She underwent bilateral mastectomy and ongoing radiation therapy. Patient A was in Hospital A for three days and was discharged afterwards. Patient A dealt with wide range of health care professionals,
This paper explores several published articles following the national program, Transforming care at the Bedside (TCAB), developed by the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI); and how it supports the ethical principles of patient autonomy, beneficence, and nonmaleficence in patients, especially amongst the geriatric population. By describing and focusing on three main points of the TCAB, safe and reliable care, patient-centered care, and value-added care and their relative goals and high leverages; this will show how they benefit the
Hearing a diagnosis of cancer leaves most patients in a state of shock and unsure of what their next step should be. While they are still wrapping their brain around the diagnosis, they are being bombarded with information, testing, and multiple physician appointments. They need guidance and support to direct them through the complicated health care system in a timely fashion that reduces the delay in their treatment, as well as assist them in identifying and overcoming any barriers to these delays.
In today’s health care industry, mechanical restraints are often used to maintain patients’ behavior and ensure their safety when treating the elderly and the severely ill (Gatsmans & Milisen, 2006). There are many variations of mechanical restraints, but all are defined as “any device, material or equipment attached to or near a person 's body and which cannot be controlled or easily removed by the person and which deliberately prevents or is deliberately intended to prevent a person 's free body movement to a position of choice and/or a person 's normal access to their body” (Gatsmans & Milisen, 2006, p.
As a professional administering and delegating care to a patient you have a great responsibility to communicate with them. The world of healthcare is large and to the general public is utterly confusing. As the professional you need make the patient feel secure about the care they are receiving. It also lends itself to informing the families of the patient as well. If the patient is confused, it’ the job of the professional to be the teacher. It’s not enough for the information to be given, the information needs to be interpreted.
The community clinic has been a great experience to test our abilities and skills for the future as doctors of physical therapy. This opportunity helps students to get to know the strengths and weaknesses in real situations with patients. The community clinic is truly helpful and gives us, students, the chance of experiencing what our future jobs as physical therapy doctors will be like. The combination of practice, observation and feedback from classmates, professors and third year mentors gives a considerable amount of useful knowledge.
At the start of this this course, I did not think much of how bioethics and legal medicine were connected. Week after week I am beginning to understand how important it is to evolve into a society with guidelines to better serve not only physicians but, all patients as well. In “Medical and Ethical Encounters” by John R. Carlisle, he enlightens us on how in actuality, good practice in law and medicine, is the gateway to superior health care in the united states. In the mid-1970s Beauchamp and Childress formulated a statement known as “the four principles of bioethics. Autonomy of a person to have his say respected by the physician is vital. Beneficence, to always promote health and wellbeing ultimately with an outcome of good over bad. Nonmalfeasance
Patients might become frustrated because they do not see the doctor who performed surgery or required the hospitalization. Sometimes the personality and “bed-side” manner of doctors can contribute to communication problems. In addition doctors may use clinical terms that the patient doesn’t understand and confusion can result.
The next interviewee is a female who is forty-one years of age. Let us begin with her most pleasant and positive healthcare experience, which was with a Breast Oncologist, Dr. Howard Burstein at Dana Farber. The staff at Dana Farber goes over and beyond to make every one of their patients feel comfortable. The staff welcomes the patients in a cordial way and helps them with any given question or concern. The registration (front desk) provided her with a badge to wear after checking in for her appointment. This badge can locate your whereabouts for the staff. This is to a great degree accommodating and the staff informs the patient if the doctor they are seeing is running behind, this allows the patient to get a bite to eat at the cafeteria or even just walk around. She valued the convenience in which the bands and medical
When I first joined a surgical practice in the 90’s. I was brought in under a unique model. Most established practices at the time, would hire a new physician as an employee and after a set amount of time, allowed the physician to buy into the practice for a large dollar amount making them a full partner. I was hired with the guarantee that after one year I would be made a partner and receive my stock certificate to the limited liability corporation (LLC) for $1. During the first 2 years may bass salary was less than my partners to make up for the decrease productivity of a new doctor and the increased overhead associated with a practice start up. Some may consider this a buy in of some degree. Above our base compensation, each member
The four principles of medical ethics include nonmaleficence, beneficence, autonomy, and justice. These principles were created by Beauchamp and James Childress because they felt these four were the building blocks of people’s morality. Nonmaleficence is to do no harm to others. Beneficence is to care or help others. Autonomy is to respect another’s wishes. These four principles relate to issues surrounding physician-assisted death in many ways. To begin, there are seven individual forms of PAD. They are the following; voluntary passive euthanasia, nonvoluntary passive euthanasia, involuntary passive euthanasia, voluntary active euthanasia, nonvoluntary active euthanasia, involuntary active euthanasia, and physician-assisted suicide. Passive euthanasia is an act in which the health care physician withholds treatment or surgery and the result is the patient’s death. An example of passive euthanasia is a cancer patient refusing treatment and the physician agrees with their decision, therefore the patient dies from the lack of intervention to treat their illness. Active euthanasia is an act in which the health care physician has a direct contact with the patient’s death due to the physician’s act of doing something to the patient in order for them to die. An example of active euthanasia is an injection of potassium chloride. Voluntary is when the patient is requesting assistance to die. Nonvoluntary is when the patient is not requesting assistance and their wishes are unknown
There are a number of key elements that help to provide a framework that enhances truthful communication. Firstly, there is the need to develop open and honest communication from the very beginning of the patient-health professional relationship. Secondly, the health professional needs to use patient penchant as a “weigh” by asking them what they wish to know, how much they wish to know, and determining what they already know. In other words, it is a responsibility of the health professional to get a ‘feel’ for the situation, including the patients’ perception of the situation (Ashcroft, Dawson & Drape 2007).