Healthcare

HIPAA protects the information of each patient and requires strict confidentiality of the professional that work in a healthcare institution, medical office and anywhere where healthcare services are provided. “HIPAA considerations include the need to be able to provide the client, upon request, with a log of caregivers who have accessed his or her chart” (Hebda & Czar, 2013, p.288). In this case I consider that Kevin shouldn’t access his mother’s record unless he is authorized by her or the nurse in charge of her care that authorizes him to have access to it to write notes, orders and document each encounter with the patient. The clerks unit can access the patient chart if they are required to give information to authorize a procedure, study or a copy for study results or for labs, otherwise they either can’t access them. In Kaneesha is not right either for Kevin to be

Access to private information is limited to people who are directly involved in the client’s care or to people designated by the client” (p.398). However, some of the ethical issues that have arisen at my work include nurses and healthcare workers who have inappropriately accessed electronic records of patients and family’s members, and leaving computer screen open which can allow unauthorized viewing of confidential information. “Consequences for these unethical actions may include termination” (CCN, 2016).

In nursing, it is not uncommon to encounter situations where nurses must make ethical decisions based on legal and ethical principles. These situations often are seen in pediatric nursing when there are conflicting views between the parents and their child. For example, Mike is a 15-year-old boy who has been diagnosed again with acute myelocytic leukemia (AML) and is to continue another taxing round of chemotherapy. Mike confines to his nurse he would like to discontinue treatment. Meanwhile, his parents are adamant that treatment continues. The nurse must make the decision whether to terminate or continue with Mike’s chemotherapy.

In recent years, the controversy of parental rights in the refusal and consent to medical treatment for their child is at the forefront. It is generally agreed that the parents’ rights to consent or refusal of treatment should be limited to those decisions that are in the child’s best interest. Yet the notion of “best interests” is very difficult to determine and define. Although parents have the legal obligation to ensure the welfare of their child and to not take actions that may cause them harm, the medical decision making process has particular ambiguity. For instance, what types of decisions

They performed the surgery in terms to “save” the developing child but putting Angela’s health at risk. The overall outcome is that both lives passed, and the surgery was the main reason why. Informed consent was also an issue in this case. Physicians believed that patients are obliged to treatment if the physicians believe that it is in their best interests. This is where informed consent comes to play. Even though autonomy doesn’t mean all patients will make good decisions, they have the right to refuse treatment. Patients are supposed to sign the informed consent form prior to any treatment/surgical procedures, to make sure they understand what they are going in for and the side effects that may come with treatment. But since the court and hospital are forcing her to surgery, would she need to sign the informed consent form, since she’s not willing? I believe that it should be her decision to undergo the surgery or refuse it. Munson also mentions that “If one holds that the fetus, at every developmental stage, is a part f the woman’s body and that she is free to do wit her body as she pleases, then there can be no conflict” (pg. 44). This implies with Angela because she is decided for the best interests for herself and it would be a violation of autonomy if her actions are regulated, whereas nonpregnant and men’s actions aren’t.

Schultz, A., Chao, S., & McGinnis, J. (2009). Integrative medicine and the health of the public. Washington, D.C.: National Academies Press.

The people involved in this dilemma were the MD, the baby, her father, mother, and nurse.

This request from Ron rises a lot of issues related to privacy and confidentiality. The Privacy Amendment Act 2012 (SA), refers to what information is collected and how it is managed in a secure matter in a healthcare setting. Nurses have to comply with confidentiality rights to a patient. This means they cannot disclose information about patients to anyone that isn’t authorised to have that information (Nursing and Midwifery Board of Australia, 2013). According to legal and ethical rights, this a very unreasonable request from Ron as it breaches rules and puts the patient’s safety at risk. Jess has acted inappropriately and could be prosecuted for her actions. Information about a patient and their healthcare needs is only available to medical

In this case, Jeanne’s autonomy is able to be restricted by Greg, because he is the father, to increase the chance of her unborn baby’s survival. This is viewed as a benefit because the baby has not yet developed enough to stay viable outside of the womb. Thus, this principle supports keeping Jeanne on the ventilator to allow the baby to develop to the stage where it will be viable without help from the mother. According to the Harm Principle, one’s autonomy is allowed to be restricted to prevent harm to others involved. Dianne believed that her sister would not have wanted to be attached to the machines, but removing Jeanne from the ventilator would cause harm to the baby, not allow him or her a chance to survive. This principle is crucial to this situation because not allowing Dianne to make the final decision, which would be to remove Jeanne from the machines, allows the baby to continue to develop, permitting one life to be saved rather than none. Another principle that plays an important role in this situation is the Principle of Equality. This principle states that everyone must be treated the same in all respects and that everyone is entitled to the same chance at anything, in this case, the chance at life. Despite the possibility of brain damage, the baby should have an equal chance to survive just like any other person. Just because the baby might have a

Health care fraud is a crime. Fraud is committed when a provider or patient intentionally submits false or misleading information to a health plan for use in determining the amount of health care benefits payable. As a Group Health member, there are steps you can take to prevent health care fraud and to report suspected fraud and abuse. There are a lot of things people can do to prevent Healthcare fraud some things that can be done Start by knowing your benefits and reading your Explanation of Benefits (EOB) statements and any paperwork received from Group Health Cooperative or your health care providers. Be wary of any "free" medical treatment, as these are usually signs.

Another potential situation is accessing patients medical records. As a health care worker, you should only access a patient's chart if you are providing patient care. Accessing a family members medical record with our origanization

"Here, since the patient cannot give consent, doctors would need to be assured that a suitable substitute decision-maker is in place and can provide consent," said Judith F. Daar, professor of law at Whittier Law School in Costa Mesa, Calif. "Families must try to set aside their understandable desire to keep a part of their child and focus on what their child would have actually

For the sake of both cases, a paternalistic relationship would not be ideal because it is most likely that the patients would not agree with the physician’s choice. It has become more rare that physicians and patients share views that are similar and what the physician may see as the best choice may not be what the patients sees or vice versa. The informative model is very stern. It leaves out emotions and only focuses on the facts. This would not be the best relationship for the Dawson case because his life altering condition requires more attention than an informative relationship can give. For the baby girl’s case, an informative relationship was likely established. This leaves the mother with information not attached to emotion so she was able to make her decision to stop nourishment without feeling the guilt of losing her child. With the interpretive model, the physician could unintentionally impose their values onto their patient. This could make the patient feel like they are not being fully understood and cannot relate to what the they are suggesting. Dawson or the mother of the baby girl could feel trapped in the decision made for them. The most practical model used for both these cases would be the deliberative model. This model embodies autonomy and gives the patients enough support and information to make the best decision for themselves or others without making the decision for them or making them feel forced into something that they do not want.

The challenges related to workforce in Health systems are varied as a result of diverse health systems in different countries. However, there are still some global challenges that affect both the developed and developing countries in the world. The purpose of this report is to discuss these challenges encountered by most of health systems and possible approaches to satisfied the health needs now and into the future by using theoretical models and international practical examples.

Other concerns are conversations within the hospital cafeterias/lobbies about patients and their families, and employees sharing information throughout the hallways without a “need to know.” Once employees discover their colleagues looking at patient information without a “need to know basis,” and, other wrong doings according to the agency’s standards, their own sense of what is right and wrong instantly comes into question. Reporting the unethical behavior, the employee who had discovered the violations of patient rights is presented with a number of difficult choices. The legal basis for imposing liability for a breach of confidentiality is more extensive than ethical guidelines, which dictate the morally right thing to do.