Nex Next Boundaries Case Study

Lisa Belkin is a women of her words. Ms. Belkin crammed all feelings imaginable into one book. Just as things seemed to be looking up for the patients involved she threw in a twist just within the next statement. This book is an emotional rollercoaster on all levels, but it was an abundant read. Lisa Belkin’s book is full of ethical dilemmas, provocative insights, indescribable doctor-patient/doctor-coworker relationships, and further more. “First, do no harm” is a principal in medical ethics its self. Medical staff are supposed to abide by the 4 principles of medical ethics, autonomy, beneficence, justice, and non-maleficence. Non-maleficence within its self means do no harm (which is the title of the book). The content of this book is based

Confidentiality in the Healthcare arena can be simply defined as the moral and ethical duty of the Practitioner to keep all the patient’s bio-data under lock and key, and offer a disclosure of those facts that the patient is legally mandated to disclose or deems fit to enhance their positive health outcome. According to the Segen’s Medical Dictionary, “Confidentiality is the ethical principle that a physician may not reveal any information disclosed in the course of medical care, unless the patient who disclosed that information poses a threat to him, herself or others’’

HIPAA confidentiality is important for very patient but for some reasons when they hear someone has HIV or AIDS it gives them the right to talk about it with others which have no reason to know. I will show why it is so important to be sensitive to this type of health conditions. Will examine the social, legal, and ethical ramifications of improper information disclosure.

It is essential that health care researchers and/or managers abide by the Health Insurance Portability and Accountability Act of 1996 (HIPPA) before sharing any patient health information to the public. The Privacy Rule under HIPPA will permit the sharing of health information without patient permission for payment, treating, and health care operations, and other specified purposes (Koontz, 2015). In addition, the Security Rule under HIPPA is designed to ensure that patient health information is protected from the unauthorized disclosure and access (Koontz, 2015). After all, the increase in health information technology makes it easier for researchers to obtain patient health data (Largent, Joffe, & Miller, 2011). However, the health care researcher

As someone who is interested in pursuing a career in the medical field, it becomes apparent that medicine and ethics have a unique and pertinent relationship. Everyday doctors, nurses, and other health care workers have to make ethical decisions or help families make ethical decisions for their patients. For example, in the video that featured bioethicist Toby Schonfeld, she discussed some of the ethical dilemmas faced in hospitals today. The most notable ethical conflicts she noted were physician assisted suicide, and other dilemmas such as transferring a patient to palliative care, or whether someone should get a pacemaker or not. Perhaps, in my future I will face similar ethical problems and will have to figure out a way to draw a conclusion that is the best for both the patient and their family.

When reading this article it got me thinking about Doctors in part because I was watching the television show "Scrubs". In this show its emphasized over and over again that doctors need to manage to keep there emotions in tack where they are able to have sympathy and empathy but manage to control their emotions within the public eye of patience and to not let emotions take over there decision making process.

Clinicians are bound by making ethical discussions and being nonjudgmental which is a significant component or

Schweinle., 16). It is a very important border that the medical society has set to prevent doctors’ feelings interfere their work. If a doctor would be “sharing” feelings of suffer and pain of their patients, it could radically impact their professional skills and cold-mind, which are needed for a decision making. Yet Ellen D. Mandel and William E. Schweinle stated that empathy is one of fundamental skills of medical worker and is described as “a) an ability to understand the patient’s situation, perspective, and feelings, (b) communicate an accurate understanding, and then (c) act on the understanding in a therapeutic manner” (Mandel, Ellen D., and William E. Schweinle., 16). However, coming back to the oath of Hippocrates, it is intriguing that “the father of medicine” encouraged such a strong type of patient-doctor relationship while modern doctors fail to even provide empathy, which is a strongly suggested and wanted skill. (based on an institution as influential as Association of American Medical Colleges (AAMC) recommended that empathy should be integrated and assessed in medical students,)

In addition to respect the autonomy of the patient, physician’s obligation is to ensure that the medical intervention has benefit for the patient and the harm is minimal (Milanifar, Larijani, Paykarzadeh, Ashtari, & Akhondi, 2014). There is an obvious conflict between duty of confidentiality and duty of mandatory reporting. Professional confidentiality is one of the basic components in building a constant physician-patient relationship. In physician-patient relationship, keeping patient’s secrets and maintaining confidentiality is a legal and ethical duty, and disclosure of such secrets is mainly through specific statutes. Thus, there are a number of situations where breach of confidentiality is permitted in different legal systems. One of

Another instance that may call for breach of patient confidentiality is where the patient is at harm

Many institutions can provide a plethora of resources, exposure to various hospitals, and time with medical professionals. After all, these institutions are designed explicitly to create doctors of an acceptable caliber. Few institutions, however, seek to develop the healer in the doctor. Though medicine is a highly technical field with new procedures and medicine to be studied, it is a viscerally humane exercise. At the end of the day, medical professionals, especially D.O.s, must deal with the patient’s mind, body, and soul, together. This certainly cannot be done with a sterilized, objective mindset.

There should always be a mutual respect in the physician-patient health based relationship. Working together offers the opportunity to significantly enhance the patient's health status and quality of life. This duo alliance involves important and specific physician obligations (cite). In Chapter 5 of Medical Law and Ethics it states (pg 101), “The physician–patient relationship is one of a few topics that are vital in the healthcare field. This relationship influences the entire healthcare team as a whole. All healthcare professionals who interact with the patient must understand their responsibilities to both the patient and the physician. The patient’s right to confidentiality must always be the single most important aspect within their bonding relationship” (Cite). The guaranteed bond of trust between the physician and the patient is essential to the therapeutic and diagnostic process. It forms the basis for the physician-patient relationship. In order for the physician to make accurate diagnoses and provide optimal treatment recommendations, the patient must be able to communicate all relevant information about an illness or injury (cite). Physicians are compelled to refrain from disclosing confidential information. This duty is based on accepted codes of professional ethics, which

Within their paper, Childress and Siegler expand upon five models of physician-patient relationships that are omnipresent within the healthcare setting: Paternalism, Partnership, Friendship, Contract, and Technical Assistance (Childress and Siegler 74). By using these models, physicians often use these social frameworks to “appeal to ethical principles related to informed consent or shared decision-making or, at a deeper level, [the] goal of respecting patient autonomy” (Schwartz 2011). While the substantial purpose of using these models is to help alleviate the excruciating effects of disease, there are drawbacks to these models where efforts to respect patient autonomy may aggravate a patients’ suffering, specifically paternalism. Advocates

‘One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is in caring for the patient’’- Francis F Peabody. As I continued my journey in internal medicine and hematology, I realized that ethical practice and empathy are the essence of medicine every single day.

Majoring in medicine is one of the most intellectually challenging things that I’ve ever been a part of. When faced with task to do a research paper depicting a problem in your major, well because the medical field is so broad so I found a topic that is almost never talked about. “Love and Medicine”, I chose this topic because it deals with physicians being more than “friendly” with their patients as unethical as this may seem it happens almost. The relationship between a patient and a doctor should be extremely platonic; doctors should always know his or her boundaries, display a level of professionalism, and show as much humility in their job as possible.