1. List at least 3 ethical concerns present in this case.
a. The resident was uncivil by calling the patient a “She-Male.” It is possible for the patient to delay seeking testing and treatment due to insensitivity among health care professionals.
b. The altercation with her new boyfriend Tony, because she withheld information about being a transgender.
c. The patient requested that only female personnel enter her room
2. Is Jenice part of a vulnerable population? Why or why not?
a. The patient is a transgender and has HIV. Our society has not fully accepted transgender as a societal norm, because of their gender identity and expressions are different to societal expectations of gender. The patient hardly has family support, which can possibly cause poor adherence due to isolation. HIV
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The resident physician can be more culturally sensitive, by educating himself about LGBT community and practice justice. The resident should also become aware of his biases, learn how to respect the patient’s autonomy, and learn how control his incivility. Discrimination is not tolerated in the workplace. I believe that the resident exhibited person impediments, because he was being uncivil by name calling. Even though, the resident physician disagrees with the patient’s sex changes, it’s important to be culturally competent and try to develop a rapport rather than name calling.
4. Apply the concepts of beneficence, justice, confidentiality, and nonmaleficence to this case.
a. The resident physician violated beneficence, because he did not do good by respecting the patient’s autonomy and he was being uncivil.
b. The resident violated justice, because he mistreated the patient, because he was a transgender.
c. The resident physician violated confidentiality, because when he left the patient’s room and made a comment about “She-male,” everyone in that vicinity may have overheard him. Only the health care professional taking care of him should know about the patient being
I will now talk about each patient needs as they all differ from each other. Nusrat Patel is 19 years old and has learning disability. This means Nusrat has difficulties in keeping knowledge and skills to the expected level of those the same age as her. Nusrat also has epilepsy which is neurological brain disorder when someone has epilepsy, it means they tend to have epileptic seizures, a seizure is a sudden attack of illness. Nusrat has left residential school to receive full time carer from her mum who has stopped working to care for Nusrat. At times this can be stressful so Nusrat attends the community centre on Tuesday and Thursday which allows Nusrat mother to have a break. Maria montanelli is 34 years primary school teacher who is much like Nusrat mother and takes care of her 96 years old mother who has dementia. Dementia is memory loss and difficulties with cognitive development. Being a primary care for her mother Maria feels she not performing at her best ability because of her lack of sleep which occurs when she assists her mother to the toilet several times. The last patient I would like to mention is Alice Fernandez she is 74 years old who recently lost her husband who had lung cancer. Alice doesn't use her pension the right way as she purchases many drinks as an alcoholic and has increased since her husband passed away. She has been prescribed antidepressant tablet by her G.P but made her lethargic this means she's become slow and sluggish.
We must not allow any personal views that you hold about service user to prejudice our assessment of their needs, delay or restrict their access to care. This includes our view about a patient's age, color, culture, disability, ethnic or national origin, gender, lifestyle, marital or parental status, race, religion or beliefs, sex, sexual orientation, or social or economic status.
Concepts of reasonable limits refers to limiting one’s actions or in reference to nursing, limiting what one can say or do in terms of a patient’s care (Jonstone & Fry, 2002). When discussing reasonable limits, a nurse has to take into consideration at what point is enough, enough. For example, in the case study regarding Mrs. Z, reasonable limit would prevent the nurse from pushing the patient further into pursuing treatment and disclosing her medical prognosis to her family. Mrs. Z is a lucid individual, so the nurse and doctor caring for her would have to limit their interference in disclosing information to her husband due to reasonable limits. In nursing, there are times when breaking a patient’s confidentiality becomes an ethical issue. If the nurse was thinking in terms of Utilitarianism, breaching confidentiality would be the only reasonable thing to do. For example, if a patient who is HIV positive is knowingly having unprotected sex in order to infect other people, it would only be right to break the confidentiality of their diagnosis to prevent further harm to other individuals in the future. Sometimes, in order to protect the greatest amount of people, confidentiality has to be broken. Another example where a healthcare individual can break confidentiality is if a minor is being harmed and the minor does not want to disclose to anyone their situation. For
The facts of this case are that Dr. Guiles who is self-conscious of his prostate cancer diagnosis is treated horrendously when he finally decides to have surgery ( Buchbinder, Shanks & Buchbinder, 2014). Considering that Dr. Guiles is already sensitive about his condition, his unbearable symptoms are not helping matters (Buchbinder et al, 2014). Upon arrival at the hospital, he is treated subpar. The admitting clerk is rude and unbecoming to a patient who isn’t feeling well and who is embarrassed about his sickness (Buchbinder et al., 2014). To make matters worse, he has to find his own way up to the floor by walking, which causes him to be even later in checking in because of the need to stop frequently to urinate as well as having difficulty in walking (Buchbinder et al., 2014). Once he arrives on the floor, the charge nurse is not welcoming and unprofessional (Buchbinder et al., 2014). After figuring out what to do with the paperwork; and the nurse aide delivers Dr. Guiles to his room, the nurse aide does not offer to help settle him in (Buchbinder et al., 2014). Therefore, Dr. Guiles is faced with battling obnoxious family members who are on his bed and to make matters worse someone is in the bathroom which doesn’t help his need of having to frequently urinate (Buchbinder et al., 2014). When the issues are brought up to the charge nurse, the charge nurse accuses Dr. Guiles of wanting preferential treatment
For this assignment, I interviewed a parent of a child who does not have an IEP or receive special education services. Through this interview I was able to learn how parents of children with no special needs are aware of the inclusion classrooms.
On 4/21/17 at 0715 hrs, I was dispatched to 6154 110th Ave N, in reference to an emotional crisis. Upon my arrival, I made contact with the Charles Hollen, at the front door of the residence. Hollen advised he wants to go to the hospital to receive help.
This problem question is about claiming for damages due to psychiatric harm. It involves questions regarding primary victims, secondary victims, and special duties problems.
A resident's name or conditions cannot be discussed with anyone other than the care team. Photos and other personal information can't be shared on social media sites and to maintain privacy and emails containing a resident's personal should not be sent because there is a possibility the email will be sent to the wrong person or someone may have access to your account. Information regarding a resident should only be discussed in person to ensure that only the necessary personnel know. When seeing a resident in public, you should not mention knowing them from a care facility in case they wish to keep that a secret from the person they may be with.
Relocating into a senior care facilities can be a frightening experience for the aging population. Getting familiar with new surroundings, new organization structure, and new people that can cause anxiety to rise. For a Lesbian, Gay, Bisexual, Transgender and Queer individual, this experience can be traumatic. The fear of harassment, hostility, and neglect by healthcare providers and caretakers can keep LGBTQ people from seeking care until their health begins to critically decline. LGBTQ cultural competency training is highly recommended for healthcare professionals and social service organizations. The greatest barrier that prevents quality health care for LGBTQ people is the lack of competence among the healthcare professionals.
What happens if a member of staff phones in sick but they are later seen out at the shopping centre or down at the pub? Does that mean their skiving?
As noted, on February 29, 2016, the patient was nonetheless admitted to the UCR hospitalist. This was a senior member of the UCR hospitalist team who knew or should have known all of the policies and procedures for admission, and should never have admitted the patient as an attending to the hospital. In so doing, he was directly and deliberately interfering with the doctor patient relationship.
1 a. needle size- depends on thickness of medication(some medication is thicker and would require a larger diameter needle), where the medication is to be administered (ID is the smallest size needle as it only needs to go just under the skin, Subcut is a slightly larger as it is administered in the fatty layer and IM needs to be larger as it needs to go deeper into the muscle) , the size of the patient ( This makes a difference because if the patient has more fat then you would need a longer needle to get deeper to the muscle.).
The ideas above discuss how the concept of gender favours PCC, but sometimes it may be difficult to meet the needs of the patient, as observed by the student. In a local hospital, a minor injuries unit, the male members of staff are the doctors who are only present at the weekends, for the remainder of the time patients see Nurse Practitioners, all of whom are female: should a patient have strongly requested a male doctor for a same sex examination, they would have to reschedule the appointment until a later date when the required member of staff was available. Although a same sex member of staff would not be required by all patients, the option of having one could make a patient more comfortable about the procedure, and avoid any potential
Life in the emergency room is can be fast paced, with decisions made by healthcare professionals who need to consider the basic ethical principles of non-maleficence, beneficence, autonomy and justice. These principles are resources designed and intended to provide a comprehensive understanding, guidance and rules of conduct to ensure an ethical and legal decision is made, regardless of the medical staffs subjective view of what is right and wrong (Tong, 2007, p. 7)
The main focus of this assignment is to examine the ethical, legal and professional frameworks, along with interprofessional collaboration in the provision of postoperative care to a gentleman who was refusing observations and how this influences and shapes professional practice.