This short case study has a significant range of legal and ethical principles which contribute to the outcome of the outcome if Marion will continue or abandon treatment. The team who is treating Marion must refer to the Advance Care Directive and ensure they follow this carefully to ensure Marion’s best wishes. This is because an Advance Care Directive is a legal form for adults over the age of 18, in scenarios in which a person has impaired decision-making capacity, the Advance Care Directive will have instructions, vales and wishes for future health care. (http://www.sahealth.sa.gov.au/wps/wcm/connect/045059804459d8048921ab76d172935c/ACD+Fact+Sheet+PC+20140613.pdf?MOD=AJPERES&CACHEID=045059804459d8048921ab76d172935c) Marion’s parents state…
Introduction It is very important that hospital adheres to the guidelines that stipulated that if patients return to the hospital for after being treated for 30 days there be a penalty of some sort. This guideline came about after the implementation of the affordable care in 2010. Before the implementation of the affordable care act, there were over 20% of readmission to the hospitals 30 days after being discharged (Rice, 2015). These penalties can prove to be very costly, as a result, hospitals are very dissatisfied the way it is being dealt with. This paper will address the financial impact of patient 30-day readmissions and steps that hospital are taking to reduce readmissions.…
That contract, in essence, says “I am a sick person, and you are a trained medical professional. Because you have the services I need, I am coming to you to allow you to perform your profession, which I expect will make me well.” When a doctor first enters a patient’s room, whether it is to conduct an annual physical exam, sew up a minor cut, or consult on the advancing stages of cancer, this assumed emotional and psychological contract guides and directs the doctors and patients choices and activities. However, when the patient’s medical condition becomes life threatening, and the patient is faces with the prospect of long or painful treatment that does not have the guaranteed outcome of returning health, this contract no longer is in force.…
Readmission refers to a patients being admitted to a hospital within a certain time period from an earlier admission. It occurs shortly after a discharge; which is most often measured as within 30 days but it could be shorter or longer. Insufficient management of their condition, misunderstanding of how to manage it, or lack of access to appropriate services or medications are caused by failure in a patient’s health after release from hospital.…
The current board members are Natalie Hall, R.N-President, Holly Presley, L.P.N- Secretary, Cecelia Smith, R.N, Lynda Narwold, R.N, Anne Ogle- Consumer Member, Kim Cooper, R.N- Vice President, Marcia Laux, R.N, Constance McIntosh, R.N., and Ed. D The four major activities of ISBN are to protect the health and safety of the citizens of Indiana in its receipt of nursing services, to examine, license, and renew licenses of qualified applicants, to determine appropriate discipline when there is an allegation that an Indiana-licensed nurse has failed to comply with the requirements for licensure, and to accredit and monitor Indiana nursing education programs. How does a school of nursing maintain their accreditation?…
Medical staff must understand noncompliance may stem from the belief…
Healthcare professionals have certain ethical and legal standards that they must uphold while practicing their profession to ensure their patients are adequately and safely cared for. They also need to understand that every patient has a right to their own healthcare decision and this can be through written consent, voicing their opinion or through an advance care directive. This essay will concentrate on how a valid and legal ACD must be completed, the importance of valid consent, ethical issues relating to the patient having their on opinion, how to advocate for a patient and lastly, comparing the legal and ethical standards nurses and paramedics abide by everyday to ensure morally safe practice. An advance care directive (ACD) is a legal…
A mentally competent patient cannot be forced to accept treatment without consent (Wheeler, 2012). Topic sentence 2: When facing lifesaving…
This is decision to override the patient’s wishes is consistent with Dworkin’s thoughts that paternalism is only justified to preserve a wider range of autonomy in the person (p.??). In this case,…
As the client and psychologist are in the “ getting to know you “ phase there has come time to talk about the psychologist-client agreement. The Health Insurance Portability Act or HIPPA, is a federal law that provides new privacy protections and new patient rights that deals with the right to the use and disclosure of any Protected Health Information or PHI used for the purpose of treatment, payment, and health care operations ( McGarry, 2015). HIPPA make it so that it is mandatory that the psychologist give you a notice of privacy that will be used and provide information of PHI for treatment, payment, and health care systems. Tarasoff v. Regents of the University of California,1976, which was a case where the Supreme Court of California…
A Duty to Care: The Role of a Nurse in Circumstances of Patient Nonadherence Health care professionals are all too often aware of the lifestyle choices that have led the patient to seek treatment in their care. However, the implications of these lifestyle choices and issues that can arise from nonadherence are often downplayed or simply disregarded by the patients despite the urgency of the matter being expressed by the health care professionals. In other words, sometimes, the patients refuse to alter their lifestyle for the preservation of their own health. This can be frustrating, to say the very least, but it does not, under any circumstances, dismiss the health care professionals from their duty of care (Laken, 1983).…
This made the patient and family members weary of taking advice or reasoning from the…
The only behavior and choices that one can control is one’s own (Haigh and Neville 3213). In health care, it is thought to be a fundamental ethical principle to respect a patient’s autonomy (Haigh and Neville 3213). When the principle of the right to autonomy conflicts with others, it should almost always come first and take precedence over other principles (Angell). One principle, or basis for a system of belief or behavior, that the right to autonomy could possibly come in conflict is the principle that all physicians and medical professionals should always care for the ill and keep them alive (Angell). Although nurses pledge to do no harm to their patients, it is ultimately the patient’s decision to decide what is best for them in the event that they may not have many other options (Angell).…
Informed decision-making is similar to the ethical principle of autonomy previously mentioned. After being presented with all of the needed information, an individual is encouraged to make a decision that they feel is most beneficial (Canadian Nurses Association, 2008). As mentioned above, this client was not given any opportunities to be included in the decisions of his care. As a result, he was left in the shadows, unaware of what he was going to be put through next, making him fear staff. Preserving dignity.…
ntroduction The Legal right to die describes in any situation of an adult who is in state of sound mind to decide about his or her treatment to be continued or not, where such voluntary, informed decision is made, should be recognized and respected. According to Lord Goff of Chieveley in 1993, at p. 864, in Airedale NHS Trust versus Bland [1993], the House of Lords held that “The principle of self-determination requires that respect must be given to the wishes of the patient. If an adult patient of sound mind refuses, however unreasonably, to consent to treatment or care by which his life would or might be prolonged, the doctors responsible for his care must give effect to his wishes, even though they do not consider it to be in his best interests to do so. […] To this extent, the principle of the sanctity of human life must yield to the principle of self-determination”.…