For example, you are approached by a local investigative journalist seeking protected health information about a prominent local businessman recently treated in your facility. But not all of the ethical issues we face are that easy. And sometimes, there are competing priorities and pressures that make it more challenging to follow an ethical course.
Efforts to lasso health care costs puts increasing pressure on staff to do more with less. Limited resources force tough choices in quality of care. Patient safety may be compromised, resulting in injury and lawsuits. Bio-ethicists suggest that when medical professionals practice ethical principles of autonomy, justice, doing good and doing no harm can help health care professionals resolve difficult situations.
Informed Consent The ethical code of health care professionals states that patients have the right to know the truth about their medical condition, and that they can choose treatment options.
Information must be sufficient and understandable, to enable the patient to make informed decisions that are in his best interest. If resolution cannot be reached, a judge may need to rule on the matter. A teenager requests medication for a painful condition, but his parents refuse, based on religious beliefs.
The patient asks the X-ray technician if her doctor is disclosing everything he knows about her test results.
Professional Boundaries Health care professionals must maintain appropriate boundaries. Patients are vulnerable, and that vulnerability needs to be acknowledged and respected at all times. Successful treatment outcomes can give rise to deep feelings of gratitude that may possibly mistaken for physical attraction.
Professional ethics and sexual exploitation laws prohibit inappropriate involvement with clients such as dating or accepting gifts that exceed nominal value. Genuine concern, trust and empathy should frame all interactions.
Intervention is required if mutual respect is not shown or if boundaries are crossed. A patient persists in telling sexist jokes, which offends nursing home staff.
A nursing home patient offers cash to a certified nursing assistant who has money problems. A patient asks his oncology nurse to go on a date with him the day he is discharged.
A doctor treats her own family members when the family's primary care doctor is out of town. Legally and ethically, health care professionals cannot violate patient trust, which is an essential component of treatment.
When a patient dies, privacy rights still apply. Accidental or intentional disclosure of private patient information can result in litigation, huge fines and jail time for the violator.
A plastic surgeon discloses names of his well-known clients at a cocktail party.
A medical coder accidentally put sensitive medical records in a hallway trash bin, instead of in the shredder. Nurses discuss a patient in the hospital cafeteria, where confidential information is overheard by visitors. Access to Care Access to care poses difficult ethical and legal dilemmas for health care professionals, who sign an oath not to harm their patient.
Striking a balance between quality care and efficiency can be challenging. Health care professionals struggle to help patients who lack the resources to cover the treatment they need. Pressure from hospital administrations, insurance companies and managed care organizations further constrain the choices for treatment and prescriptions.
A malpractice suit is more likely to happen if a patient claims that his condition was misdiagnosed by a harried medical practitioner. An insurance company refuses to pay for a procedure or a drug that a doctor strongly believes the patient needs.Practising Law Institute, PLI, is a nonprofit learning organization dedicated to keeping attorneys and other professionals at the forefront of knowledge and expertise through our Continuing Legal Education Programs, Webcasts and Publications.
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Includes peer-reviewed articles, class lessons, and educator resources. Online Journal of Applied Knowledge Management A Publication of the International Institute for Applied Knowledge Management Volume 1, Issue2, DAVID MASCI: Good morning.
My name is David Masci and I am a senior fellow at the Pew Forum on Religion and Public Life. On behalf of the Pew Forum, the Federalist Society for Law and Public Policy and the Constitution Project, it’s my great pleasure to welcome you today to a discussion on end-of-life issues.
Mar 15, · Ethical, social, and political issues are closely linked. The ethical dilemma you may face as a manager of information systems typically is reflected in social and political debate. Ethics or moral philosophy is a branch of philosophy that involves systematizing, defending, and recommending concepts of right and wrong conduct.
The field of ethics, along with aesthetics, concern matters of value, and thus comprise the branch of philosophy called axiology.. Ethics seeks to resolve questions of human morality by .