Patient`s Laws Essay

Patients should feel at ease when giving ad hominem schooling to their physician or nurse (Burkle & Cascino, 2011). Patients may resist offering pertinent information if they feel their confidence may be betrayed. Confidentiality stub only be broken when it involves a gunshot wound, injuries resulting from child call give away or an infectious disease, which would put the community at risk. Such is the baptistry presented in Nathansons article titled Betraying trust or providing true c atomic number 18? When is it okay to utter confidentiality? (2000). The article addresses an estimable dilemma presented in an episode of NBCs ER. sustain Carol Hathaway promises two reluctant jejune patients who are seeking care, that anything they tell her will remain confidential, even from their parents and anyone else. harming to this, the female childs divulge they prolong been charge upually active with multiple partners and suspect they give up been exposed to a sexually trans mitted disease (STD). Tests were performed on the teenager for STDs and receive Pap canvasss to detect any cervical abnormalities. The test results confirm, Andrea, is positive for the human papillomavirus (HPV) and cervical cancer.Promising Andrea confidentiality, agree Hathaway knows she must break the promise or potentially endanger herself and the community. draw Hathaway is faced with honest consequences if she breaks confidentiality with her patient. Of these consequences are reluctance to disclose pertinent information, feelings of betrayal, enraged parents, disrespect of rung members, job termination, demeaned hospital reputation, poor school reputation, and a non supportive bureaucratic and legal system (Burkhardt & Nathaniel, 2008). Nurses are fearful of these ethical implications, which keep them from disclosing essential information, which can have disastrous results (Griffith, 2008). Deontology high hat describes Nurse Hathaways ethical framework when she finds it necessary to break Andreas confidentiality. The deontology theory is based on the concept that a person adheres to what is right and wrong in their actions and thoughts kind of than the consequences (Purtilo & Doherty, 2011). Since this has become a public issue she is compelled to fulfill her duty by courageously choosing to bring the situation out in the open.Her reasoning for making known Andreas parents and school would ensure the appropriate course of treatment and avoiding save injury for the teen and society. Even though Nathanson saysthere is no avail in nonifying the school of Andreas sexual involvement with multiple partners, Nurse Hathaway chose to do so. By doing this, Andrea attempts to take her life when she finds out the school is mindful of her situation. There are several ethical decision-making models to choose from but the lift out would be Uustals model to handle this particular situation. Uustal proposes a nine-step rule to direct one toward making an ethical decision. This model follows the nursing regale and also includes and explanation of values when using and ethical decision-making model. pace 1) those regard in the dilemma are the teenage girls, their parents, the learners at the school and Nurse Hathaway. Whether or not to inform the school of the sexual behavior of the girls and of Andreas diagnosis is the ethical dilemma at hand. gradation 2) without giving limited information about the girls, the school needs to be aware of the students sexual conduct with multiple partners.Step 3) the spread of HPV and the line for the protection of the community from STDs related to promiscuous sex are the issues related to the situation. A resolution to the dilemma would to inform the school of the upkeep for the sexual behavior of the students. Step 5) with good intentions, Nurse Hathaway notifies the school of the girls activities but should not kept their identities anonymous and only discussed her fretfulness for the s tudents in general about their participation in multiple sex partners. Step 5) implementing education in the school regarding the risks, treatments and prevention of STDs would follow. Step 6) the main priority should have been informing the school of the promiscuity among the students rather than of the two teens in question and Andreas new found diagnosis. Step 7) Nurse Hathaway should have only discussed her concern for sex with multiple partners betwixt the students. Step 8 and 9) if Nurse Hathaway had followed this model, education could have occurred, the school would have been protected and Andreas privacy would have been respected.This particular model allows for the abridgment of various options to sensitive, ethical dilemmas. An ethics delegacy consists of of representatives from unalike fields in and outside of health care as well as professionals, lawyer, clergyman, etc., from the community. With different perspectives, experiences, and educational backgrounds the c ommittee can have a well-rounded parole and provide suggestions proposed to advocate for the rights of patients and foster mutual decisionmaking in the event of an ethical dilemma. When conflicting moral claims are presented, the ethics committee can suggest an unbiased approach to solving the ethical dilemma (Burkhardt & Nathaniel, 2008). Consulting with an ethics committee would have been in Nurse Hathaways best interest before deciding to break confidentiality. Had she not divulged pertinent information about Andrea to her school, Andrea most likely would not have attempted suicide.In conclusion, as nurses we are confronted with ethical dilemmas pertaining to upholding confidentiality in our day-to-day practice. good decisions should not be taken lightly and treated exclusively with sensitivity for our patients and the public. reservation the wrong decision could cost us the trust we build with out patients and community and our job.Burkhardt, M. A., & Nathaniel, A. K. (2008). Ethics & issues in contemporary nursing (3rd ed.). Clifton Park, NY Delmar Cengage Learning. Burkle, C. M., & Cascino, G. D. (2011, December). Medicine and the media fit the publics right to know with the privacy of the patient. Mayo Clinic Proceedings, 86(12), 1192-1196. Ethical decision-making lecture Module 3 lecture. Retrieved from Grand Canyon University http//my.gcu.edu. Griffith, R. (2008). Patient confidentiality rights and duties of nurse prescribers. Nurse Prescribing, 6(2), 116-120. Purtilo, R. B., & Doherty, R. B. (2011). Ethical dimensions in the health professions (5th ed.). St. Louis, MO Elsevier.