...learning is a case study that involves discrimination towards a patient who is part of the traveling community. This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling population within our society. My group colleagues and I decided to use the same methods of collecting information as in the previous case studies. I feel very frustrated because there is a lot of ignorance within our society, lack of information and understanding of people who disregard others because of were they come from. Firstly I make reference to the NMC’s guidance on anti-discrimination practice; As a qualified nurse I am personally accountable for my practice, and when caring for my patients I must; 1.1 Respect the patient as an individual 1.2 Protect and support the health needs of individuals 1.4 I have a duty of care to patients, who are entitled to receive safe and competent care. 2.3 As a registered nurse I am personally accountable for ensuring that I promote and protect the interests and dignity of patients and clients, irrespective of gender, age, race, ability, sexuality, economic status, lifestyle, culture and religious or political beliefs. 2.4 I must promote the interest of patients. This includes helping individuals and groups gain access to health and social care, information and support relevant to their needs. The NHS is accountable for all acts and omissions that relate to equality and human right legislation...
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... In the case study, the nurse is facing ethical as well as professional dilemma regarding the patient’s rights. The nurse’s role in this case study is to, work according to the Maryland state regulations and nursing standards; But as per Maryland nursing standards, she is not working as an advocate for her patient, Mr. E at this situation (Code of Ethics - the Division of State Documents, 10.27.19.02). The patient already signed advanced directive against life saving measures almost seven years ago, at the time of admission to a nursing home, with the help of patient advocate; but Dr G. is planning patient care in opposition to Mr.E’s active advance directive and his expressed objections to the medical care. There are numerous issues to consider in this case study. The nurse has to review her professional role according to code of ethics and nursing standards in relation to advance directives and medical power of attorney. The nurse also has to consider the patient’s right to privacy and confidentiality according to HIPPA Policy. The issues in contemporary healthcare facilities are sometimes the statues can be vague, and issues can be in conflict with own personal beliefs in most areas. A) State Regulations and Nursing Standards of practice There are specific Maryland state regulations and nursing standards regarding patient rights in this case study. However, the most relevant regulation is that, the nurse...
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...Background to the Study In the rapidly changing system of health care, many different factors have affected and changed the perception about how health care is practiced today. The rights of patient are also affected. Patient rights have now become the center of attention in practice of medicine. Today, concerns about patients’ choice and the respect for their preferences, values and the access to medical care are getting more complex. The patients’ expectations are becoming higher and now they always want everything best (Rafique & Bhatti, 2014). Nurses are subject to numerous ethical and legal duties in their professional role, including the imperative to maintain patients’ privacy and confidentiality. Beginning in 1893, nurses take the Nightingale Pledge “I promise to do all in my power to maintain and elevate the standard of my profession, and hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling” (Gretter, 2012). The duty continues today, with hospital policies, state regulations, and federal law aimed at protecting patients’ confidentiality. Critical care providers are often privy to confidential information in the course of clinical practice. The dilemma may arise when confidential information is requested by family members or friends of the patient. Although at times it seems that regulations and laws are so stringent that any disclosure of health care information is forbidden, it...
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...Industry-Specific Case Study Consider your case-study industry and the security discussions that are taking place there. Consider the security discussions that are taking place in this seminar. Delve into the models that have been explored and articulate what you and your colleagues think of these conceptual frameworks. Assess the overall value of models and frameworks to your industry's security environment. Reference sources and the interview will be essential to the success of this particular assignment. Your paper should answer this question: How useful are the models you have studied in analyzing, understanding and clarifying security requirements and roles in your industry? Your response should be specific and closely tied to your industry's security issues. Here are some suggestions to guide your thinking: * Does the C-I-A Classic Triad contribute to thinking or policy regarding information security in your industry? If it does, to what extent? If not, why not? * What is the current or potential value of the formal models discussed by Prof Bishop? * To what extent does the Parkerian Hexad help in analyzing security needs? * Are there or could there be situations or incidents where confidentiality has not been breached but control or possession has been threatened? * Have you and your colleagues encountered situations in which authenticity of data – as distinct from integrity – has been in doubt or frankly compromised? * Can you think...
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...Ethics in Nursing Practice, Values and Decision Making Name Name of College Abstract Nurses work with a wide range of patients, and each patient presents their own economic, social and cultural differences. While nurses work to provide care for the sick, injured and dying, they are always working within the boundaries of their professional codes of ethics. The nursing code of ethics is more than laws and common etiquette, and upholding the code of ethics is understood and agreed upon by people in the nursing profession. The two kinds of ethical theories discussed most in nursing are consequentialist and nonconsequentialist theories. By examining these two theories, nurses are able to evaluate the principle of confidentiality and how to apply the principle within reasonable limits. Further understanding of these normative theories gives nurses the abilities to evaluate conflict avoidance and resolution. As nurses further navigate the world of ethics, they discover how the code of ethics is influenced by a person’s culture, and they acquire a solid foundation for current ethical decision-making models used in their industry. Ethics in Nursing Practice, Values and Decision Making Nurses who take care of patients are encouraged to do so with a certain level of politeness. Other than being polite, nurses are required to be skilled, and they must follow the laws which govern them in their field of practice. Between all of the skills, politeness and laws...
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...is being faced by a major threat that is misuse of patient health information. To protect the patient and their families during their job transition or the unemployment period and to protect the patient health information from being misused the U.S Congress ratified HIPAA i.e. Health Insurance Portability and Accountability Act. HIPAA protects patients and their families in times of their unemployment by providing them with Health Insurance at that particular time. (Wikipedia, 2011) The area of study this research addresses is the health care industry and the processes within. Healthcare industry is one industry that is always successfully operational because human being is exposed to the threat of illness every second. Since health care industry is always operational, the competition within the industry is extremely high. The competition is not only about who provides the best services, but it is also about who provides the best protection to the patients in terms of managing their information as well as protecting them in times of need. The subject under consideration is to study the health department of Gary Job Corps Center and develop a procedure that is compliant with HIPAA. The procedure in focus will be the management of patient health information and its security maintenance in compliance with HIPAA. The proposed solution will be given in consideration of the basic statutes and laws stated in Health Insurance Portability and Accountability Act. ...
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...GENETIC COUNSELING IN NURSING AND ETHICS Hyang Ko Azusa Pacific University Abstract The current development of genetic information and technique leaves us assignments. It is included ethical issues, roles of nurses, and the responsibilities in healthcare professionals. In order to understand nurses’ role and responsibilities and to provide genetic counseling, two research article with text books were reviewed. There were conflicts within ethical principles and nurses’ obligation. Each principle is important but one principle is superior to others when healthcare professionals make a decision in a certain context. It is necessary that genetic counseling is provided to patients and their family when healthcare professionals deal with genetic information. The two research articles empathized that experienced nurses are excellent candidates in genetic counseling within healthcare professionals by being educated, trained about genetic information. Genetic Counseling in Nursing and Ethics Definitions of Genetics and Genetic Counseling Officially, the terms of Genetics and genetic counseling is defined by Wekipidia as below: Genetics, a discipline of biology, is the science of genes, heredity, and variation in living organisms (http://en.wikipedia.org/wiki/Genetics). Genetic counseling is the process by which patients or relatives, at risk of an inherited disorder, are advised of the consequences and nature of the disorder, the probability of developing or transmitting...
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...management systems and the provision of excellence in quality care is dually the journey and goal to enhance patient safety. Before venturing out this journey, it is of importance to understand the ‘why’ and the “how” and “what” will come naturally in succession. The patient is the “why” clinical information transformation is the push for all care providers within the four walls of a hospital, and private and satellite physician offices. Patient safety is the shared vision why pioneers of Health Information Technology (HIT) created computerized systems such as Electronic Health Record to meet the demands of healthcare today and tomorrow. As an example, Cerner Corporation and Dell Corporation- two big giants in the IT industry- are in a continuum to enhance their products and services. In addition, these products, services, and “solutions” are the “platform” that shell the delivery of safe patient outcomes and equip multi-disciplinary clinicians to guide and drive this patient-centered care; best practice and evidenced-care medicine is now the expected and standard of care for what is right for the patient. Furthermore, the present millennial generation drives or is driven by the “cloud’ world and the product is fast and smart, safe and secure, information gathering and sharing that is access anytime and anywhere. For example, a mobile device- IPhone- allows a patient (user) to search and seek out “the best” in any industry. In healthcare, availability and transparency...
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...Communication in health and social care organisations Task 3: Report Explain how the communication process is influenced by values and cultural factors………………………………………………………………………………………………2.1 Explain how legislation, charters and codes of practise impact on the communication process in health and social care………………………………………………………………………………………………….2.2 Analyse the effectiveness of organisational system and policies in promoting good practise in communication……………………………………………………………………………….2.3 Suggest ways of improving the communication process in health and social care setting………………………………………………………………………………………………2.4 The Report Introduction. This assignment is about communication which is a two way process involving the sender and receiver. Communication in health and social care connects people of different aspects. I will explain how legislation, charters and codes of practise impact on the communication process and analyse the effectiveness of organisational systems policies in promoting good practise in communication and Suggest ways of improving communication process. Culture and values consists of customs, ideas and social behaviour of a society (Anon, 2016). Values and cultural are influenced by beliefs, religion and ethnic background. As a health worker I have a duty of care to respect people’s values and cultures, when people of different cultures are discriminated or ignored they react to it with anger and emotionally. In regard to the case study sengupta’s...
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...QUESTION TWO: ADULT CASE STUDY, AN ETHICAL ISSUE OF CONSENT. This essay presents a critical incident analysis of a 70 years old man refusing to give consent to a life saving treatment. The essay will discuss its impact by discussing the conflict between professional and the patient’s issues. It will go on to explain the main professional issues in the scenario, breach of any NMC code of conduct and show how they relate to the guidelines set by Nursing and Midwifery Council (NMC). It will also highlight on the relevant underlying legal or ethical principles that applies to the case study and its implications. For instance, ethical principles, such as beneficence, non-maleficence, autonomy, justice, human rights and the best interests of the patient will be explored, in the light of relevant laws, in order to show some of the legal and ethical complexities within this case study, and finally draw a conclusion. For confidentiality purposes, have been changed in accordance to the NMC guidelines. The main professional issue reflected in this case study is the issue of consent. Consent, means to give permission for something to take place or to agree to do something (oxford dictionary 1998). This does not necessitate that, the actions approved have been developed or permission given in the knowledge of possible consequences known as informed consent has been achieved. This goes to show that, for medical purposes, although the patient has the right to refuse treatment, he has to also...
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...is based on adult case study two a 70 year old male patient called Mr James. All names have been change in this essay in order to comply with the NMC (2008). Code professional conduct on confidential. The case study highlights a number of principle, legal issues and professional value. These will be identified and some will be discuss in details. Ethics is concerned with the study of social morality and philosophical reflection of norms and practice (Burckhardt and Nathaniel 2003). These ethical issues are those based on basic and essential to social values that include respect for life, liberty and to be cared for. There will be a demonstration of understanding the theory of deontology while recognizing the importance of ethical principles in relation on the delivery of individual patient care. Informed consent will be highlighted in detail to provide validity and factors involved. A reflection will be provided to detail the understanding of how ethical theories contribute to the ethical decision making process in clinical area. Also a brief discussion will be given to show what has been gained from producing this essay. Consent can be defined as an agreement to allow something to happen based on full disclosure of facts needed to make an intelligent decision (Hazel 2002). This includes the knowledge of risks involved, benefits and consequence of refusal. Informed consent not only requires that a person be given all relevant information required to reach...
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...original attachment Page 1 IT and Health Submitted by Lekshmi P Roll no:09810036 MBA 1 ST year Department of Management Studies Indian Institute of Technology Roorkee Page 2 Department of Management Studies,IIT Roorkee Page 2 Abstract This paper tries to present the overview of ICT and the health sector and also tries to identify the key issue and questions in this field .It also mentions the challenges facing the development of ICT implementation in health programmes and activities, and identifies the emerging trends and technologies that will shape ICT tools in the health sector. This paper also tells about the E- health standards existing and the various barriers related to establishing uniform standards. The paper also talks about the New Public Sector Management .And throughout the paper we will discuss some specific cases which will show us exactly how the ICT is changing the face of the health sector in some countries . Page 3 Department of Management Studies,IIT Roorkee Page 3 Contents 1. Introduction ........................................................................................................................................4 2. ICTs and the health-related MDGs (Millennium Development Goals)...............................................5 3. Using ICTs in the Health sector...........................................................................................................6 3.E-Health Standards .............................
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...http://www.nap.edu/catalog/9728.html We ship printed books within 1 business day; personal PDFs are available immediately. To Err Is Human: Building a Safer Health System Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, Editors; Committee on Quality of Health Care in America, Institute of Medicine ISBN: 0-309-51563-7, 312 pages, 6 x 9, (2000) This PDF is available from the National Academies Press at: http://www.nap.edu/catalog/9728.html Visit the National Academies Press online, the authoritative source for all books from the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine, and the National Research Council: • Download hundreds of free books in PDF • Read thousands of books online for free • Explore our innovative research tools – try the “Research Dashboard” now! • Sign up to be notified when new books are published • Purchase printed books and selected PDF files Thank you for downloading this PDF. If you have comments, questions or just want more information about the books published by the National Academies Press, you may contact our customer service department tollfree at 888-624-8373, visit us online, or send an email to feedback@nap.edu. This book plus thousands more are available at http://www.nap.edu. Copyright © National Academy of Sciences. All rights reserved. Unless otherwise indicated, all materials in this PDF File are copyrighted by the National Academy of Sciences. Distribution, posting, or copying...
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...1. What is the MPI and what types of information are contained in the MPI? MPI-master patient index, sometimes called a master person index, link a patient’s medical record number with common identification data elements, for example: patient’s complete name, date of birth, gender, mother’s maiden name and social security number. Because most health care facilities house patient records according to a medical record number, the MP becomes the key to locating paper based records in the health information department file system. Thus, the MPI is retained permanently because it serves as the key to finding the patients record, it can be automated or manual. According to the American Health Information Management Association (AHIMA), some recommended core data elements for indexing and searching records include: * Internal patient Identification * Patient Name * DOB * DOB qualifier * Gender * Race * Ethnicity * Address * Alias/pervious name * SS# * Facility identification * Universal patient identifier (if available) * Account number * Admission date * Discharge date * Service type * Patient disposition 2. What are registers and indexes? Registers and registries contain information about a disease or event and are maintained by individual health care facilities, federal and state government agencies and private organizations. Case report form are submitted by health care facilities and providers to report...
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... 2 A patient has the legal right to be informed and knowledgeable concerning any procedure performed by all medical personnel. The fact that an emergency situation has occurred does not change those rights. Being in a vulnerable state of mind when facing an emergency situation can be scary enough without facing the situation uninformed and unknowledgeable as to how the circumstances may affect you and your family. We, the patient or patients are protected by rights that are put in to place to help reassure us that we will receive the best care possible, without the fear being taken advantage of or our lives taken for granted. Informed consent is defined as a voluntary agreement given by a person or a patients' responsible proxy (for example, a parent) for participation in a study, immunization program, treatment regimen, invasive procedure, etc., after being informed of the purpose, methods, procedures, benefits, and risks. The essential criteria of informed consent are that the subject has both knowledge and comprehension, that consent is freely given without duress or undue influence, and that the right of withdrawal at any time is clearly communicated to the patient. Other aspects of informed consent in the context of epidemiologic and biomedical research, and criteria to be met in obtaining it are specified in International Guidelines for Ethical Review of Epidemiologic Studies (Geneva:...
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