The current grave state of the economy has had a significant impact on health care across The United States. Massive budget cuts, reduced services, and limited access to care significantly have affected Medicaid patients. Hennepin County Clinic (HCC), a facility that provides health care to Medicaid patients, is dealing with an additional 15% budget cut that will force management to make decisions about which services must be changed or eliminated while still meeting the basic needs of the clients.…
Dilemmas that may arise between the duty of care and an Individuals rights. Despite all the efforts of healthcare providers to ensure an Individual receives the best possible care there might arise conflicts and dilemmas between healthcare worker & service user. Those conflicts may include: refusing a meal, type of activity, refusing medication or a treatment. Arising conflicts should be resolved as quickly as possible in a most satisfactory manner for both sides. The Human Rights Acts states that every person has the right to decide about their own life, they can refuse the treatments & medication they receive. It is essential to explain why they need that particular care & make them aware of pros and cons.…
Clinical Decision Support (CDS) is not a new concept, it has been around for more than 30 years (Brino, 2014). Brino (2014) reports that even with the most sophisticated information technology (IT), reasoning is difficult for computers. Computers operate best with a set of standard rules. CDS tools should not diagnose; diagnosing should remain in the purview of the physician due to the complexity inherent with diagnosing.…
When a doctor makes a decision for a patient in the name of health, the doctor is violating his or her autonomy. By autonomy, I mean the patient’s right to make medical decisions in terms of his or her health. Consider the following case: a patient has an advanced stage cancer that likely leads to death within a month, but the patient has a slim chance to survive through chemotherapy – which on its own is painful. If Collins was the doctor, he may mislead the patient, exaggerate the chances of survival, and convince the patient to opt for chemotherapy in the “best interest” of the patient’s health. But the patient’s “best interest” is subjective based on the perspective of the doctor or the patient.…
However decision making is essential for nurses to participate in order to focus on ethical and moral issues and note situations that appears to be dilemmas with the help of professional and ethical competence (Tschudin, 2002). Moreover unprofessional ethical practice may result to litigations if care was deemed not to be professionally sound.…
Joseph, S., & Letendre, C. (2014). Health Care Decision Making. New Bioethics, 20(2), 174-185. doi:10.1179/2050287714Z.00000000051…
Fremgen, B. F. (2012). Medical law and ethics: An interactive look at the decision, dilemmas, and regulations in healthcare practice today (4th ed.). Upper Saddle River, NJ: Prentice Hall.…
1. What is Clinical Decision Support and how does it benefit and/or limit the use of information when caring for patient? Clinical Decision Support provides specific information to health care staffs regarding a patient health care record, and this support system will help provide good quality care to the patient. This system has many different tools to help the health care provider an easy ways to care for the patient such as alert system, clinical guidelines, templates, and even more. With this system, I think it benefit the patient care by simply an easy communication for the staffs that are caring for that patient.…
As adults and human beings we have certain inalienable rights to make decisions regardless of whether they are deemed as poor or inappropriate by others. One must take into consideration the level of understanding and competence a patient possesses to assure they are informed of all options and repercussions; the other must be whether the individual is harming anyone other than themselves by making said decision. Once those issues have been taken into consideration there must be an allowance for an individual to make their own well-informed choice, even though as a practitioner, we may feel it is not in their best interest.…
There are five guidelines in selecting which principle to follow in cases that are hard to make a determination (Tong, 2007, p. 31). The first is that there are better reasons that can be offered to act on the overriding norm than on the infringed norm (Tong, 2007, p. 31). In the case of the Armando Dimas the initial assumption and conclusion of the neurosurgeon on call was the patient “should be dead” (Tong, 2007, p. 31). The immediate assumption and decision of hospital authorities had already listed the patient as a potential organ donor, based on the neurosurgeons preliminary examination.…
As an administrator, especially in healthcare, making decisions is never simple. Knowledge of ethical theories can assist complex decision-making situations and give evidence in which give us the ability to make confident choices. Such theories as Kant’s deontology, or duty-based ethics, can help us to define our responsibilities and give us reason to argue for or against certain issues by defining worth and moral duty. With applicable theories such as this you are no longer an individual making blind decisions through preference but an educated individual using your knowledge and reasoning based on experts dispositions. Theories allow an individual to make evidence-based decisions and the more theories and individual is able to cite, the more…
This means the decision to proceed must be in accordance with practise accepted by a responsible body of professional opinion and be in the best interest of the patient. (Griffiths 2007)…
Individuals naturally assume that medical providers know what is best for patients because they hold the knowledge, authority, and control. Therefore, without knowing that they also have the right to voice their opinions regarding their health, patients often leave the decision making up to the professionals. Although medical professionals may know more, patients know more…
Many doctors are faced with decision-making capacity situations every day, where they must determine if patients are competent to make their own medical decisions. If that is not the case, it must be arranged for healthcare agents or surrogates to make medical decisions. In the case of Patient FZ it is unclear whether he has decision-making capacity or if he lacks it. The neurologist and psychiatry consultant believes he lacks the ability to make his own medical decisions, but the nephrologist disagrees with that finding. If a patient has decision-making capacity and refuses treatment their refusal of treatment must be respected, but if a patient lacks decision-making capacity and refuses treatment, a health care proxy would step in to make…
People face difficult decisions while seeking medical care and treatment. When going through the health care system, it's important to have an understanding of patient rights and the laws and legal system protecting patients.…