The theme of Module Five is that every patient has a right to receive emergency care and every patient has a right to informed consent. The emergency medical treatment and active labor act (EMTALA) requires hospital that receive Medicare payments to provide care to patients regardless of citizenship, ability to pay, or legal status. Hospitals with EDs that serve Medicare patients must abide by EMTALA, which is a statute that requires stabilization of any patient that presents to the emergency department. An emergency situation as we identified at class is either when the patient is dying, when a woman giving birth, or something about unnatural disability. It's easy for patients to feel powerless in these types of situations, as they present with an illness. That’s why hospital administrators and providers have the duty to give patients every angle of their medical situation. Patients must have all the information about their diagnosis and treatment…
The Federal Law passed the Patient Self Determination Act in 1990 and the regulations were taken into effect in December 1991. The law provides adults as well as emancipated minors the right to be informed that either he or she has the right to make their own decision and what medical care or treatment to accept, reject, or discontinue.…
Several years ago I was put forward by my manager to complete a NEBSM (national educational board of supervisory management ) certificated course, through this course I was introduced to Belbin’s theory in management and team roles, I use these theories today whilst managing the staff/team employed by the company.…
In the medical field there emerges a conflict that all physicians will eventually come to deal with, or are already dealing with regularly; that is the conflict of Autonomy and informed consent versus Paternalism and the doctor's intervention. In one hand, Autonomy is the principle of non-interference and the right to self-governance; informed consent is the concept that "Every human being of adult years and sound mind has a right to determine what shall be done with his own body (102)" it is the exercise of a choice after being informed of the process and risks of a medical treatment. While in the other hand lies Paternalism; "the interference with, limitation of, or usurpation of individual autonomy justified by reasons referring exclusively…
Camerin, even though I did not mention autonomy in my post, I as well believe it’s an important ethical principle. Everyone has the right to make their own decisions and others should respect that. This is very important in healthcare because in many situations patients will refuse treatment or procedures regardless of the benefits. Even though many will think that’s absurd, we just have to learn to respect and move on. Not everyone will agree and that’s okay.…
I viewed the suicide tourist video open-mindedly and aware of the 1990 Patient Self-Determination ACT (PSDA). Self-Determination is a very difficult topic of discussion because it is closely tied to one’s culture, beliefs and religious practices. The conversation does not usually occur until after a loved one has become terminally ill and cannot make that decision for themselves, placing the decision in the hands of family members. Mr. Ewert stated that people may think that he is playing God by making the decision to end his life and yet, he would not be alive now if it warrant for technology keeping him alive and that doctors and nurses play God every day when saving per-mature babies and performing transplants. Mr. Ewart’s decision to…
The Patient Protection and Affordable Care Act will improve the quality and efficiency of U.S. medical care services for everyone. It allows substantial investment to improve the quality and delivery of care and make health care accessible to all Americans, particularly the uninsured.…
According to the Federal Law, The Patient Self- Determination Act requires all health care facilities to provides every patient with informed and consented information about their right to make decisions regarding their health. These are called Advance Medical Directives. Patients are also provided with information about state laws that may impact legal choices in making health care decisions. Some of those Advanced Medical Directives are:…
Imagine laying in a hospital intensive care unit critically injured, unconscious, yet fully aware of your surroundings but unable to interact. Imagine hearing your family discussing with the doctors your slim potential for recovery or insurance coverage running out and you can not articulate your wishes to continue treatment. In a situation like this, advanced directives provide the hospital, the staff, and your family the necessary guidance to authorize the use or withdraw of medical procedures. According to the Federal Patient Self Determination Act of 1990, advanced directives are "an individual 's rights under State law to make decisions concerning such medical care, including the right to accept or refuse medical or surgical treatment" and such directives will ensure that the patient 's wishes are followed to either conduct procedures to save your life or no procedures to allow you to pass on. In either case, advanced directives are an extremely important step in patient health care in providing quality service to the patient and relieving the physician from liability if some people do not agree with the advanced directives.…
With the establishment of the HIPAA Privacy Rule, a patient’s right to have his or her…
Autonomy is integral to health care; however, promoting and sustaining patient autonomy may be more difficult to enact than is often suggested. According to Hewitt-Taylor (2004), the concept of autonomy becomes more complex when the patient is a child, or an adult who has learning disabilities or a mental health problem that might be considered to impinge on their ability to make informed decisions. An adult with a mental health problem, who is unable to function autonomously has to rely on their caregivers and POAs for their care. In situations like this, health care staff need to be aware of the legal as well as moral and ethical issues involved when facilitating autonomous choices for their patients (Edgar, et al., 2001). The distinction…
A search of the literature reveals several different definitions of patient advocacy. Merriam-Webster's Online Dictionary defines advocacy as "the act or process of advocating or supporting; to promote the interests or cause of " and an advocate as…
The Patient Protection and Affordable Care Act (PPACA) signed into law by president Obama on March 23, 2010 is arguably the most extensive reform of health care law ever to be enacted in the U.S. It will impact the way professionals practice health care, the way insurance companies handle health care as a product, and the way consumers purchase and use health care as a service. The Affordable Health Care Act is primarily aimed at reducing the number of uninsured Americans and reducing the overall costs of health care from an administrative and consumer standpoint. The PPACA requires insurance companies to cover all applicants and offer the same rates to all applicants of the same age regardless of pre-existing conditions, gender or any other intrinsic factors that may deem an individual a particularly “risky” investment for an insurance company. According to the U.S. Census Bureau, in 2009, there were 50.7 million Americans living without health insurance; that amounts to 16.7% of the population (DeNavas-Walt et al.). In order to increase the rate of coverage, the PPACA provides mandates, subsidies, and tax credits to employers and individuals. Since individuals will not be discriminated against on the basis of their health, insurance companies will have larger pools of individuals to cover and the price of insurance will decrease based on the idea that the collective or average risk of any given group of individuals will, theoretically speaking, be less risky than the highest-risk individuals in that group. Because consumers will not be judged on their individual health, the insurance companies, instead, will have to compete for consumer attention and theoretically speaking, market prices of insurance will fall further due to the increased competition between companies (HealthCare.gov). In addition, there will be a mandate in place which will require all individuals not covered by their employer, Medicare, or…
The Patient Protection and Affordable Care Act is a federal statute that was signed into law in America by President Barack Obama on March 23, 2010. It is divided into 10 titles.…
The Patient Affordable Care Act also known as the Obamacare was created on March 23, 2012. The Affordable Care Act is a health care law that aims to ensure that all Americans have access to quality, affordable healthcare by increasing access to health coverage for Americans and introducing new protections for people who already have health insurance this law will hopefully create the transformation within the health care system necessary to contain cost. The ACA law puts in place comprehensive health insurance reforms that will roll out over four years and beyond, with most changes taking place by 2014. The Affordable care act has nine titles which help in addressing the reform quality, affordable health care for all Americans, the role of public programs, improving the quality and efficiency of health care, prevention of chronic disease and improving public health, health care workforce, transparency and program integrity, improving access to innovative medical therapies, community living assistance services and supports, and revenue provisions. Within those nine titles I’ve chosen to expand on two areas prohibiting denials of coverage based on pre- existing conditions and helping young adults by requiring insurers to allow all dependents to remain on their parents plan until the age of 26.…