Truth Telling, Privacy, and Confidentiality
Georgetown University
Bioethics in Nursing (NURO 518)
Abstract
Truth telling, privacy and confidentiality are critical aspects of care in the medical field. Establishing an effective nurse-patient relationship is key to an effective plan of care. Situations often arise where ethical considerations have to be made. This case study involves a patient by the name of David Collins. It brings to light a plethora of ethical issues that a nurse practitioner could run into out in the real world. An honest analysis of yourself, your moral beliefs and the patient’s best interest are all important concepts when deciding how to tackle ethical issues.
Truth Telling, Privacy, and Confidentiality
Truth telling, privacy and confidentiality are critical aspects of care in the medical field. Establishing an effective nurse-patient relationship is key to an effective plan of care. Situations often arise where ethical considerations have to be made. This case study involves a patient by the name of David Collins. It brings to light a plethora of ethical issues that a nurse practitioner could run into out in the real world. An honest analysis of yourself, your moral beliefs and the patient’s best interest are all important concepts when deciding how to tackle ethical issues.
Overview of the Case
David Collins is a 39 year old male Army intelligence officer that comes into the office to see you for treatment of a mild cholesterol problem. A trusting patient-nurse/provider relationship is in place and his visits are a nice break from the normal office routine. David comes in for an appointment and there is an immediate question about his demeanor. He is normally funny, smiling, and intriguing. On this visit you notice that he is quiet and withdrawn, his posture different, and looks tired. When questioned about this difference in personality he confides in
Bibliography: Boyle, R. J. (2005). Communication, Truth-Telling, and Disclosure. In J. C. Fletcher, E. M. Spencer, & P. A. Lombardo (Eds.), Fletcher 's Introduction to Clinical Ethics (pp. 99-116). Hagerstown, MD. Brous, E. A. (2007). HIPPA vs. Law Enforcement. AJN, 60-63.