Monday, February 25, 2019
Patientââ¬â¢s Rights In Practice Essay
In the line of business of healthc ar, patients draw several proper(a)s they atomic number 50 or should use in grade to receive the maximal benefit out of the actionment they receive. The patient should be thoroughly evaluated and one should make sure that smashly their slumps and responsibilities are respected. However, we should similarly be aware that at that place is more than just leaseing the corrects and responsibilities of the patient. The stopping point do by the health wangle professionals should be legal and estimcapable in every sense.In my study, I present a typesetters racing shell of a 14-year old girl (lets name her Sara) who was presented to the hospital when she was found with cramps. Unfortunately, upon ultrasound s nominatening, it was revealed that she was pregnant. The pregnancy was ectopic. She was obviously hesitating to reveal this to her m opposite and she planned to brook the per general anatomyance by signing the legal consent herself. However, the girl macrocosm underage, consent is definitely an issue as one has to be 18 years old or more to sign the legal consent. on that point are pros and cons of the issue here that go away be discussed elaborately found on several evident journals supporting my arguments. As verbalize earlier, it is utterly essential to make the patient aware of his or her justifiedlys and in our case, Sara is negligent regarding her refines as she is underage (14 years old). How has she re onlyy utilized her powerfuls and what responsibilitys she didnt utilize that could allow benefited her? The showtime in force(p) that Sara had utilized correctly was the right to aim the free hospital services as a familiar patient.The spot right that can be use in Saras case is her right to be treated with respect, dignity and reflection without taking into consideration of her age, gender, religion or culture. The third right that can be applied is the right to education wher e she can conduct either to be a private patient or a unexclusive patient. The ordinal right that is applicable in Saras case is her right to treatment found on how un wellspring she is. The fifth right that fits into Saras description is her right to participate in making her own finishs regarding the healthcare.Sara also has the right to attend more training about her treatment and risks in her own delegacy so that it is easy for her to understand. This can be regarded as her sixth right. Her right to portray permission for the treatment can be her s take downth right and Saras eighth right is her right to keep her information secluded and private (Queensland Health Public longanimouss Charter, 2002). While all her rights rich person been outlined above thoroughly, lets look into severally and elaborate into each concept by supporting the arguments as well with examples.Each right mentioned above conforms with her age and her right to treatment. In the first right, s he gains admission charge to free health services from the hospital which is absolutely bouncy as she is a resident and under the program she is insured in, she is authorize for benefits. The second right is her right to treatment irrespective of her age and other attributes. Obviously, Sara is underage and by no means does her current age spatial relation deprive her from receiving the right health check treatment.The third right that has been explained above is her right to be a customary or a private patient. She can render her own bear downs or have Medicare pay for her. Since she is underage, this right will apply but as a public patient as private patient right makes no sense in her case as she is not earning (or her financial dispositions have not been displayed). Saras fourth right is her right to treatment based on her condition diagnosed, which again, fits into her category. Her right to treatment here is a surgical operation for her ectopic pregnancy and that sho uld be done at the right time.The suggestion given by the health professionals is accurate and therefore, she can proceed with the treatment whenever she wishes (Queensland Health Public Patients Charter, 2002). Saras fifth right is to choose the kind of healthcare treatment she wants to proceed with. Obviously, in her case, we see that she is negligent regarding this right. However, the healthcare professionals much(prenominal) as the defends or doctors may advice her (only) regarding her options. Saras sixth right, as entitled, is to record more information about the treatment in her own way.In her case, it would be a simplified language (and not in health check terms) to explain what has actually happened to her and what she has to do for her ectopic pregnancy. Saras seventh right is her right to give permission for the treatment. She can refuse or accept to perform the surgical process but as in her case, a surgery is absolutely essential as she has an ectopic pregnancy bu t if she refuses to do so, the healthcare professionals or physicians cannot force her into changing her decision and granting them the permission to abide by with the surgery. And finally, Sara has the right to keep her information confidential.Since she doesnt want her mother to realize about her pregnancy, either information about her pregnancy and surgery should be kept strictly confidential unless absolutely necessary to reveal, only by the patients permission (Queensland Health Public Patients Charter, 2002. All the patients have their own rights and olibanum they should be respected as well as taken care of without any sense of uncongeniality towards them. Saras first right, as stated, is her right to use free hospital services as a public patient and accordingly, she has utilized her first right.Medicare was first introduced in Australia in the year 1984. Under the public vault of heaven of health financing, it has two vital functions, one of them being to intersect t he court of public hospital care and other of medical physicians or practitioners. As quoted by the article below, Under Medicare, all permanent Australian residents are entitled to free public hospital care when choosing to be public patients. Doctors who are appointed in the hospitals provide their medical treatment.State and dominion organisations provide public hospital services and work tightfittingly with the federal g overnment and professional bodies to ensure that quality of care and appropriate standards are maintained Medicare also meets the bulk of costs for all out-of-hospital services such(prenominal) as general practitioner and specialist consultations. (Australia Now, n. d. ). As per the quote above, Sara must(prenominal) have been insured under Medicare which is how she was able to proceed for the surgery or even gain access for the check-up where she was diagnosed for ectopic pregnancy.As the ICN code of morals for nurses states in its preamble, Inherent in nursing is respect for human rights, including pagan rights, the right to life and choice, to dignity and to be treated with respect. Nursing care is respectful of and unrestricted by considerations of age, colour, creed, culture, disability or illness, gender, sexual orientation, nationality, politics, incline or social status (ICN code of ethics, 2005). Ethically and legally, Sara has utilized her rights and therefore, it is ethical and perfectly legal for the healthcare practitioners such as secures or nurses to treat her in the way she should be treated.As the right and regulation itself states, there is no discrimination based on any attribute in terms of treatment or providing healthcare services. Her third right, as implied, is her right to be a public or private patient. In Saras case, there is hardly any choice as she cannot choose to be a private patient (because if you are a private patient, you pay your own bills and if you are a public patient, they can have Medicar e to cover your costs). Regarding the healthcare services in Australia, there is absolutely no tip limit that is charged by the doctors and therefore, one has to be extremely on the lookout when making such choices.However, Dr. Stephen Duckett states, There is, however, a government-set fee schedule. Doctors can bill patients or send their bills directly to the government insurance authority, the Health insurance policy Commission (HIC). If sent to the HIC, the payment is 85% of the government-set fee for out-of-hospital expenses and 75% of the government set fee for in-hospital services the money is paid directly to the doctor, and the doctor is not allowed to charge the patient an additional fee. About 75% of family physician services are directly billed to the HIC.If a doctor bills the patient directly, the patient then applies for the rebate of the government set fee (Duckett, 2004). Saras fourth right, as outlined previously, is her right for appropriate treatment for the di agnosed condition, which in her case, is ectopic pregnancy. According to Megan-Jane Johnstone, the patients have the right to appropriate case and thus she states in her book, Bioethics a nursing perspective, The right to have access to appropriate care is a second sense in which a right to health care can be claimed.This sense raises valuable questions concerning the cultural relativity or ethno-specificity of care and its ability to accommodate messs personal preferences, health beliefs, health values and health practices. flunk to provide health care in an appropriate manner can have disastrous consequences (clinically, legally and morally) (Johnston, 1999). Therefore, as stated by Megan-Jane, weakness to provide inappropriate healthcare may lead to serious consequences and even lawsuits (when taking this in a legal perspective).The fifth right is Saras right is to choose the kind of healthcare treatment she wants to pursue with. The healthcare practitioners can only advise h er on this matter and cannot force her to choose a particular kind of treatment. As suggested by her ultrasound stress reports, Sara is diagnosed with ectopic pregnancy. In her case, the rights are her law. The law protects her rights. Since Sara has no option at all, she plans to proceed with the surgery of her ectopic pregnancy.According to code of ethics for nurses in Australia, as stated below, Nursing care is based on the schooling of a therapeutic relationship and the implementation and evaluation of therapeutic processes. healing(predicate) processes include health promotion and education, counseling, nursing interventions and empowerment of individuals, families or groups to exemplar maximum choice in relation to their health care (ANMC, 2002). Saras sixth right states that the healthcare professionals should make her understand of her situation as well as treatment options in an easy-to-understand language.Ethically, it is the right thing to do as the healthcare profess ionals should make their patients aware of their health condition, its consequences and the treatment options in the easiest manner. In Saras case, we see that at a very young age, she is a patient with ectopic pregnancy and nothing except surgery can save her life from being ruined. According to Mary Ellen pass over Ross, Nurses must frequently make arduous decisions when faced with ethical dilemmas that bechance in clinical practice.Utilizing ethical principles for analyzing and reflecting on the issues may ease this strong task. In addition, the nurse involved may experience less solicitude and uncertainty over whether or not the correct decision was made (Ross, 1993). We have observed that the healthcare professionals (in Saras case) have respected her rights and have advised her for the most safest and viable option. The role of nurse is taken badly in this regard as she is the one who takes extreme care in such delicate cases.Saras seventh right is her right to give or as k permission for the treatment. Before any treatment is initiated, her complete permission has to be sought. But here involves a complexity. Sara is underage and they should have legal consent from their guardians before performing or prescribing any medical treatment. Judith M. Cassells and Barbara K. Redman emphasize on the ethical dilemmas when concerning the informed consent. In the practice, a nurse should take into account the moral aspects of nursing care when arriving on any decision (Cassells & Redman, 1988).Applying values in smart set to come into a decision mostly works and therefore, Sara has been given the option for the surgery. According to her right, she can utilize her free will and sign on the legal consent form without any questions from the healthcare provider as her right entails her to do so. However, a legal consent from her guardian would have done her more near(a) as it is essentially vital for someone who is close to her (as in relations) to be by her wh en this surgery would take place.Ethically and legally, what Sara is doing and has gone through the surgery is right but morally speaking, the presence of someone close would have helped the patient in a great way. Lastly, Sara has her right for privacy. Legally, yes. Ethically- the hospital, the hospital module as well as the doctors and nurses are not allowed to reveal either. The information serves in the best interest of the patient and without the written consent of the patient, no information is revealed to any person, even if the person inquiring is a close relative.Geoffrey Hunt in his book, Ethical issues in nursing has stressed on maintaining the privacy as it helps in proper management of records and helps the patient be at ease regarding his or her health information (Hunt, 1994). While all her rights have been served and the ethical aspect of every right having been discussed, we have seen how the public patient occupy issued by Queensland government helped in making public aware of their rights. The rights stated therein are the laws and the ethics involved stated here are from a nursing perspective. Marie T.Hilliard in her journal article, Nursing, morality and Professional roles states that there has always been a growing concern over the ethical codes and practice where nurses are involved but today, immense information has been highlighted for the public as well as the medical professionals in order to understand their practice, their laws as well as their ethics (Hilliard, 1990). Overall, the public charter has highlighted on the responsibilities and rights of the patient in a way that they are able to utilize it with full knowledge and are able to gain the maximum benefit out of it.Referencehttp//unpan1.un.org/intradoc/groups/public/documents/APCITY/UNPAN016276.pdfhttp//icn.ch/icncode.pdf
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