Ethical and Professional Concerns in Healthcare

Subject Name : Medical Sciences

Case 1- What Are Three Key Legal and Ethical Concerns Raised in Annabelle’s Case

There are three legal approaches to Annabelle's problem:

Consent: Is the young girl able to consent to treatment on her own? If the answer is "yes," there is no legal requirement to obtain parental consent. If the answer is "no," or if the doctor is unsure, he or she may first seek advice from colleagues and/or not prescribe the treatment. However, this does not mean that the doctor is required by law or has the right to break confidentiality regarding the consultation unless the young woman is thought to be at risk of abuse or is being abused.

Confidentiality: Unless the patient gives her permission for others (such as her parents) to know, the doctor must keep her confidential. The doctor must also determine whether the patient is competent enough to give her own consent for medication (Berglas et al., 2021). Aside from that she additionally needs to give her clinical history or foundation to the medical care suppliers to explain whether she is in great shape or capable to control the symptom of the morning pills.

A Typical Clinical Issue - Recommending Contraception Hormonal contraception (for example the oral Preventative pill, injectable and implantable Chemicals) can be recommended for a minor, No matter what the explanation/s why, without parental assent, given that the young lady is Considered able by her PCP to give informed assent. This is additionally valid for crisis hormonal contraception ('next day contraceptive'). That regulation in NSW changed somewhere in the range of 2000 and 2005 to eliminate injectable progesterone (Berglas et al., 2021). From the "Special Medical Treatment" category, which required Guardianship Tribunal approval for women under the age of 16, this contraceptive is now available in NSW and other states and territories.

Sanitization - for example tubal ligation, vasectomy - these methodology can't be performed on a minor without the power of the guardianship Council, family Court of Australia or High Court.

Her social foundation may likewise introduce a wellspring of profound pain for her, as she might feel conflicted between the upsides of her family and local area, and her own sentiments towards her companions, beau and herself as a youthful Australian. The same consent and confidentiality laws will apply to a young woman seeking termination (Berglas et al., 2021). Similarly as with some other kind of medical services, GPs are expected to report a kid they suspect is in danger of damage when they structure an assessment that there are current worries for the kid's security, government assistance, or prosperity. GPs (and other compulsory journalists) are safeguarded from:

It is easy to "hide behind culture" or to use "culture" as an "excuse" for not doing something. Unveiling your personality and the character of your training without your consent. Being sued for making a report. Breaking professional morals or guidelines by making a report. Being sued for criticism if you make a report. It is possible to investigate Annabell's tensions regarding the effects of her "secret" on her family and the community, possibly with the assistance of transcultural specialists (Berglas et al., 2021). Children under the age of 18 can exercise their own privacy choices, such as denying parents access to their records, once they are able to comprehend and make their own decisions.

Case 2 - Use an Ethical Framework to Decide Next Steps

When providing management and care services in healthcare settings, a health care worker needs to be aware of the responsibilities that patients have and how closely they adhere to the legal and ethical requirements. The manager should first raise the matter with the administration. Next degree of step is to ensure that the chief who all examined about the patient in an off-base way ought to apologize the group of the patient to give nobility to the patient regardless for the psychological or actual impediment the person in question is going through.

When the standard method of communication fails to resolve an issue, a going escalation policy must be established to manage disagreements regarding an order's safety (Hepworth & Smith, 2018). In order to assist in achieving a satisfactory resolution, employees must be aware of who to call. In the event that a disagreement arises between a subordinate and their superior, ensure that the procedure provides a means of resolving the issue outside of the usual chain of command.

Create a policy for intervention with full support from the leadership to consistently address disrespectful behavior. A successful strategy incorporates no capacity to bear rude ways of behaving no matter what the guilty party's remaining in the association, decency to all gatherings, consistency in requirement, a layered reaction to infractions, a supportive cycle to assist with peopling change their way of behaving, and observation components.

For the purpose of identifying disruptive behavior and evaluating compliance with the code of conduct, implement a private reporting and surveillance program. A proper revealing project and a casual cycle for unwritten reports ought to be offered, and any individual who encounters or witnesses problematic way of behaving ought to be urged to report the occasion.

There are sure things medical caretakers and doctors ought to never tell a patient or relative since they can prompt an expanded gamble of responsibility and disappointment. Clinicians should be educated by risk managers about how to avoid saying:

Making a promise or promising too much is one of the comments.

In addition, employees shouldn't let others hear them whining about internal issues like staffing shortages.

In order to ensure that these messages are not included in printed or digital materials, risk managers should collaborate closely with the communications department (Hepworth & Smith, 2018).

There are a lot of things to say and do in healthcare and risk management, including the best practices that improve outcomes and reduce liability risk. However, there are also a lot of things that healthcare workers should never say to a risk manager. Because they could result in a lawsuit or make defending a lawsuit more difficult, you should never say these things to patients or family members. McNee states, "You are an agent of that organization when you are at work, but a lot of patients and their families will try to get personal opinions from staff members without realizing that you can't really speak your mind in a personal way when you are at work." When someone asks them, for instance, what they think of a doctor's qualifications, it is critical that they realize that they are unable to express their own personal opinions. However much you need to be useful and well disposed, you are as yet a representative of the medical clinic or wellbeing framework.

O'Leary asserts that the subject ought to be kept off the table, even when it comes up in an abstract way, such as when a patient inquires about a current nursing staff ratio bill. It's like not talking about politics or religion at dinner (Hepworth & Smith, 2018). Even if someone directly asks you for your opinion or if you want to use it as an explanation for why you are not at fault in a given situation, you are required to have a policy that states that you will not discuss these internal debates or problems.

Case 5 - Identify Three Key Concerns About Maria's Actions and Discuss Potential Outcome

Maria might end up getting conjunctivitis. Being a staff at medical services settings one ought to keep up with specific respectability level and etiquette while working and going to available time. A common eye infection that causes redness, swelling, and watering in the affected eye is known as pink eye or conjunctivitis. It ordinarily begins in a single eye and may spread to the next eye. Although there are numerous potential causes of pink eye, viral and bacterial infections are the most prevalent. Both are extremely infectious. Through close contact, you can spread your symptoms to other people. You should take precautions to prevent spreading pink eye to others if you have it. This might incorporate remaining at home from work or school when your side effects are best case scenario.

Maria should not be allowed to enter certain areas where other coworkers or employees are gathered. With her presence at the workplace with a pink eye, there might be responsibilities on the part of other workers or staff members.

Additionally, Maria may receive a warning from management and be asked to take a leave of absence until her symptoms improve. This is due to the fact that several highly contagious viruses and bacteria can cause pink eye (conjunctivitis). Every one of these sorts of microorganisms can spread from one individual to another in various ways. They usually spread from an infected person to other people through:

Close personal contact, like touching or shaking hands;

Sneezing and coughing in the air

Touching a germ-ridden object or surface, then touching your eyes before washing your hands.

Regular PPE equipment should be used by Maria when she is attending the workplace and interacting anyone within the premises or even outside. Being a colleague of her one should insist her to take proper precautions for avoiding the further spreading of the infections. Even she should also maintain a regular check up schedule with physician as because she herself reports that she is accustomed quite often to suffer from this infection (Hall et al., 2015). Hence we should make sue that Maria leaves for her home after consulting the doctor. In case the doctor or physician recognizes the symptom as a non-infectious disease the in that case she may be allowed to work within the premises that too with a written consent from the physician and also mutual agreement of the management and co-workers around her workplace.

Finally, in order to avoid this, adequate space should be provided for employee training on proper hand washing, and avoiding eye contact is essential to preventing conjunctivitis spread. It is encouraged to provide instruction on how to clean contact lenses, dispose of contaminated eye makeup, and avoid sharing towels at home. There never appeared to be a connection between's a worker's conjunctivitis and a patient's conclusion. On a more regular basis, it was the workers' kids who communicated the disease to them, and they remained at home no less than three days, as allowed by the strategy (Hall et al., 2015). There were no complaints or documented cases of transmission from an employee to a patient.

References

Berglas, N. F., Kaller, S., Mays, A., & Biggs, M. A. (2021). The role of health care providers in young women's attitudes about and willingness to use emergency contraceptive pills. Women's Health Issues, 31(3), 286–293. https://doi.org/10.1016/j.whi.2020.12.010

Hall, L., Halton, K., Macbeth, D., Gardner, A., & Mitchell, B. (2015). Roles, responsibilities and scope of practice: Describing the ‘state of play’ for infection control professionals in Australia and New Zealand. Healthcare Infection, 20(1), 29–35. https://doi.org/10.1071/hi14037

Hepworth, M., & Smith, M. (2018). Workplace Information Literacy for administrative staff in Higher Education. The Australian Library Journal, 57(3), 212–236. https://doi.org/10.1080/00049670.2008.10722477