Ethical Dilemmas In Health Care

One of the main ethical issues that faces health care is the security of patient information. This information is protected by laws and regulations such as HIPPA, but there are still concerns Scott, et al, 2005). Among those concerns is the new concept of electronic patient records and information. These records are designed to help hospitals and doctors get patient information more quickly, so that patients can receive treatment as soon as possible. Unfortunately, anything kept and transmitted on a computer has the potential to be hacked, so that is a serious concern for patients. Not all patients want their medical records to be available electronically, but they may not have too many options (Romano & Stafford, 2010). Opting out may not be an option for them, and if they do have that option it could reduce the speed and quality of treatment that these patients would receive. Do they want to risk that, just so they can feel as though their medical information is better protected?

Patient stated that he was on detox unit in October of 2016. Patient stated that after his discharge and went to Salvation Army in Jersey City. Patient stated that he AMA'd from Salvation Army in February of this year. Patient stated that he felt that it was time to go get his own place, start working, and get his life together. Patient started working in construction Stated workin. got house care and within two to three months started using. Patient stated that he was stressed from life and physically tired from work as the reason for his relapse. Patient stated that he was fired two week ago. Patient will attend groups to identify coping skills for maintaining sobriety from drugs. Patient will increase socialization by interacting

The client understands that he has a problem with alcohol, perhaps talking about the problem with alcohol can open up the door to talk about the other drugs use by him. The client might feel threaten and uncomfortable talking about addiction and might not want to attend AA meetings. It is important to let the client know that the program is there to help and improve his chances of

Discuss one main issue of substance abuse that the NP should discuss with Mr. HR and his girlfriend?(15pts)

It is my hope that throughout the development of this research paper I will be able to furnish an assessment tool that identifies the risks of the clients, in conjunction with finding the best evidence based interventions that would help to facilitate change. After careful consideration, I have chosen to look at the 2nd case study with Terrance who is a 21 year old male who resides at home with his grandmother. He is currently coming in to be seen because his grandmother has been noticing his drinking recently and doing drugs. Terrance reports that his grandmother seems kind of depressed because he has gone to using substances as a way to deal with his stress and that he has tried to stop using substances and even sought help but it

Substance abuse and additions: One of the unique ethical challenges involves the myriad of dual relationships inherent in the field and include dilemmas stemming from recovering workers attending AA meetings with clients or with their supervisors, or the changing role of some individuals to service providers within the very programs in which they had recently been clients. Dual relationships are a concern frequently addressed in the substance abuse literature (e.g., see Bissell and Royce, 1989). Additional challenges arise from the increased use of physical contact in treatment between clients and service providers, the hinging of services to abstinence, and the debates surrounding abstinence versus controlled drinking and harm reduction,

Based on this disclosure and admission, I was able to begin my work. I reinforced what the treatment center began to implement, the 12 Steps of Alcoholics Anonymous. We created a structured schedule of meetings and the 12-step work began. Weekly he came to therapy and we “sparred” back and forth of his lack of interest and motivation on the program. It became clear to me that I was not making any headway on this type of counseling and my client could be in danger of relapse. I suggested over and over the vital importance of this activity. It was frustrating, because although he recently achieved two years of abstinence, I feared he was only “Dry.” Without the daily maintenance of a, “spiritual program.”

The healthcare system is faced with many ethical dilemmas on a daily basis. There are basic principles in health care that every health care worker should practice to ensure safety and to protect the rights of others. This begins with confidentiality. Providing patient privacy and confidentiality are essential to promoting a bond between patients and his or her practitioners as well as preserving the patient’s dignity (Edge & Grove, 2007). Under some circumstances, patient’s personal information is retrieved without their consent. While some may view this as not an issue, others lose trust in the people they look toward to care for them in critical times, and this can lead to legality troubles.

The relationship between immigrants and health care is both legal and ethical. This article explores the realities of the United States legal and moral obligations to illegal and legal immigrants in regards to healthcare access. The article examines the Canadian 2011 Federal Court of Appeal's decision in Toussaint- v. Attorney General in which Toussaint was denied medical coverage and it was determined that aliens where unable to receive health benefits. The United States does not provide medical services to illegal immigrants except in certain emergency circumstances to pregnant women and children, in which Medicaid services are provided. The author explores the idea that emergency department expenditures were more than three times as

5. Client is at a high risk for relapse as evidenced by his continued alcohol use. Client appears to be unable to maintain sobriety on his own and has little recognition and understanding of alcohol and substance use relapse issues. Client appears to have poor skills to cope with and interrupt addiction problems, or to avoid or limit relapse. Client would benefit from an inpatient treatment to target problem

Substance Use: Client struggles with Alcohol addiction. Patient consumes at least a half-gallon per day.

Healthcare professionals will be faced with ethical dilemmas throughout their career, particularly in the hospital environment. Having an education regarding professional healthcare ethics will provide some direction in how to best address these dilemmas at a time when either the patient or their family is in need of making decisions for themselves or their family member. It can be difficult for healthcare professionals to weigh professional protocol against their own personal beliefs and ethical understandings when determining critical care for their patient.

The problematic situation that brings a client to seek counseling is not often seen clearly by the client or others that may be associated. This is the reason that a therapist must use various assessment tools to determine potential disorders that may be the root to a problem. Though at times a client may seek counseling with a known substance abuse issue there are more cases where a client is oblivious to the potential contribution that substance abuse has on the problem that help is sought for. Understood that substance dependency is nondiscriminatory to age, gender, race or creed, a therapist approaches the matter with the client knowing that a problem is recognized and there is a hope for a solution being sought by the client. At the same time it is also known that an addictive personality will be protective of this disorder, producing a defensive posture and plausible deniability. A therapist must assess the potential of such a disorder existing and the readiness of the client to change within the initial interview. Chamberlain (2013) notes that it is initially important to ask a client directly about his or her use of drugs (p. 125). The interview process will assess the proper screening that must take place in order to derive a proper diagnosis for treatment. Five such tools used by therapists to screen and assess a client differ in various ways depending on the client’s age and willingness.

The Treatment method I would recommend for Brian is the Motivational Interviewing technique. It’s a non-confrontational way of talking and interacting with clients to motivate them to talk openly about their drinking, and to help them decide if changes are necessary. The main objective of this interview is to gather information in order to assess which of the services will best benefit Brian. Because Brian is not willing to give up his alcohol completely, I believe a harm reduction approach would be appropriate for him. WHY?

The social problem that was identified in the helping relationship is a return to alcohol use or relapse. The participant in the helping project admitted she had been in substance abuse treatment twice, but was unable to remain abstinent from alcohol use. This, according to her is a relapse, however, Miller (1996) identifies relapse as a return to alcohol and/or drug dependent behavior in a person who has previously achieved and maintained abstinence for a significant period of time beyond withdrawal. Unfortunately, the participant was unable to remain abstinent for any significant period of time, therefore does not meet the definition of relapse. Hence, we will discuss relapse, but the core social problem