What is the rule of confidentiality, and how does it differ from respecting someone’s privacy? The question that appears is Lucy is 15-year-old and she at the doctor’s office and a pregnancy test is being performed on Lucy. Lucy mom is waiting on her. Lucy is pregnant. How I will deal with this problem. I will have to my sure I understand the rule of confidentiality, and how does it differ from respecting someone’s privacy. It is most helpful to examine this question from three perspectives: that of law, of clinical practice and of ethics. The law is direct agency, as the subject of minors and confidentiality will clarify. Minors generally cannot authorize to the treatment; a parent or guardian authorize on the minor’s behalf. There are uncommon cases. Certain states authorize minors whom the law judge, especially mature, such as those who are married or in the armed services, to authorize to treatment, and sometimes minors may authorize to treatment for substance abuse or sexually transmitted diseases. The special cases are few, however, and prove the rule that the law judge individuals under a certain age (often18) not sufficient mature to make treatment decisions. The clinical practice follows under the HIPAA rule and adolescents. According to www.research.uci.edu “ privacy is the control over the extent , timing, and circumstances of sharing oneself (physically, behaviorally, or intellectually) with others. Confidentiality pertains to treatment of
Confidentiality is a right a person has in which to keep information about themselves private without anyone else being able to access it unless given permission or consent by an authorised person. A person's information should only be disclosed on a need to know basis i.e official bodies or next of kin unless specified otherwise. Information may also be disclosed if the information that is being held outweighs the risk to the person's health.
Some of our service users have profound learning disabilities and their level of comprehension and understanding is very limited, however they communicate constantly.
Confidentiality means not sharing information about people without their knowledge and agreement, and ensuring that written and electronic information cannot be accessed or read by other people who have no reason to see it.
She also asserts that testing is a violation of the child’s privacy since she can no longer choose whether to disclose her test results to her parents. Thus, healthcare providers should protect any child’s ability to choose which information she shares with her parents, particularly if that information (as is the case with late onset genetic diseases) only becomes relevant in adulthood and will affect her choices in marriage or reproduction (Davis _____).
Maintaining an individual’s confidentiality means you can be trusted by the individual when they give you any personal information. If the individual has given you any information or told you something which you must not to repeat it to anyone who doesn’t need to know. You can only break the confidentiality for the safety and well being of the individual. You must not discuss this information with everyone or some who isn’t in your work setting. You must only share this information with your manager, so they can guide you and the individual. The manager can guide you with the least amount of repercussions. Don’t
Responding to any concern has to be done in a professional manner meaning that you don’t talk to the parents or carer of the child without first following procedures.
An example of when I have violated someone’s confidentiality is when I told my sisters something that had happened to a good friend of mines. I assumed that my friend wouldn’t mind me telling my sisters, since they all know each other. My friend was in a situation where my roommates and I had to take her to the hospital. Even though I went to the hospital with her, and was by her side the whole entire time, looking back I should have not told my sisters about it. My friend was embarrassed about the situation, and did not talk about it until weeks later, and that should have been the first sign for me, that she was not comfortable with people knowing.
The healthcare team will observe the legal statutes of the state of California when administering care to minor patients. Minor patients are any patients under the age of 18 at the time that services are rendered. In the state of California, minors of any age may consent to medical care related to pregnancy, contraception, abortion, emergency medical service, sexual assault and rape services (this office maintains that minors under 12 can not be expected to give consent to any sexual act* and the attending physician should notify the medical office manager immediately before the minor patient leaves) and skeletal X-ray to diagnose child for abuse or neglect (the physician doesn't need either the minor's or the parent's permission in this instance) without parental permission and the physician can not inform the parents without the minor's consent. Further, minors age 12 years and older may obtain outpatient mental health services, diagnosis and/or treatment for infectious, contagious communicable disease and sexually transmitted disease, HIV/AIDS testing and treatment, rape and alcohol and drug abuse treatment without parental/guardian consent. When
According to Dictionary.com confidentiality is “the right of an individual to have personal, identifiable medical information kept private.” The definition for this term is widely known in health care, but when it is applied to adolescents many people do not understand the basics. Doctors are responsible for informing adolescent patients and their parents the privacy a minor is given according to federal and state laws, but in some cases doctors fail to do so. This results in the misunderstanding of minor’s privacy rights, which can lead to the adolescent patient not disclosing significant information, and the parents assuming they have the right to all of their child’s medical records. Because of this, it is important for adolescents and their parents to understand the nature of confidentiality in health care.
a swing in the emphasis and the resources devoted to this activity. Note; In all areas, confidentiality is of critical importance.
Teenage pregnancy is a controversial concept nowadays. When a teen girl becomes pregnant and goes to the doctor, the doctor must tell her parents, even if she does not want to. This causes big issues because the girls feel like they have no privacy in their situation. I agree with the doctors informing the young girls’ guardians because the girl is under their care, she is a minor, and they must know what is going on. Some people though, have different opinions.
A female child, under 16 years of age, has been dealing with a number of health issues for several years. Among them are STDs, bipolar, pregnancy/miscarriage, suicide attempts, and newly discovered cervical cancer. She has a history of drugs and alcohol and is about 4 weeks into another pregnancy. She has been expelled from school and is suppose to have home-schooling three times a week. These are canceled most of the time because she is either not at home, or is not able to function that day. This child has decided not to have any treatment for the cervical cancer as this would prevent her from being able to become pregnant in the future. She has also decided to have the baby. Apparently she does not understand the ramifications involved if she does not have the cancer surgery/treatment with regard to the safety and health of the child she is carrying as well as her own. There have been numerous professional people involved in the ongoing care of this child. Various doctors, psychiatrists, Social Services, Child Protective Advocates, the courts, a mentor and school councilors have been looking out for the welfare of this child for at least 3 years. In spite of the fact that she has a history of drugs and alcohol, and has anger management issues and suicide attempts, nobody has taken these red flags seriously enough to protect her from herself. The parents of this child are divorced. They are also dysfunctional. Problems have existed in this family from the beginning. An
As healthcare providers, our role is to ensure the safety well-being of our patients and advocate appropriately with their best interest in mind. While it is important to be our patient’s advocate, we must also stay within the parameters that are set by our state governing boards. Although the 15 y/o is a runaway, it is more important that we assess the well-being of the teen mom, her infant, and maintain a trusting patient-provider relationship. I would ask the Nurse Manager to room the patient and baby, and keep others out of the room until after I perform a full physical on both of them. The time in the exam room will allow for further investigation of the current situation.
Privacy and ethics have become somewhat of a lost art. Two things we as Americans used to hold as part of our highest core values. However, now it appears as though privacy has become a thing of the past and ethical behavior is just something you hear about once in a while. It seems as though little by little pieces of ourselves are being chipped away, and we are standing by allowing it to happen. We continually allow our privacy to be invaded on a daily basis by our smartphones, social media, and many other outlets that we try to connect ourselves to just to attempt to feel as though we are alive? That is just a small piece on a colossal scale of privacy and ethical issues we face.
Located on a college campus with a majority of the patients being young adults, maintaining confidentiality can be an issue. One issue that Melanie commonly faces is concerned parents calling regarding their child’s prescription. Since the passing of HIPAA, eighteen year-olds have the right to keep their health information from their parents. As a pharmacist, one should be mindful of the information that is discussed with parents of college-aged students. This can be difficult because parents do not always want to abide by this law. While shadowing at the pharmacy, I saw another potential issue with patient confidentiality. If the pharmacy were to hire a student intern or clerk, that student could learn about the medical conditions and medications that his or her friends have. It would be very easy to breach HIPAA and, therefore, a liability. Luckily, I don’t think the pharmacy is planning to do this.