Ethical principles
One of the limitations of the model is that some patients do not find it as the best approach to care due to factors such as lack of perceived control over the situation, an interaction
The physician is also required to figure out how much the patient wants to be a part of the decision making process about their health. He also believes that a conversation between the patient and physician the key component of the conversation model is beneficial in his transparency model. This makes it so the physician is open with the patient and a sense of trust is built. Even if there are possible risks with the treatment the patient will trust the physician enough to go through with it if the benefits are…
Introduction A common issue in all health care fields is adherence to treatment. It is difficult for individuals to change their behaviours and to maintain those behaviours. Every person has their own perspective on their health and makes decisions about their health in different ways. Some individuals deny that they have a health problem, some are reluctant to manage their health, and others follow advice from practitioners without question.…
QHQ #2: Individual Liability Contrary to popular belief, poor access to health care is not the central problem to the health of an individual in poverty; rather, health is associated with certain social determinants of health, specifically individual risk factors. In the book Mama Might Be Better Off Dead: The Failure of Health Care in Urban America by Laurie Kaye Abraham, the concept of how an individual’s decisions can drastically impact their health is clearly expressed through the lens of Tommy, an uneducated individual who does not follow the advice given by his physician. The choices that Tommy makes in respect to his health outside the four walls of the hospital are what contributes to his declining health. There are two primary individual…
- Users of health and social care services should be consulted and allowed to make independent decisions about their health and treatment. If for example a person should be taken to a theatre for an operation, he should be allowed to make the decision independently after being informed. It is important for organisations that are working in partnership to enable their clients make informed decisions. Individual should be taken step by step on the kind of treatment they are required to undergo. The underperforming nursing home does not give clients an opportunity to make informed decision and this has affected its performance because clients prefer going to nursing homes where they are allowed to make their own decisions independently.…
The importance of patient participation in healthcare decision making is extremely important it keeps patients involved with the care they are receiving, it empowers them, and improves services and health outcomes. Health care professionals such as doctor-patient relationship, recognition of patient’s knowledge, allocation of sufficient time for participation, and also factors related to patients such as having knowledge, physical and cognitive ability, and emotional connections, beliefs, values and their experiences in relation to health services. Shared decision making aims to support patients to articulate their understanding of their condition and what they want to achieve from treatment, inform patients about their condition and the pros…
The NMC Code highlights the importance of balance between acting in the best interest and respecting the patient’s decision for treatment. Acting in the best interest of the patient is promoted to provide excellent quality of care (Rokstad et al. 2015). This is relevant if a patient consents to or refuses treatment. Edvardsson et al. (2010) highlights that person centred care is achieved by supporting the patients and families decisions for care.…
Community Treatment Orders Community Treatment Order (CTO) as a form of mandated outpatient treatment is well established and exists in several jurisdictions in various forms all over the western world. Its concept and practice has generated considerable debate and scrutiny with polarizing views. It presents a case for treatment as a right versus as a choice, and begs the question of whether there can be a balance freedom or coercion for the consumer. In this paper I will provide an overview of CTOs, discuss the issues and weigh in on the existing debate. CTO as a mechanism aims at promoting the consumer good through an inherently coercive process.…
A. Four Guiding Principles of MI The four guiding principles of Motivational Interviewing guide the clinician in a technique designed to create greater behavior change with clients. Successfully empowering individuals to create lasting healthy behavioral changes means establishing a trusting rapport and empathetically listening to their needs while maintaining a clear agenda that sets the stage for progressive “change speech” (Matulich, 2013). According to Matulich (2013), when a client expresses more and greater intent to change the more likely they are to initiate actions that mirror their intentional spoken wishes. The acronym, RULE stands for the four guiding principles of Motivational Interviewing: Resist, Understand, Listen, and Empower. When used strategically throughout a client interview they will guide a…
When the patient and their family are aware of the health status of the patient and the available treatment options, they can make better healthcare decisions. Thus, they become more independent and self-efficient in…
The steps health care providers need to take in order to ensure patients understand the consent is go over treatment option, outcomes/complication, and likely of success and complications. Health care professionals must comprehend issues and trends; more lives could be saved. Based on individual right to self-determination and autonomy I don’t think that patient consent form adequately informs patient to their medical rights. Self-Determinations and Autonomy give the patients moral and legal right to what will be done to them. Health care professionals must respect individual’s wishes and this must be followed by legislation, ethics standards and overall society value.…
The approach used with a non-compliant patient in treatment. When a patient is described as noncompliant they are viewed as rejecting optimal medical care. The term non-compliant is loaded with implications and stereotypes that are based solely on the individual’s medical assessment. Often patients have very practical reasons for not utilizing the doctor’s advice. The social worker should talk to the patient about barriers anything that can prevent compliance with the treatment regimen.…
The report concluded that in order to provide better care and better results, patients should be given greater opportunity for involvement in the clinical decision making process in relation to their healthcare. (Department of Health 2012). To reinforce this message, only two years previously, Higgs et al (2008) stated that clinical decision making has traditionally involved a process of individual healthcare practitioners making decisions on behalf of…
The Transitions Theory, a middle range theory, will be used as a guide throughout the DNP project. The Transitions Theory, as cited in McEwen and Wills (2014), began with the recognition of the “experiences that humans face as they deal with changes relating to health, well-being, and their ability to care for themselves.” McEwen and Wills (2014) continued to emphasize the interaction between the nurse and patients in this process and the role of the nurse in developing health promotion and therapeutic interventions to assist in the experiences. Just as in young adults transitioning from pediatric to adult primary care, the providers will assist in the transitional process to initiate and guide the process. The theory recognizes three main…
This paper aims to discuss the importance of patient participation in the maintenance of quality and safe patient outcomes. It also tackles about the different strategies that assist registered nurses in improving patient participation in care. The paper also closely examines the relationship between patient-centred care and patient participation in depth. Moreover, the many benefits of patient participation in care are emphasized. Effective communication in the clinical setting is also discussed in detail as to how they play a key role in the success of engaging patients in a participatory role.…
On the other side of the ledger we find that consumers may also drive up the price for health care through overutilization, also known as moral hazard. Moral hazard arises from the idea that if consumers have too much health insurance, then they will use medical services excessively, or increase their likelihood of engaging in risky behavior. To offset this incentive to take on extra health risks or to use medical services excessively, insurance providers and others have implemented co-pays for office visits, increased employee share costs, charged higher deductibles, and lowered the premium for health care services to simulate a "skin in the game" 12 approach. Advocates for this argument point out that the people who should pay the doctors…