Question

Explain the legal and ethical considerations for the following:

1. Privacy, Confidentiality and Disclosure

2. Discrimination

3. Duty of care –

4. Mandatory reporting

5. Translation services

6. Informed consent

7. Work Role Boundaries – responsibilities and limitations

When there is an issue impacting on a person’s rights and responsibilities including employee’s, employers and clients how would you refer the issues and to whom? Please give an example for each.

Employee’s

Employers

Clients

When using organisational structures and/or different support models for optimum client service, briefly explain the following.

Person-centered service delivery

rights based service delivery

different roles and responsibilites of team

multi disciplinary teams

Links and interrelationships between different members of the community service workforce and the health sector

role of support services

funding enviroments

Answer 1

1)
1.Privacy is viewed as the right of the individual patient to be let alone and to make decisions about how personal information is shared.privacy rights with respect to individual healthcare decisions and health information have been outlined in court decisions, in federal and state statutes, accrediting organization guidelines and professional codes of ethics.
*Confidentiality is recognized by law as privileged communication between two people in a professional relationship, such as with a patient and a physician, a nurse or other clinical professional. patients expect confidential communication in these relationships. While application in legal proceedings is subject to evidentiary rules and consideration of the public need for information, support of privileged communication can be seen in case law.
*disclosing the health information to other than health care team leads to losing the confidence of the patient and also voilating the privacy right of the patient which is unethical.
2. discrimation-its not ethical to show discrimination in providing care in health care settings,which is included in code of ethics.
3.Duty of care also expected by the patients/organizations, and any negligence by the nurse and the pysician/health team can be leads to unethical issue and law suits once proven.
4.Madatory reporting of the patient also mentioned in the guideline of professional code of ethics.Failure of reporting the patient is,neglecting one patient to provide services.
5.Translation services,which is needed for the patients in helping to understand the services provided by health care team and taking consent for those services(informed consent in local language).
6.informed consent-explaining the need for the procedure and the possible complications of particular procedure,it will be explained clearly and with willingness of patient and family the procedure will be carried out in the treatment setting.
7.work role boundaries-responsibilities and limitations will be given by the professional code of ethics,violating the ethics leads to misconduct like accepting the gifts/rewards from the patients and failing to maintain the nurse-patientrelationship etc.

*Employee's can refer the issue to the government labor agency when the employer creating the problem related to person's right's and responsibilities like personal/sexual harrassment,causing harming to physical/mental health and leading to sickness.
-Employers can handle the situation by taking to board members and giving the written warning ,suspension and removing from services.
-clients can approach through greivance cell regarding the issues of person's rights and responsibilities.