12/24/2015Miss Samah Ishtieh1 Managerial Ethics Patient Rights & Nursing Ethics Prepared by: Miss Samah Ishtieh

12/24/2015Miss Samah Ishtieh2 Patient Right 1.A Healthy and Safe Environment Everyone has the right to a healthy and safe environment that will ensure their physical and mental health or well- being,

12/24/2015Miss Samah Ishtieh3 2. Participation in Decision-Making Every citizen has the Right to participate in the development of health policies and everyone has the right to participate in decision-making on matters affecting one’s health.

12/24/2015Miss Samah Ishtieh4 3. Access to Health Care 3. Access to Health Care Everyone has the right of access to health care services that include:  Receiving timely emergency care regardless of one's ability to pay;  Treatment and rehabilitation.

12/24/2015Miss Samah Ishtieh5  Provision for special needs in the case of newborn infants, children, pregnant women, the aged, disabled persons, patients in pain, person living with HIV or AIDS patients.  Counseling without discrimination.  Palliative care that is affordable and effective in cases of incurable or terminal illness.  A positive disposition displayed by health care providers.  Health information that includes the availability of health services and how best to use.

12/24/2015Miss Samah Ishtieh6 Knowledge of one’s Health Insurance / Medical Aid Scheme 4. Knowledge of one’s Health Insurance / Medical Aid Scheme A member of a health insurance or medical aid scheme is entitled to information.

12/24/2015Miss Samah Ishtieh7 5. Choice of Health Services 5. Choice of Health Services Everyone has the right to choose a particular health care provider for services or a particular health facility for treatment.

12/24/2015Miss Samah Ishtieh8 6. Be Treated by a Named Health Care Provider Everyone has the right to know the person that is providing health care and therefore must be attended to by clearly identified health care providers.

12/24/2015Miss Samah Ishtieh9 7. Confidentiality and Privacy Information concerning one’s health, including information concerning treatment may only be disclosed with informed consent, except when required in terms of any law or an order of the court.

12/24/2015Miss Samah Ishtieh10 8. Informed Consent 8. Informed Consent Everyone has the right to be given full and accurate information about the nature of one’s illnesses, diagnostic procedures, the proposed treatment and the costs involved. Everyone has the right to be given full and accurate information about the nature of one’s illnesses, diagnostic procedures, the proposed treatment and the costs involved.

12/24/2015Miss Samah Ishtieh11 9. Refusal of treatment 9. Refusal of treatment A person may refuse treatment and such refusal shall be verbal or in writing provided that such refusal does not endanger the health of others. A person may refuse treatment and such refusal shall be verbal or in writing provided that such refusal does not endanger the health of others.

12/24/2015Miss Samah Ishtieh Be Referred for a Second Opinion Every one has the right to be referred for a second opinion on request to a health provider of one’s choice. Every one has the right to be referred for a second opinion on request to a health provider of one’s choice.

12/24/2015Miss Samah Ishtieh Continuity of care 11. Continuity of care  No one shall be abandoned by a health care professional worker or a health facility which initially took responsibility for one’s health.

12/24/2015Miss Samah Ishtieh Complain about health services Everyone has the right to complain about health care services and to have such complaints investigated and to receive a full response on such investigation.Everyone has the right to complain about health care services and to have such complaints investigated and to receive a full response on such investigation.

12/24/2015Miss Samah Ishtieh15 Every patient or client has the following responsibilities:  to advise the health care providers on his or her wishes with regard to his or her death.  to comply with the prescribed treatment or rehabilitation procedures.  to enquire about the related costs of treatment and/or rehabilitation and to arrange for payment.  to take care of health records in his or her possession. Responsibilities of The Patient

12/24/2015Miss Samah Ishtieh16  to take care of his or her health.  to care for and protect the environment.  to respect the rights of other patients and health providers.  to utilize the health care system properly and not abuse it.  to know his or her local health services and what they offer.  to provide health care providers with the relevant and accurate information for diagnostic, treatment, rehabilitation or counseling purposes.

12/24/2015Miss Samah Ishtieh17 Nursing Ethics

12/24/2015Miss Samah Ishtieh18 Nursing Ethics  Ethical Values Include: 1. Client well being. 2. Client choice. 3. Privacy and confidentiality. 4. Respect for life. 5. Maintaining commitment. 6. Truthfulness and fairness.

12/24/2015Miss Samah Ishtieh19 Client Wellbeing  Facilitating good health.  Preventing and removing harm.  Differentiate between client and nurses view of what is beneficial.  Respect well being in research.  During data collection look for adverse responses.

12/24/2015Miss Samah Ishtieh20 Scenario  Debridement causes pain  Refusal of medication  Listen  Support, find solution  Maintain relationship

12/24/2015Miss Samah Ishtieh21 Client Choice  The right to information necessary to make choices and to consent.  Decide on what is best for them.  When incompetent limitations should be identified for substitute decision maker.  Limits to choices by patient such as endangering others (smoking).

12/24/2015Miss Samah Ishtieh22 Scenario  Concern about safety  Dislike of type of food  Considerations of choices may be difficult.  When values differ ask for substitute  Advocate to acquire information before consent (cultural)

12/24/2015Miss Samah Ishtieh23 Privacy Privacy includes limited access to a person’s:  Body  Conversation  Bodily functions  Objects related to the person

12/24/2015Miss Samah Ishtieh24 Confidentiality Confidentiality involves:  Keeping personal information private.  All information related to physical, social and psychological health.  Any information collected during the course of care provision.

12/24/2015Miss Samah Ishtieh25 Scenario  Manager requests to see patient record  Patient with HIV +  Child with Hepatitis +  All information is private to patient and care givers

12/24/2015Miss Samah Ishtieh26 Respect for Life  Includes consideration of quality of life.  Understanding of own belief about human life.  Make every effort to preserve human life.  Some professionals believe that preservation of life at the expense of it’s quality is questionable.

12/24/2015Miss Samah Ishtieh27 Scenario  CPR  Intubation  Respect wishes within values, religion, and law.  Advocate for palliative measures.

12/24/2015Miss Samah Ishtieh28 Maintaining Commitment  To oneself.  To nursing colleagues.  To nursing profession.  To team members.  To quality practice settings.

12/24/2015Miss Samah Ishtieh29 Scenario  Right to die peacefully at home  When values conflict between nurse /patient  Difference of nurse education level  Competency decline of colleague  Clarify values  Explore alternatives  Use different forms of communication strategies to break barriers among colleagues (diploma, BSc.)  Contribute to CQI and accountability

12/24/2015Miss Samah Ishtieh30 Truthfulness  Speaking without intention to deceive  Ensure client is informed  Benefit of full disclosure ( cultural issue )  Honesty to build trust

12/24/2015Miss Samah Ishtieh31 Scenario  Choice not to be told  Choice not to have family know  Consult about what is necessary for consent  Consider patients point of view and impact, how harmful

12/24/2015Miss Samah Ishtieh32 Fairness  Allocation of resources on basis of objective health – related factors.  Decisions to entitlement to care.  Equal attention regardless of needs.  Be aware of the rationale of decisions in particular situation.  Provide best care under available circumstances.

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