This document discusses patients' rights and advocacy in nursing. It outlines various patients' bills of rights which guarantee patients access to information, treatment, and medical decision making. Specific rights mentioned include the right to privacy, informed consent, and making complaints. The role of nurses as advocates who help patients understand and exercise their rights is described. Nurses act as advocates by developing relationships with patients and making decisions with them. They may also be whistleblowers by calling attention to unethical or illegal actions. The document is authored by Prof. Dr. Ram Sharan Mehta on the topics of patient rights and advocacy in nursing.
Some of the most commonly occurring legal issues that impact on nursing and nursing practice are those relating to informed consent and refusing treatment as previously detailed, licensure, the safeguarding of clients' personal possessions and valuables, malpractice, negligence, mandatory reporting relating to gunshot....
Nursing innovation is a fundamental source of progress for health care systems around the world. And nurses innovate to find new information and better ways of promoting health, preventing disease and better ways of care and cure
A daily activity in every individual's life - Decision making. This ppt covers the Definition, Elements,Features, Objectives, Bases, Levels of decision making, Process of decision making, Types of decision making, Models of decision making , Problems of decision making, The nurse's role in decision making.
Some of the most commonly occurring legal issues that impact on nursing and nursing practice are those relating to informed consent and refusing treatment as previously detailed, licensure, the safeguarding of clients' personal possessions and valuables, malpractice, negligence, mandatory reporting relating to gunshot....
Nursing innovation is a fundamental source of progress for health care systems around the world. And nurses innovate to find new information and better ways of promoting health, preventing disease and better ways of care and cure
A daily activity in every individual's life - Decision making. This ppt covers the Definition, Elements,Features, Objectives, Bases, Levels of decision making, Process of decision making, Types of decision making, Models of decision making , Problems of decision making, The nurse's role in decision making.
THERE ARE LAW ASPECT IN ALMOST EVERY PROFESSION IN THE WORLD.THIS PRESENTATION IS THE LEGAL ASPECT OF PROFESSIONAL NURSES IN INDIA,IT ALSO COVER THE LATEST MENTAL HEALTH BILL.
Clinical teaching is an individualized
or group teaching to the nursing
student in the clinical area by the
nurse educators, staff and
clinical nurse manager
The legal implications of nursing practice are tied to licensure, state and federal laws, scope of practice and a public expectation that nurses practice at a high professional standard. The nurse's education, license and nursing standard provide the framework by which nurses are expected to practice.
American Hospital AssociationMANAGEMENTADVISORYA Patient’s Bil.docxgalerussel59292
American Hospital Association
MANAGEMENTADVISORY
A Patient’s Bill of Rights
A Patient's Bill of Rights was first adopted by the
American Hospital Association in 1973.
This revision was approved by the AHA Board of Trustees on October 21, 1992.
Introduction
Effective health care requires collaboration between patients and physicians and other health care professionals. Open and honest communication, respect for personal and professional values, and sensitivity to differences are integral to optimal patient care. As the setting for the provision of health services, hospitals must provide a foundation for understanding and respecting the rights and responsibilities of patients, their families, physicians, and other caregivers. Hospitals must ensure a health care ethic that respects the role of patients in decision making about treatment choices and other aspects of their care. Hospitals must be sensitive to cultural, racial, linguistic, religious, age, gender, and other differences as well as the needs of persons with disabilities.
The American Hospital Association presents A Patient's Bill of Rights with the expectation that it will contribute to more effective patient care and be supported by the hospital on behalf of the institution, its medical staff, employees, and patients. The American Hospital Association encourages health care institutions to tailor this bill of rights to their patient community by translating and/or simplifying the language of this bill of rights as may be necessary to ensure that patients and their families understand their rights and responsibilities.
Bill of Rights
These rights can be exercised on the patient’s behalf by a designated surrogate or proxy decision maker if the patient lacks decision-making capacity, is legally incompetent, or is a minor.
1. The patient has the right to considerate and respectful care.
2. The patient has the right to and is encouraged to obtain from physicians and other direct caregivers relevant, current, and understandable information concerning diagnosis, treatment, and prognosis.
Except in emergencies when the patient lacks decision-making capacity and the need for treatment is urgent, the patient is entitled to the opportunity to discuss and request information related to the specific procedures and/or treatments, the risks involved, the possible length of recuperation, and the medically reasonable alternatives and their accompanying risks and benefits.
Patients have the right to know the identity of physicians, nurses, and others involved in their care, as well as when those involved are students, residents, or other trainees. The patient also has the right to know the immediate and long-term financial implications of treatment choices, insofar as they are known.
3. The patient has the right to make decisions about the plan of care prior to and during the course of treatment and to refuse a recommended treatment or plan of care to the extent permitted by law and hospital polic.
THERE ARE LAW ASPECT IN ALMOST EVERY PROFESSION IN THE WORLD.THIS PRESENTATION IS THE LEGAL ASPECT OF PROFESSIONAL NURSES IN INDIA,IT ALSO COVER THE LATEST MENTAL HEALTH BILL.
Clinical teaching is an individualized
or group teaching to the nursing
student in the clinical area by the
nurse educators, staff and
clinical nurse manager
The legal implications of nursing practice are tied to licensure, state and federal laws, scope of practice and a public expectation that nurses practice at a high professional standard. The nurse's education, license and nursing standard provide the framework by which nurses are expected to practice.
American Hospital AssociationMANAGEMENTADVISORYA Patient’s Bil.docxgalerussel59292
American Hospital Association
MANAGEMENTADVISORY
A Patient’s Bill of Rights
A Patient's Bill of Rights was first adopted by the
American Hospital Association in 1973.
This revision was approved by the AHA Board of Trustees on October 21, 1992.
Introduction
Effective health care requires collaboration between patients and physicians and other health care professionals. Open and honest communication, respect for personal and professional values, and sensitivity to differences are integral to optimal patient care. As the setting for the provision of health services, hospitals must provide a foundation for understanding and respecting the rights and responsibilities of patients, their families, physicians, and other caregivers. Hospitals must ensure a health care ethic that respects the role of patients in decision making about treatment choices and other aspects of their care. Hospitals must be sensitive to cultural, racial, linguistic, religious, age, gender, and other differences as well as the needs of persons with disabilities.
The American Hospital Association presents A Patient's Bill of Rights with the expectation that it will contribute to more effective patient care and be supported by the hospital on behalf of the institution, its medical staff, employees, and patients. The American Hospital Association encourages health care institutions to tailor this bill of rights to their patient community by translating and/or simplifying the language of this bill of rights as may be necessary to ensure that patients and their families understand their rights and responsibilities.
Bill of Rights
These rights can be exercised on the patient’s behalf by a designated surrogate or proxy decision maker if the patient lacks decision-making capacity, is legally incompetent, or is a minor.
1. The patient has the right to considerate and respectful care.
2. The patient has the right to and is encouraged to obtain from physicians and other direct caregivers relevant, current, and understandable information concerning diagnosis, treatment, and prognosis.
Except in emergencies when the patient lacks decision-making capacity and the need for treatment is urgent, the patient is entitled to the opportunity to discuss and request information related to the specific procedures and/or treatments, the risks involved, the possible length of recuperation, and the medically reasonable alternatives and their accompanying risks and benefits.
Patients have the right to know the identity of physicians, nurses, and others involved in their care, as well as when those involved are students, residents, or other trainees. The patient also has the right to know the immediate and long-term financial implications of treatment choices, insofar as they are known.
3. The patient has the right to make decisions about the plan of care prior to and during the course of treatment and to refuse a recommended treatment or plan of care to the extent permitted by law and hospital polic.
5 The Physician–Patient Relationship Learning Objectives After.docxalinainglis
5 The Physician–Patient Relationship
Learning Objectives
After completing this chapter, you will be able to:
· 1. Define the key terms.
· 2. Describe the rights a physician has when practicing medicine and when accepting a patient.
· 3. Discuss the nine principles of medical ethics as designated by the American Medical Association (AMA).
· 4. Summarize “A Patient’s Bill of Rights.”
· 5. Understand standard of care and how it is applied to the practice of medicine.
· 6. Discuss three patient self-determination acts.
· 7. Describe the difference between implied consent and informed consent.
Key Terms
Abandonment
Acquired immune deficiency syndrome (AIDS)
Advance directive
Against medical advice (AMA)
Agent
Consent
Do not resuscitate (DNR)
Durable power of attorney
Human immunodeficiency
virus (HIV)
Implied consent
Informed (or expressed)
consent
Incompetent patient
In loco parentis
Living will
Minor
Noncompliant patient
Parens patriae authority
Privileged communication
Prognosis
Proxy
Uniform Anatomical Gift Act
THE CASE OF DAVID Z. AND AMYOTROPHIC LATERAL SCLEROSIS (ALS)
David, who has suffered with ALS for 20 years, is now hospitalized in a private religious hospital on a respirator. He spoke with his physician before he became incapacitated and asked that he be allowed to die if the suffering became too much for him. The physician agreed that, while he would not give David any drugs to assist a suicide, he would discontinue David’s respirator if asked to do so. David has now indicated through a prearranged code of blinking eye movements that he wants the respirator discontinued. David had signed his living will before he became ill, indicating that he did not want extraordinary means keeping him alive.
The nursing staff has alerted the hospital administrator about the impending discontinuation of the respirator. The administrator tells the physician that this is against the hospital’s policy. She states that once a patient is placed on a respirator, the family must seek a court order to have him or her removed from this type of life support. In addition, it is against hospital policy to have any staff members present during such a procedure. After consulting with the family, the physician orders an ambulance to transport the patient back to his home, where the physician discontinues the life support.
· 1. What were the primary concerns of the hospital?
· 2. What was the physician’s primary concern?
· 3. When should the discussion about the patient’s future plans have taken place with the hospital administrator?
Introduction
Few topics are as important as the physician–patient relationship. This relationship impacts the entire healthcare team. All healthcare professionals who interact with the patient must understand their responsibilities to both the patient and the physician. The patient’s right to confidentiality must always be paramount.
The first physicians were “medicine men,” witch doctors, or sorcerers. The physician–pa.
For many decades the vast majority of the South African population has experienced either a denial or violation of fundamental human rights, including rights to health care services. To ensure the realisation of the right of access to health care services as guaranteed in the Constitution of the Republic of South Africa (Act No 108 of 1996), the Department of Health is committed to upholding,
promoting and protecting this right and therefore proclaims this PATIENTS' RIGHTS CHARTER as a common standard for achieving the realisation of this right.
This Charter is subject to the provisions of any law operating within the Republic of South Africa and to the financial means of the country.
http://www.doh.gov.za/docs/legislation/patientsright/chartere.html
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
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Anti ulcer drugs and their Advance pharmacology ||
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It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
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4. Patients right
A patient's bill of rights is a list of guarantees for those
receiving medical care.
It may take the form of a law or a non-binding declaration.
A patient's bill of rights guarantees patients information, fair
treatment, and autonomy over medical decisions among other
rights.
4
Prof. Dr. RS Mehta
5. Patient rights are the basic rule of conduct between patient and
medical care givers as well as the institutions and people supporting
them.
It is a general statement adopted by most healthcare professionals,
covering matters such as access to care, patient dignity,
confidentiality, and consent to treatment.
5
Prof. Dr. RS Mehta
6. Contd…
Patient rights encompasses legal and ethical issues in the
provider- patient relationship, including a person’s right to
privacy, right to quality medical care without prejudices, right
to make informed decisions about care and treatment
options, and right to refuse treatment.
- US ADVISORY COMMISSION (1998)
6
Prof. Dr. RS Mehta
7. Patient’s rights
To receive reasonable,
respectful and safe access
to health services by
competent personnel.
7
Prof. Dr. RS Mehta
8. Contd…
Right to respect for cultural,
psychosocial, spiritual and
personal values, beliefs and
preferences.
8
Prof. Dr. RS Mehta
9. Right to freedom of choice
Patient has right to choose freely, change his/her physician and
hospital or health service institution.
Patient has right to ask for opinion of another physician at any
stage.
9
Prof. Dr. RS Mehta
10. Right to self-determination
• The patient has right to self determination, to
make free decisions.
• The patient should understand clearly purpose of
any test or treatment.
• The physician will inform the patient of the
consequences of his/her decisions.
10
Prof. Dr. RS Mehta
11. Right to know identity of person treating the patient
To be informed of the names and roles of all practitioners
and/or other clinical practitioners who are providing direct
care to the patient.
The medical personnel shall introduce themselves by
wearing a name tag.
11
Prof. Dr. RS Mehta
12. Right to participate in development and
implementation of care
Patient have the right to effective communication
and to participate in ethical questions that arise in
the course of care, withholding resuscitative
services, and withdrawing life-sustaining
treatment.
12
Prof. Dr. RS Mehta
13. Right to receive information
Patient has right to receive information about his or her complete
medical condition, recommended treatment, risk of the
treatment, expected results ,and reasonable medical alternatives
in the terms the patient understands.
13
Prof. Dr. RS Mehta
14. Right to privacy
• To have personal and physical privacy during medical
treatment, procedure and personal hygiene functions,
such as bathing and using toilet, unless patient needs
assistance for his or her own safety and when hospital
personnel are discussing the patient;
• They have right to have visitors leave prior to an
examination and when treatment issues are being
discussed.
• Privacy curtains should be used in semi-private rooms.
Prof. Dr. RS Mehta 14
15. Patient’s rights during medication
To be informed of drug’s name, purpose, action
potential undesired effects.
To refuse a medication regardless
of the consequences.
To have qualified nurses, physicians
assess medication history, allergies
use of herbals.
15
Prof. Dr. RS Mehta
17. BILL OF RIGHTS FOR PATIENTS
•American Hospital Association has adopted a
“Patient’s Bill or Rights” as a national policy
statement and distributed it to its member
hospitals throughout the country.
•Summary of 12 rights:
Prof. Dr. RS Mehta 17
18. 1. The patient has the right to considerate and respectful care.
2. The patient has the right to obtain from his physician complete
current information concerning his diagnosis, treatment and
prognosis in terms the patient can be reasonably expected to
understand.
3. The patient has the right to receive from his physician
information necessary to give informed consent prior to the
start of any procedure and / or treatment.
4. The patient has the right to refuse treatment to the extent
permitted by law, and to be informed of the medical
consequences of his action.
5. The patient has the right to every consideration of his privacy
concerning his own medical care program.
6. The patient has the right to expect that communications and
records pertaining to his care should be treated as confidential.
Prof. Dr. RS Mehta 18
19. 7. The patient has the right to expect that within its capacity a hospital
must make reasonable response to the request of a patient for
services.
8. The patient has the right to obtain information as to any
relationship of his hospital to other health care and education
institutions insofar as his care is concerned.
9. The patient has the right to be advised if the hospital proposes to
engage in or perform human experimentation affecting his care
or treatment.
10. The patient has the right to expect reasonable continuity of care.
11. The patient has the right to examine and receive an explanation of
his bill regardless of source of payment.
12. The patient has the right to know what hospital rules and
regulations apply to his conduct as a patient.
Prof. Dr. RS Mehta 19
20. EUROPEAN CHARTER OF PATIENTS’ RIGHTS
•FOURTEEN RIGHTS OF THE
PATIENT
Prof. Dr. RS Mehta 20
21. 1-Right to Preventive Measures
2-Right of Access
3-Right to Information
4-Right to Consent
5-Right to Free Choice
6-Right to Privacy and Confidentiality
7-Right to Respect of Patients’ Time
8-Right to the Observance of Quality Standards
9-Right to Safety
10-Right to Innovation
11-Right to Avoid Unnecessary Suffering and Pain
12-Right to Personalized Treatment
13-Right to Complain
14-Right to Compensation
Prof. Dr. RS Mehta 21
22. Consumer Bill of Rights and Responsibilities
1. Information Disclosure.
2. Choice of Providers and Plans.
3. Access to Emergency Services.
4. Participation in Treatment Decisions.
5. Respect and Nondiscrimination.
6. Confidentiality of Health Information.
7. Complaints and Appeals.
8. Consumer Responsibilities.
Prof. Dr. RS Mehta 22
24. Advocacy in Nursing
Client Advocate:
It is the role of the nurse to protect the client.
They assist clients in exercising their rights and help
them speak out for themselves.
Prof. Dr. RS Mehta 24
27. Nurse as Client Advocate
• When acting as client advocate, the nurse’s first step is
to develop a meaningful relationship with the client.
• The nurse is then able to make decisions with the client
based on the strength of the relationship.
Prof. Dr. RS Mehta 27
28. Nurse as Whistleblower
• Whistleblowing refers to calling attention to unethical, illegal, or
incompetent actions of others.
Prof. Dr. RS Mehta 28
29. Errors Due To Human Factors
• Poor Training
• Fatigue
• Staffing level
• Communication
• Distractions
• Punitive culture
Nurses
Many Roles One Profession
Prof. Dr. RS Mehta 29
Thank You