The Treatment of Patients with Communicable Diseases Contemporary medical care reached many significant results in treating various kinds of diseases. Although for some of the diseases the treatment and cure is yet to be invented. This category of diseases, called communicable includes AIDS, cancer and several other kinds of diseases. For physicians and dentist this is a pretty difficult task to treat patients with those kinds of diseases and they need to overcome many prejudice in order to cope with the kind of problem. In this research we are going to discuss the problem of whether it is ethical for physicians and dentists to adhere to specific mandate to treat patients with communicable diseases. According to my opinion this is definitely ethical for the doctors to give equal treatment and to adhere to specific mandate in the situation when the patient is the one with communicable disease. This is because all people are equal and we do not know yet what potential abilities do the medicine and humans have. Communicable diseases are diseases caused by pathogens that can be spread from one person or animal to another.
These diseases are also called infectious diseases. The easiest way to prevent the spread of these diseases is to keep a clean environment and wash your hands. Imprving the quality f care fr patients at the end f life has becme a majr gal f the medical cmmunity and the general public. Hwever, it remains unclear what the best ways are t imprve the quality f this care. Several randmized, cntrlled trials f educatinal interventins and advance directives have nt led t any significant imprvements in the quality f care. A better understanding f the specific cmpnents f the quality f end-f-life care that are mst imprtant t patients and families may facilitate effrts t imprve the quality f this care.
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Evidence suggests that patients with different diseases receive dramatically different care at the end f life despite relatively similar prgnses. Studies suggest that end-f-life care may be significantly wrse fr patients with CPD cmpared t thse with lung cancer. Hwever, the reasns fr these differences in care received are nt clear. Such differences in care may be due t variatins in patients attitudes and preferences, variatins in health-care prviders attitudes and preferences, differences in disease trajectries, r sme cmbinatin f these factrs. A mre cmplete understanding f patients perspectives acrss these diseases may help imprve the quality f care these patients receive. Lets take for example a situation when a patient cmes int the hspital t see his results frm an AIDS test: his results are psitive. The patient nervusly cnfesses t the dctr that hes been cheating n his wife. His wife and the dctr are friends, theyve been friends thrughut schl, but later drifted apart.
Hwever, they still maintain a good friendship, occasionally get together call each other for advice, or simply to share their problems since theyve been friends for so long. The doctor never actually met her friends husband in person but after looking at his file she notices his last name and phone number are the same as her dear friends. The doctor then informs the client of her friendship with his wife. Should she tell the wife because he could pass this incurable disease to her? Or should she keep this information confidential because of her duty as a doctor? This situation creates an ethical dilemma because no matter what decision the doctor takes it will oppose a belief. In this scenario the patient is the client seeking the service of a doctor. Therefore, the doctor must take a course of action based on mutual agreement that will not violate their relationship.
As a professional, her primary duty is to serve the client, which in this scenario is the patient with AIDS. In order to better serve the client she will persuade and convince him to tell his wife in effort to maintain his autonomy and confidentiality. She will let him know that she must report this to government health authorities, and other health professional working with him. These health professionals need to be forewarned, so that they can take extra precautions. AIDS is now a reportable communicable disease in every statePhysicians and hospitals must report every case of AIDS- with the patients name to government public health authorities. The doctor is not removing the patients autonomy, however by giving him advice (persuading him) she is not respecting his autonomy to the fullest extent. In Clinical Ethics it is stated: Patient preferences are ethically significant because they make explicit value of personal autonomy that is deeply rooted in ethics of our culture.
... Doctor-Patient Communication Affect Patient Satisfaction with Hospital Care? Results of an Analysis with a Novel Instrumental Variable: Does Doctor-Patient Communication Affect Patient Satisfaction with Hospital Care ... course of the treatment. The patient can reveal deep information to a doctor who shows a sense of caring and concern. Both hospitals ...
Moral philosophers emphasize the principle of autonomy, the moral right to choose and follow ones own path of life and action. Respect for autonomy is the moral attitude that disposes one to refrain from interference with others autonomous beliefs and actions in the pursuit of their goals. Constraint of a persons free choices and actions seriously infringe on anothers rights and welfare. The recognition of patient preferences respects the value of personal autonomy in medical care. In practice, however, many forces obstruct limit the expression and appreciation of patient preferences. These forces such as compromised competence of the patient, disparity between practitioners knowledge and that of the patient, the psychodynamics of the patient-physician relationship, the stress of illness-often make difficult the realization of respect for the autonomy of the patient.
In other words, based on the value of autonomy the doctor should respect the patients preferences. If the doctor were to tell her patients wife she would completely remove the patients autonomy since the patient would no longer be able to choose or have any influence on the reaction his wife takes. This could lead to consequences such as divorce, which would change his path of life. By influencing the patient to tell his wife the doctor is not removing the patients autonomy, however she is reducing it by convincing the patient to tell his wife. The patient was planning on not saying anything, so if he tells his wife this action will not be his choice of action but one that the doctor influenced him to do. According to Jonsen, Siegler and Winslade: A patients right to privacy and confidentiality has one of the highest priorities in our legal system.
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Statutes and court decisions proclaim the duty to provide, maintain, and enforce a patients right to privacy and confidentiality, and also the perils of failing to do so. The Supreme Court has recognized it as a constitutional right. No longer is privacy and confidentiality merely a moral, ethical, professional obligation; it is a legal duty. The duty of the medical confidentiality is an ancient one. The Hippocratic oath states: what I see or hear in or outside the course of treatment, I will keep to myself, holding such things shameful to speak about. In essence, professional ethics require that the doctor maintain patient confidentiality; that is one of the highest values in the heath care profession.
In the event that the doctor divulges this information, respective malpractice insurance policies might not cover the institution for a breach of confidentiality if the patient sued. The doctors livelihood and professional reputation be at stake. She would be viewed as unprofessional for not upholding her duties she would develop a bad reputation that would reflect on the institution as well. After weighing the factors the realizes that if she breaks the confidentiality she could be dismissed from her job immediately and be liable for charges laid, and fines upon conviction. Disregarding this duty of confidentiality also affects medical care in the long run in a much worse way: this would destroy the doctor to patient relationship. Patients in general need to feel they can trust doctors, that they can confide in them in effort to achieve better health together. The relationship ought to be one in which the patient and doctor work together.
... inpatient in an intermediate care setting. To maintain patient confidentiality, the patient will be known as Mrs P for the sake ... and chemical events occur within the brain that transmits information from one neuron to another using a chemical called ... of health (DoH). 2005. The National Service Framework For Long Term Conditions. [Online] Available at: http://webarchive.nationalarchives.gov ...
For example, the patient helps the doctor by telling the doctor he is ill, the doctor then prescribes medicine to cure the illness. Physicians, then, who bear the responsibility to protect their patients confidentiality, must be as vigilant as possible and must advocate for better control of information and better policies to safeguard it. Neglecting this duty will have an adverse effect on society. It is important for patients to view medicine positively, or it will have a negative influence on them and others. Those who have AIDS will hide and not seek medical treatment, and those who suspect they have AIDS will not get tested for fear of being disclosed and will continue to spread the disease. Future patients or clients will be less likely to share such sensitive information with their doctors. The long-term consequences will present an even bigger chaos.
Confidentiality is a stringent, but not an absolute obligation; there are exceptions to the duty. The ethical issue then is determining what principles and circumstances justify the exception to the rule. This is perhaps one ….