Patient 's Right to Self Determination This paper will examine how to recognize the extent to which a culture’s structures and values may oppress, marginalize, alienate, create/enhance privilege and power, and how to recognize and manage personal values in a way that allows professional values to guide practice. The interaction between the structure of society and culture play an integral role in how society decides what is normal and/or acceptable. When the structure of society impedes a person’s right to self-determination or services provided, it is important to reevaluate our value system. Values are directly associated with one’s belief system, and in turn guides behavior. Values play an integral part in choices made in life …show more content…
This semester I met Mr. X, a twenty-six year old African American male who is paralyzed from the waist down. Mr. X has been in a wheelchair since the age of seventeen and is unable to live alone. He requires twenty-four hour care due to mental health and his physical condition. Mr. X was in an assisted living facility prior to being admitted to the Behavior Health Pod. He stayed in B Pod for six weeks then transferred to Cape Fear Hospital for further treatment. He is now ready for discharge and the staff is having difficulty placing him because the agency he came from refuse to accept him back. After reviewing Mr. X’s chart, it is noted that he came from an assisted living facility but cannot return due to his abusive behavior and chronic marijuana use. I met with Mr. X to receive a clear picture of the concerns. He stated he smoked marijuana and refused to stop, it allowed him to escape and because of his use, he cannot return. He also disclosed that the facility only had older people, was located in a secluded area surrounded by trees, and he was uncomfortable. After speaking for several hours, I learned he had been kicked out of many of the assisted living facilities in the surrounding areas that accepted Medicaid. He stated he told staff he was going to commit suicide and that is how he ended up in the B Pod. Mr. X’s behavior presents a professional ethical dilemma for Cape Fear
What are values and how do they relate to the other terms identified in the introduction? An investigation from multiple sources agrees that values are the motivations and behaviors used to determine priorities of what one sees as important in life and work (MindTools.com, 2017; Atkins, 2017; Value, n.d.). Applying this definition to the values I hold include a list of characteristics that define how I desire to represent myself. First, commitment to my principles, which my faith as a Christian
Death is an inevitable part of life. It is the ultimate, unavoidable end that every human being will encounter. However, the circumstances, beliefs, and preparedness surrounding death vary vastly from person to person. Healthcare is an integral part of the process of life and death. Healthcare providers in turn can have a tremendous impact on patient treatment, especially concerning end of life care. Promoting patient self-determination throughout the care process, beyond and before a patient approaches death, is an essential part of the healthcare profession. This is accomplished most successfully through thorough, early intervention and planning. Healthcare practitioners, within various disciplines, have a profound responsibility in navigating end of life care while upholding the principles of the Patient Self-Determination Act; this is largely accomplished through early patient education and preparation through Advance Directives and Physician Ordered Life
The Patient Self-Determination Act is derived from the understanding that people should be given knowledge that will make them to give wishes for the extent of medical treatment they wish to receive if they incase become incapacitated. The Power of Attorney for Health Care is taken from the later to meet the wishes of the incapacitated in the state. The document power of attorney is legalized and therefore allows you to choose someone who can make decision for you in case your health condition has worsened and you are unable to decide anything by yourself concerning your health.
Beliefs are steeped in our past histories, habits and traditions, and are thus constrained by individual experiences and not as adaptable to new situations. Alternatively, if you use values to make decisions, those decisions will align with the future you want to experience. Values transcend both contexts and experiences. Therefore, they can be used for making tough decisions in complex situations that have not yet been experienced. As a result, values provide a more flexible mode of decision-making than beliefs.
This week I have learned how important it is to perform self evaluation and constantly refreshing the knowledge of professional behavior. As one of our discussion subjects, patient autonomy was discussed this week. We take great measures not to violate out patient’s autonomy. However, I learned the hard way how one can unintentionally violate patient’s autonomy, and what are the consequences to do so. I was temping in our other office, and I was running behind because my patient had a hyperglycemic episode. My days usually going smooth, so this time, I got thrown of my game. The next patient who was already waiting 20 minutes, finally got into the treatment room, and after checking probing records, medical history and asking about any current
According to Andrews and Boyle (2012) culture-specific refers to what a unique set of people value, beliefs, and pattern of behavior that is very special to the group. The values, beliefs, and pattern of behavior is not shared with someone outside of the culture. Culture is defined as the way of living for a set of people. Culture plays an important role in terms of how an individual expresses meaning to life experiences and understands moral definition of sickness, diseases, suffering and death. Culture also influences the way of life of the patients, family and physician and how decisions are made in terms of health related situations. In healthcare settings, socio-cultural context determines what is considered ethical or non-ethical. The cultures of both patients and health care workers often influences how decision are made in terms of health related issues. Using this framework, A Culturally Competent Model of Care by Josepha Campinha-Bacote, that emphasis five constructs (cultural awareness, cultural knowledge, cultural skill, cultural encounter and cultural desire); there is need for one to be aware of one’s self by answering the following questions: How biased am I towards other cultural groups? Do I possess what it takes to conduct a cultural assessment in a using
One of the more important things to consider is a patient’s autonomy. When looking at autonomy there are three areas that must be looked at; the patient must be competent, they must have a complete understanding of their options, and their desire must follow the ethical principles. According to Idziak (2010), “sometimes the principle of patience autonomy is presented in such a way that health care providers are expected to abide by the wishes of the patient no matter what he wants and no matter what the rational for his decision.” What they want should ultimately be looked at but not necessarily acted upon without looking at the overall competence of the patient. In order to make your own medical decisions a person must be competent, meaning
A patient’s sense of choice and control could be improved by the effort of staff to make the patient feel that the room they are confined to is their own. While some instances in which a staff member needs to enter a patient’s room may be time sensitive, waiting to be invited into the room by the patient could make a significant difference in giving the patient a sense of control.
Personal values can be seen as personal principles, beliefs, morals, and ideas used to make everyday decisions. These values are developed during our upbringing and are strengthened from occurring circumstances around us, and may change over time (Du Plooy-Cilliers and Louw, 2014). Understanding and recognizing our personal values and interests is important as it assists us in making healthy and responsible decisions in our relationships and for future reference. Our personal values differ as individuals thus personal values are indirectly related to choice because they allow a person to compare their decisions with the associated values of each choice. (Atherton,
This paper goes over the key concepts of patient rights, what are patient rights, two arguments in the idea, and my opinion over patients rights. Patient rights are the decision of expression of people in their medical decisions, this includes but is not limited to the controversial concepts of privacy and confidentiality, death with dignity, consent, and refusal of treatment. This report will show two major opposing sides in the argument in patient rights. One side will argue for health, making sure that the patient is as alive and healthy as can be, disregarding the desires of the actual patient. The opposition gives the power to the people, giving them the decision to express themselves even if it does cost them their health, or their lives.
Values are the things that you believe are important in the way you live and work. They ought to decide your priorities, and, where it counts, they are probably the measures you use to tell if your life is turning out the way you want it to. The following values are the ones that resonate with me. These are the top priorities for me to live to pass along to my children and everyone in my life:
A personal value system is a set of principles that guide an individual’s behavior, which provides a foundation by helping someone determine what is meaningful and important. Essentially, it is a foundation for individuals to express themselves and support their beliefs to society. Values is what defines a person’s character because it is impacting aspects of individual’s lives such as interactions, decision-making processes, and direction in one’s life. As for having the principles of morals is to know the difference between righteous decisions and unrighteous decisions. However, the importance of having values and morals is vitally important to establish because it influences their worldview and ethical decision-making.
Humans have the unique ability to describe their identity, select their values and set up their beliefs. All three of these directly persuade a person’s behavior. Values are our principles and guides. Morals and the values are the basis of human values. Just as a building has a foundation of concrete, the building of human values rests on morals and values. Human values can also be defined as the values of life. A good action performed today remains
Values are core beliefs that influence everyone daily whether we are intentionally utilizing them or not. Ultimately, those values measure our worth and show how important something may mean to us. A lot of the values that have stuck with me through life because of my grandparents who I spent a lot of time with as a child, and eventually they were court ordered as my legal guardians. One important value I use today and I remind myself always is to be open-minded. This is a very important skill for me being an athlete, nanny, and
Starting with what values are. Values are an absolut or relative and ethic value of a person. Values can be defined as a wide preference for specific actions.