Chosen Ethical Principle: Autonomy

Chosen Ethical Principle: Autonomy Scenario 1: Ethical Principle Not Followed Properly (HIPAA and Confidentiality) At a small physician practice, a patient named Sarah visits for a consultation regarding a sensitive medical condition. During her visit, the physician inadvertently leaves Sarah's medical records open on the computer screen while attending to another patient. Another patient waiting in the examination room notices Sarah's records and takes a photo of the screen using their smartphone without the physician's knowledge. The photo is later shared on social media, resulting in a breach of Sarah's privacy and confidentiality. Scenario 2: Ethical Principle Followed Correctly (HIPAA and Confidentiality) In a hospital setting, a patient named John is admitted for a surgical procedure. The healthcare professionals involved in his care strictly adhere to HIPAA regulations and maintain strict confidentiality regarding John's medical information. They ensure that only authorized individuals have access to his records and take necessary precautions to protect his privacy. Any discussions or exchanges of information related to John's care are done in private, respecting his autonomy and right to confidentiality. Discussion of Autonomy in Health Service Organization Setting: Autonomy is the ethical principle that emphasizes an individual's right to self-determination and decision-making regarding their own healthcare. In a health service organization setting, respecting patient autonomy means ensuring that patients have the necessary information, resources, and support to make informed decisions about their care. This includes obtaining valid consent for medical procedures or treatments and involving patients in the decision-making process. In terms of responsibility, health service organizations are accountable for upholding patient autonomy by: Providing clear and understandable information: Organizations should ensure that patients receive accurate and comprehensible information about their condition, treatment options, potential risks and benefits, and any alternatives available. This enables patients to make informed decisions based on their personal values and preferences. Respecting patient decisions: Health service organizations must respect and honor the decisions made by patients regarding their care, as long as those decisions do not pose harm to themselves or others. This includes obtaining informed consent for medical procedures, respecting advance directives, and involving patients in care planning and goal-setting. Legal Case Example 1: Hospital Setting Case: In re Quinlan (1976) Summary: Karen Ann Quinlan was a young woman who fell into a coma after consuming alcohol and drugs. Her parents requested the removal of her ventilator as they believed it was in her best interest to be allowed to die peacefully. The court ruled that Quinlan's right to autonomy included the right to refuse life-sustaining treatment, even if it meant hastening her death. This landmark case set legal precedent for patient autonomy and the right to refuse medical treatment. Legal Case Example 2: Assisted Living Facility Case: Doe v. ABC Assisted Living (2014) Summary: An elderly resident of an assisted living facility alleged that the facility violated her autonomy by administering medications against her wishes. The resident had expressed her desire to rely on natural remedies rather than conventional medications. The court ruled in favor of the resident, stating that her right to autonomy had been violated, and the facility was held responsible for not respecting  

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