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Our experiences
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Chloe
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Rahul
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The situation
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Crossroad OTR:
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Patient informed physician that he popped percs and smoked weed heavily.
- Percs= percocet
- Reference to street narcotics.
Physician took note of the drug use, but did not press the patient about stopping usage.
Instead, focused on:
- Checking the patients heavily-inflamed tonsils and referring him to a specialist.
- Informing the patient that smoking with asthma would lead to a high COPD risk.
Our prompt:
Is it ethical to ignore the patients illegal activities (ex. drug
use) when they come for a visit?
Discussion Questions
What are your initial reactions based on the prompt and situation?
Awareness
As health care professionals, we want to take note of the environment and community we
are surrounded by as well as the population of that community.
Empathy
Understanding the population of the patient and taking into consideration their feelings
(i.e. lack of trust) of the health care setting.
Service
This way, patients will not feel attacked and will likely feel comfortable in coming back to
Crossroad, where physicians can help patients over time.
Sharing medical information without consent is necessary when the patient seeks
medical attention, the government requires it, or the patient makes health an issue in
court.
http://healthcare.findlaw.com/patient-rights/can-doctors-give-medical-information-to-others-without-permission.html
2.
Step 5: Act
Through the framework of deontology, we (as healthcare providers) would
choose to press the patient on their illegal activities in order to best treat
them.
However;
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Some patients may not respond well to being lectured on these aspects of
their health and may choose not to come back to Crossroad Health
Center, thus putting them at risk for further health issues.
Questions?
References
http://healthcare.findlaw.com/patient-rights/can-doctors-give-medical-information-to-others-without
-permission.html
http://www.crossroadhc.org/
https://www.learningtogive.org/resources/egoism
http://www.iep.utm.edu/egoism/
https://www.bphc.hrsa.gov/about/what-is-a-health-center/index.html