Ethical Practice in Everyday Health Care by E.R. Walrond

By E.R. Walrond

Moral perform in daily health and wellbeing Care comes in handy, sensible and scholar pleasant. The routines and discussions will stimulate thought of moral behavior and aid scholars to strengthen and translate moral ideas into their day-by-day perform as health-care employees. Dr. Walrond bargains a prepared and concise resource of knowledge for clinical scholars on moral concerns. The textual content is straightforward, finished and real, addressing matters encountered in daily scientific practices. Case experiences offer functional illustrations of complicated moral matters.

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Exercise 19 A 25-year-old woman attends the emergency department after an accident and complains of pain in her shoulder. The doctor interviews her and asks her to go into the examination cubicle and undress. He performs a general examination, during which the patient feels that her nipples are being handled in a way intended to arouse her sexually. At the end of the examination she is told that she has no serious injury and that the doctor will call her the next day to make sure she is all right.

The senior doctor does ask for the patient’s name. However, she has not been introduced to the patient by the junior doctor and does not introduce herself. It is not unusual for older people to assume that female health personnel are nurses, and the patient feels that she has already been attended to by the doctor. ‹ Exercise 28 Issues • • • Does a patient or a patient’s guardian or surrogate have the right to obtain the patient’s notes? Is the doctor correct in offering a summary only, and only after obtaining the patient’s permission?

Can a patient distinguish between an examination and improper contact? Does the follow-up the doctor proposes give credence to the patient’s suspicions? Professional conduct • There is a good rationale for the doctor to do a general examination; however, detailed examination of the breasts is probably unwarranted. qxd 2/7/2005 3:22 PM Page 32 E T H I C A L P R A C T I C E I N E V E RY D AY H E A LT H C A R E • • The presence of a chaperone during the examination helps to avoid both improper advances by the doctor and incorrect inferences by the patient.

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