Q1 Medical paternalism is one of the major traditional health care practises that imply that physicians are expected to decide for the treatment process of the patient by considering the different health care aspect of the patient. The principle of the theory relies on one the fact that physicians are more aware of the different care practise that can help to improve the health status of the patient. The medical paternalism approach is considered to be against the autonomy of the patient as it decreases the power of the patient to participate in the decision-making process (Murgic et al., 2015). As discussed in the Joi condition reveals that she urgently need a blood transfusion to assist his health and decrease the symptoms increasing complication as per the medical paternalism approach. But her grandmothers are not agreed for the blood transfusion due to their different cultural belief and she denied providing the consent for this. Moreover, the article presented by Kilbride & Joffe, (2018) discussed that medical paternalism is considered to be following the Beneficence ethical principle that is important to improve the health status of the patient. But sometime in the health care patient autonomy and beneficence get clash due to the different perspective of the patient or family that can increase complication for the patient. The therapeutic communication can be utilized to help the patient and physicians to balance out the patient autonomy with the medical paternalism of the health care professional to deliver the quality and safe care (Kilbride & Joffe, 2018). The haematologist utilized the therapeutic communication skills to help the Joi grandmother to understand the advantage of the blood transfusion but she still denied.
Q2 Effective communication is one of the important methods that help the health care professional to connect with the patient and family to improve their understanding concerning the care. The health care professionals are expected to use effective communication skills to help the patient and family members by explaining the importance of the care that can help them to provide informed consent. The patient cultural belief and treatment process can be balanced out by analysing both positive and negative aspect concerning the health of the patient (Kadam, 2017). In the case study, Ben and Chole can also be included with the Sharyn and Joi in the conversation with the health care professional to explain the importance of the treatment to improve the health of the Joi so that she can attend different church activities effectively. The patient autonomy, privacy and confidentiality can be maintained by following the Registered nurses standard proposed by the Nursing and Midwifery Board to improve the quality and cultural safety of the care. The second standard of the registered nurse standard of practice is Engaging in therapeutic and professional relationships state that nurses are expected to communicate effectively to improve the quality of care using collaborative practice. The first standard Thinks critically and analyses nursing practise state that registered nurse should follow the ethical framework to improve the nursing practise The registered nurse are expected to maintain the privacy and confidentiality of the patient health care data to improve the quality of the care process (Nursing and Midwifery Board, 2017). These two standards can be utilized to improve the Joi autonomy and improving the privacy and confidentiality of the patient personal information.
Q3 Therapeutic communication is considered to be important to improve the rapport with the patient that helps to deliver quality and safe care. The therapeutic communication to improve patient participation in the decision making that will improve the beneficence perspective of the care. The adolescent patient is considered to be reluctant toward the other opinions thus therapeutic communication help the health care providers to support and put forward the different care aspect that can help to improve the care that satisfies the non-maleficence ethical principle (Abdolrahimi et al., 2017). In the case study, there is a need to use the therapeutic communication to help the Joi and family to understand different care aspect that is important to improve the care after the discharge. The article presented by Newnham et al. (2017) discussed effective communication during the discharge is important to improve the understanding of the family related to the different care aspect. Effective communication utilizes the verbal and non-verbal mode to improve patient participation in the conversation and improving understanding. The effective communication during the discharge process helps the patient and family to understand different precaution which directly reduces the chances of error that can increase health relate complication for the patient that comes under maleficence. In the case, there is a need to help the Joi and family to understand the different care aspect and health care professional should utilize effective communication skills to answer all the query of the family members and patient.
Abdolrahimi, M., Ghiyasvandian, S., Zakerimoghadam, M. & Ebadi, A. (2017). Therapeutic communication in nursing students: A Walker & Avant concept analysis. Electronic Physician, 9(8), 4968–4977. DOI: 10.19082/4968
Kadam R. A. (2017). Informed consent process: A step further towards making it meaningful!. Perspectives in Clinical Research, 8(3), 107–112. DOI: 10.4103/picr.PICR_147_16
Kilbride, M. K. & Joffe, S. (2018). The new age of patient autonomy: Implications for the patient-physician relationship. JAMA, 320(19), 1973–1974. DOI: 10.1001/jama.2018.14382
Murgic, L., Hébert, P. C., Sovic, S. & Pavlekovic, G. (2015). Paternalism and autonomy: Views of patients and providers in a transitional (post-communist) country. BMC Medical Ethics, 16(65), 1-9. DOI: 10.1186/s12910-015-0059-z
Newnham, H., Barker, A., Ritchie, E., Hitchcock, K., Gibbs, H. & Holton, S. (2017). Discharge communication practices and healthcare provider and patient preferences, satisfaction and comprehension: A systematic review. International Journal for Quality in Health Care, 29(6), 752–768. DOI: 10.1093/intqhc/mzx121
Nursing and Midwifery Board, (2017). Registered nurse standard for practice. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
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