ETHIOLOGICAL CONSIDERATIONS

• right to appropriate medical care and humane treatment

  • right health service corresponding to state of health without discrimination and within limits of resources
• if patient has to wait for care, he shall be informed of the reason
• right to informed consent

  • An agreement by a client to accept a course of treatment or a procedure after being provided complete information by a health care provider.
• Requirements in Obtaining an Informed Consent:

  •Client can sign the consent as long as he/she is able, capable, with sound mind, competent to understand, and of legal age.
• for informed consent, It will be the next kin or legal guardian who will sign the consent or for minors
• informed ( expressed ) consent

  • written or verbal
  • may require signature
• implied consent

  • given during emergencies - consent is assumed
  • pt indicates by behavior that he accepts procedure
• elements of informed consent:

  1. no coercion
  2. must be given by individual with capacity and competence to understand
  3. individual must be given enough information to be the ultimate decision maker
• right to privacy and confidentiality

  • right to be free from unwarranted public exposure
• right to information

  • right to examine and be given an itemized bill of the hospital and service rendered
• right to choose health care provider and facility

  • right to choose who will serve him and has right to discuss his condition with consultant specialist at pt's request
• right to self determination

  • right to avail any recommended diagnostics and treatment procedure
• right to religious belief

  • right to refuse medical treatment which may be against to his religious beliefs
• right to medical records

  • pt is entitled to a summary of his medical history and condition
• right to leave

  • pt has right to leave regardless of his physical condition
• right to refuse participation in medical research

  • right to be advised if the health care provider plans to involve him in medical research
• right to correspondence and to recieve visitors

  • right to communicate with relatives and recieve visitors
• right to express grieviances

  • pt has right to express complaints about the care recieved without fear of discrimination and reprisal
• right to be informed of his rights and obligations as a patient

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• data privacy act 10173 section 2

  • policy state to protect the fundamental human rights of privacy of communication while ensuring free flow of information
• transparency, The person have the right to know which of the data are collected, used and processed.
• Transparency in healthcare access and sharing of information and knowledge at a level the patient and family can understand. 
• legitimate purpose, The collection and processing of information must also be true with the specified purpose, which must not be contrary to law, morals, or public policy.
• proportionality, States that responses should be proportional to the good that can be achieved and the harm that may be caused.
• disposal of personal data, Personal data shall be disposed or discarded in a secure manner that would prevent further processing, unauthorized access, or disclosure to any other party or the public, or prejudice the interests of the data subjects.
• team based approach, The conduct of assessment to client, families, and/or their communities where nurses work collaboratively with all hospital team to accomplish shared goals.