stephen baah
Health Sector ICT Policy and Strategy120330062728. Ten Commandments for patient-centred treatment | British Journal of General Practice. 1. Thou shalt have no aim except to help patients, according to the goals they wish to achieve When deciding on a treatment, the first diagnosis you need to reach is about the nature of the illness.
The second diagnosis you need concerns what the individual would like to achieve.1 Both are of equal importance and this is as true in simple one-off encounters as in complex lifelong illness. But the balance needs particularly careful thought when beginning long-term treatment. Always make sure that you understand your patient’s aims before you propose a course of action. 2. Both health professionals and lay people tend to overestimate the benefits of treatments and underestimate their harms. It is important to have a ‘ball-park’ idea of these figures in common clinical situations, but also important to bear in mind their limitations. 3.
The first commandment assumes that there will be two diagnoses in each consultation. 4. 5. 6. 7. 8. 9. 10. Acknowledgments. LIVING WILLS AND HEALTH CARE REPRESENTATIVES. Topic:LIABILITY (LAW); MEDICAL CARE; HEALTH FACILITIES; UNIFORM LAWS; WILLS; PHYSICIANS; RIGHT TO DIE; Location:RIGHT TO DIE; You asked how Connecticut's living will and health care representative laws compare with other states, especially regarding the situations a living will covers.
A living will, also called an “advance directive,” conveys a patient's wishes regarding treatment when those wishes can no longer be personally communicated. Connecticut law defines “advance directives” as a writing, including a living will, an appointment of a health care representative, or both. To protect themselves from liability, the law requires physicians to consider advance directives when deciding on treatment plans for incapacitated patients. But they do not have to comply with the directive. This is a significant difference from the requirements of the Uniform Health-Care Decisions Act (UHCDA), a model law adopted in California, Delaware, Hawaii, Maine, Mississippi, and New Mexico. Florida Oregon. ELDER ABUSE LAWS AND MANDATED REPORTING. The material provided on the 211 eLibrary is for informational purposes only. It is not intended to be and should not be construed as legal advice.
The following information is summarized from: Conn. General Statutes, Sec.17b-450-452, and Conn. General Assembly, Office of Legislative Research Report #2000-R-0855 ( Under Connecticut law (CGS § 17b-450-452) elder abuse includes, but is not limited to, the willful infliction of physical pain, injury or mental anguish, or the willful deprivation by a caretaker of services which are necessary to maintain physical and mental health.
Elder abuse also includes neglect, exploitation, and/or abandonment of an elderly (ages 60+) person (see CGS § 17b-451 for definitions of those terms). The list of mandated reporters is very similar to that for child abuse and neglect. Search by program name: Protective Services for the Elderly (PSE) SOURCES: Conn. Return to elibrary list. Patient Access to Medical Records. Topic:MEDICAL CARE; PATIENTS' RIGHTS; LEGISLATION; MENTAL HEALTH; Location:PATIENTS' RIGHTS; John Kasprak, Senior Attorney This report identifies and explains state law on patient access to medical records in a question and answer format.
Throughout the report, the terms “medical records” and “health records” are used interchangeably reflecting their usage in statute. In some cases, the term “hospital records” is also used. Do Patients Have Access to Their Medical Records? Yes. A patient may obtain copies of his or her medical records by asking the provider in writing. The provider must supply the health record within 30 days of the request. When Can a Provider Withhold This Information? By law, a provider can withhold medical information from a patient if he reasonably determines that the information would be detrimental to the patient's physical or mental health or would likely cause the patient to harm himself or someone else. Is There a Cost to Obtain Medical Records? Yes. Medicare releases data on hospital errors. Medicare now offers some information on medical errors to allow patients to compare hospitals' safety records.
The government health plan officially released data Wednesday on eight serious and preventable medical errors that occurred at more than 4,700 hospitals nationwide. Since 2008, Medicare has not reimbursed hospitals for the care incurred by the events — including air bubbles in the bloodstream, falls, bedsores, infusions with the wrong blood type, urinary tract infections, blood infections, uncontrolled blood-sugar levels and foreign objects left in the body after surgery.
"Any potentially preventable complication of care is unacceptable," said Dr. Donald Berwick, Medicare administrator, in a statement. "We at (Medicare) are working together with the hospital and consumer community to bring hospital acquired conditions into the forefront and do all we can to eliminate harm from the very health care system intended to heal us. " The largest hospitals in the St. If Patients Only Knew How Often Treatments Could Harm Them. Photo If we knew more, would we opt for different kinds and amounts of health care? Despite the existence of metrics to help patients appreciate benefits and harms, a new systematic review suggests that our expectations are not consistent with the facts. Most patients overestimate the benefits of medical treatments, and underestimate the harms; because of that, they use more care. The study, published in JAMA Internal Medicine and written by Tammy Hoffmann and Chris Del Mar, is the first to systematically review the literature on the accuracy of patients’ expectations of benefits and harms of treatment.
They examined over 30 studies that assessed whether patients understood the upsides or downsides of certain treatments. In the 34 studies that assessed understanding of benefits, patients overestimated their potential gain in 22 of them, or 65 percent. Continue reading the main story Why do patients err in assessments of risks and benefits? In the patient’s best interests? Who says? Fiona Godlee, editor in chief, The BMJfgodlee{at}bmj.com “For moral autonomy it is more important to make ‘wrong’ choices than to obey instructions,” writes Michael Fitzpatrick in this week’s Head to Head debate (doi:10.1136/bmj.h5654). A ban on smoking in psychiatric hospitals would, he says, cause distress to patients and conflicts with staff. Mental health clinicians should focus on the treatment of mental illness and leave wider health decisions “to those entitled and qualified to make them—the patients.” But what are the limits to patients’ autonomy?
How much should clinicians constrain choice in the name of a patient’s best interests? On the other side of the debate Deborah Arnott and Simon Wessely say that they can’t condone “patients smoking themselves to death while in our care” (doi:10.1136/bmj.h5654). So where does patient autonomy meet medical responsibility? The balancing act between doing more or less for your patients may never have needed more skill than now. Notes. Campagne 2010-2011.