Privacy and confidentiality — CPD Bites of ethics in pharmacy Ep. 2

00:08:21
https://www.youtube.com/watch?v=Zp_N-uGdd2I

Zusammenfassung

TLDRIn this session on patient confidentiality, a scenario is presented where Hissam, a husband, seeks information about his wife Judy's medication from pharmacist God's Gift without her consent. The ethical dilemmas surrounding patient autonomy and confidentiality are discussed, emphasizing the need to respect individual rights while maintaining a trusting relationship with both the patient and their family. Two main options for the pharmacist are presented: to maintain confidentiality or to breach it, each carrying potential ethical and legal consequences. Additionally, the importance of compassion in addressing Hissam's concerns is highlighted, alongside the pharmacist's legal obligations.

Mitbringsel

  • 👩‍⚕️ Confidentiality is crucial in healthcare.
  • 👨‍👧‍👦 Patients must consent to disclose their information.
  • 🛑 Breaching confidentiality can result in ethical and legal issues.
  • 🤝 Trust is vital between patients and healthcare providers.
  • 💔 Compassion must be considered in patient interactions.
  • 📜 Protecting privacy is a legal requirement for pharmacists.
  • 📞 Encourage communication between patients and families.
  • 🚫 Direct inquiries about a patient without consent are problematic.
  • 💡 Ethical dilemmas require careful consideration and empathy.
  • 🔍 Understand the boundaries of patient information sharing.

Zeitleiste

  • 00:00:00 - 00:08:21

    Maria Allenson introduces a session on patient confidentiality, focusing on the ethical implications when a husband, Hussam, seeks information about his wife Judy's new medication from their pharmacist, God's Gift. The conversation raises concerns about autonomy and confidentiality, emphasizing the importance of respecting Judy's privacy even as Hussam expresses worry about her condition. The pharmacist must navigate a delicate balance between compassion towards Hussam and adherence to the ethical principle of confidentiality, as disclosing information without consent could harm Judy's autonomy and the pharmacist's professional reputation.

Mind Map

Video-Fragen und Antworten

  • What is the main ethical concern in this scenario?

    The main ethical concern is the respect for patient autonomy, particularly the sub-principle of respect for patient confidentiality.

  • What should the pharmacist do if Hissam inquires about Judy's condition without her consent?

    The pharmacist should maintain confidentiality and suggest that Hissam discuss his concerns directly with Judy.

  • What are the legal parameters regarding patient confidentiality?

    Contemporary regulations generally prohibit breaching patient privacy, and such laws are strictly enforced in healthcare.

  • What values are important in maintaining confidentiality?

    Trust and compassion are crucial values when dealing with patient confidentiality.

  • What should the pharmacist do if there is an immediate risk to Judy's health?

    In urgent situations, the pharmacist might need to disclose information in compliance with legal obligations.

  • Is it acceptable to point Hissam to an internet source for information?

    Pointing Hissam to an internet source could also be seen as breaching trust and confidentiality.

  • What are the potential consequences for breaching confidentiality?

    Breaching confidentiality can lead to ethical issues, legal implications, and damage to the pharmacist's reputation.

  • How can the pharmacist handle the situation without breaching confidentiality?

    The pharmacist can offer to call Judy for consent to discuss her condition with Hissam.

  • What is the pharmacist's duty in maintaining confidentiality?

    The pharmacist has an ethical and legal duty to protect patient information and respect privacy.

  • What types of information are covered by patient confidentiality?

    Confidentiality covers medication details, personal medical history, and any information shared that is expected to remain private.

Weitere Video-Zusammenfassungen anzeigen

Erhalten Sie sofortigen Zugang zu kostenlosen YouTube-Videozusammenfassungen, die von AI unterstützt werden!
Untertitel
en
Automatisches Blättern:
  • 00:00:00
    [Music]
  • 00:00:01
    foreign
  • 00:00:19
    hello my name is Maria allenson
  • 00:00:22
    thank you for joining us
  • 00:00:24
    today's session will provide some
  • 00:00:26
    insights on patient confidentiality
  • 00:00:29
    I would like to introduce you to his son
  • 00:00:32
    a gentleman who comes into the Community
  • 00:00:34
    Pharmacy to collect his wife's newly
  • 00:00:37
    prescribed medication
  • 00:00:39
    both hussam and his wife Judy are
  • 00:00:42
    regular customers and are known to the
  • 00:00:44
    pharmacist God's gift
  • 00:00:46
    however
  • 00:00:47
    this time hissam asks God's Gift about
  • 00:00:51
    his wife's condition and medication
  • 00:00:54
    hello Gods gifts I've come to collect my
  • 00:00:57
    wife's medication
  • 00:00:58
    oh hello husam it's good to see you I
  • 00:01:02
    hope you're keeping well
  • 00:01:04
    I'm okay but I'm a bit worried about my
  • 00:01:07
    wife I was hoping I could speak to you
  • 00:01:10
    about her and this new medicine she's
  • 00:01:12
    been started on
  • 00:01:13
    you see I wasn't at the doctor's surgery
  • 00:01:16
    with her so I don't really understand
  • 00:01:18
    what's going on
  • 00:01:20
    she tells me that she's okay so she's
  • 00:01:23
    definitely not her son and now she's
  • 00:01:26
    been started on this new treatment can
  • 00:01:28
    you tell me what the medicine is for
  • 00:01:33
    um have you had a chat with her about
  • 00:01:35
    this
  • 00:01:37
    no I haven't actually
  • 00:01:51
    the facts of the issue at hand are a
  • 00:01:55
    husband is asking the Family Pharmacist
  • 00:01:57
    about the condition his wife is
  • 00:01:59
    suffering from and her medications
  • 00:02:02
    the wife is unaware of this inquiry and
  • 00:02:05
    the husband has not asked for her
  • 00:02:07
    consent to inquire
  • 00:02:09
    if we consider the ethical parameters of
  • 00:02:12
    the issue
  • 00:02:13
    the principle of respect for patient
  • 00:02:16
    autonomy
  • 00:02:17
    including the all-important
  • 00:02:19
    sub-principle of respect for patient
  • 00:02:21
    confidentiality
  • 00:02:23
    is the main ethical concern in this
  • 00:02:26
    scenario
  • 00:02:28
    confidentiality is directly related to
  • 00:02:31
    respect for individual autonomy
  • 00:02:33
    which means that the patient has the
  • 00:02:36
    freedom to control their own life
  • 00:02:38
    respect in individual autonomy therefore
  • 00:02:41
    means enabling patients to be in control
  • 00:02:43
    of their medical treatment including who
  • 00:02:46
    they choose to disclose information
  • 00:02:48
    about too
  • 00:02:52
    another parameter of ethical concern is
  • 00:02:54
    business ethics
  • 00:02:56
    in addition to provision of Health Care
  • 00:02:59
    the pharmacist also has a business
  • 00:03:01
    orientated relationship both with the
  • 00:03:04
    husband and his wife to maintain
  • 00:03:07
    future custom with them both may depend
  • 00:03:10
    on how she handles this scenario
  • 00:03:13
    the pharmacist must not however
  • 00:03:15
    compromise ethical practice for the sake
  • 00:03:18
    of maintaining this financial interest
  • 00:03:19
    in the custom
  • 00:03:22
    there's also a risk that you would be
  • 00:03:24
    seen as uncaring or mistrusting if she
  • 00:03:28
    doesn't disclose Judy's condition to her
  • 00:03:30
    husband
  • 00:03:32
    her reputation as a pharmacist would be
  • 00:03:35
    damaged however if she breached
  • 00:03:37
    confidentiality and did disclose the
  • 00:03:39
    information
  • 00:03:42
    breaching Judy's confidentiality could
  • 00:03:44
    affect her reputation on a personal
  • 00:03:46
    level within her business and also be
  • 00:03:49
    seen as a reflection on the reputation
  • 00:03:52
    of the profession
  • 00:03:54
    in essence she could be regarded as
  • 00:03:56
    bringing the profession into disrepute
  • 00:03:58
    if she preaches confidentiality
  • 00:04:03
    there are also legal parameters to
  • 00:04:05
    consider
  • 00:04:06
    in most countries contemporary
  • 00:04:09
    regulations include the prohibition of
  • 00:04:12
    breaching patient privacy
  • 00:04:14
    and privacy laws are strictly abided by
  • 00:04:17
    in health care in particular
  • 00:04:21
    there may though be times when it is
  • 00:04:23
    appropriate to disclose confidential
  • 00:04:25
    information
  • 00:04:26
    for example if you have to disclose by
  • 00:04:30
    law
  • 00:04:31
    if you should do so in the public
  • 00:04:32
    interest
  • 00:04:34
    and if you must do so in the vital
  • 00:04:36
    interests of a person receiving
  • 00:04:38
    treatment or care for example if a
  • 00:04:41
    patient needs immediate urgent medical
  • 00:04:43
    attention
  • 00:04:45
    foreign
  • 00:04:47
    there are a number of values to consider
  • 00:04:49
    in this scenario also
  • 00:04:52
    trust is an important value at the heart
  • 00:04:55
    of confidentiality
  • 00:04:57
    a person may be reluctant to ask for
  • 00:04:59
    advice or provide information if they
  • 00:05:02
    believe that the pharmacist may not keep
  • 00:05:05
    the information confidential
  • 00:05:08
    compassion is also important in this
  • 00:05:11
    scenario
  • 00:05:12
    the husband is obviously upset and very
  • 00:05:16
    worried about his wife
  • 00:05:18
    the pharmacist must act with empathy and
  • 00:05:21
    compassion whilst maintaining
  • 00:05:23
    confidentiality
  • 00:05:26
    so what are the options open to the
  • 00:05:28
    pharmacist
  • 00:05:30
    option one will be for the pharmacist
  • 00:05:33
    not to disclose juda's condition without
  • 00:05:35
    a consent
  • 00:05:37
    but to communicate in a professional
  • 00:05:39
    respectful manner
  • 00:05:41
    she could offer to call Judy or ask his
  • 00:05:44
    Sam to discuss with his wife
  • 00:05:51
    that the pharmacist maintains trust and
  • 00:05:55
    respects the patient's right to
  • 00:05:57
    confidentiality
  • 00:05:59
    at the same time the husband is treated
  • 00:06:01
    with respect
  • 00:06:04
    option two would be to breach
  • 00:06:06
    confidentiality and explain to the
  • 00:06:08
    husband the condition and treatment
  • 00:06:10
    without Judy's consent or even just
  • 00:06:13
    point him to an internet source
  • 00:06:16
    the implication here would be that a
  • 00:06:19
    breach of confidentiality may have both
  • 00:06:22
    ethical and legal implications even
  • 00:06:25
    pointing him to a readily available
  • 00:06:27
    source is indicative of breaching trust
  • 00:06:31
    and confidentiality
  • 00:06:36
    I can see that this is very worrying for
  • 00:06:39
    you so I'm afraid I'm Bound by duty of
  • 00:06:42
    confidentiality so this means that I
  • 00:06:44
    can't discuss a patient medication to
  • 00:06:45
    another person without their Concepts
  • 00:06:47
    even if that other person is their
  • 00:06:49
    husband
  • 00:06:50
    perhaps when you get home you could let
  • 00:06:52
    Judy know how worried you are and ask
  • 00:06:53
    her about her new medicine then I can
  • 00:06:56
    help you understand situation if she's
  • 00:06:57
    happy for me to disclose would you
  • 00:06:59
    prefer a call to ask for consent to
  • 00:07:02
    discuss our condition with you
  • 00:07:04
    sure please call her
  • 00:07:10
    as you can see in this scenario the
  • 00:07:12
    pharmacist has both an ethical and legal
  • 00:07:15
    duty to maintain confidentiality
  • 00:07:19
    as a reminder this duty to maintain
  • 00:07:22
    confidentiality applies in many
  • 00:07:24
    situations
  • 00:07:26
    it applies to information about a
  • 00:07:28
    person's medication both prescribed and
  • 00:07:31
    non-prescribed
  • 00:07:33
    it applies to personal details and other
  • 00:07:36
    information about a person's medical
  • 00:07:37
    history treatment or care that could
  • 00:07:40
    identify them
  • 00:07:42
    it even applies to information that
  • 00:07:44
    people share that is not strictly
  • 00:07:46
    Medical in nature but that the person
  • 00:07:48
    disclosing it would expect to be kept
  • 00:07:51
    confidential
  • 00:07:53
    what would you do in this situation
  • 00:08:19
    thank you
Tags
  • Patient Confidentiality
  • Ethics
  • Pharmacy
  • Autonomy
  • Legal Obligations
  • Trust
  • Compassion
  • Healthcare
  • Pharmacist
  • Medical Ethics