Awareness of Professional Relationships and Ethical Issues

Question: Discuss about theAwareness of Professional Relationships and Ethical Issues. Answer: Introduction: This essay would discuss the first case as given in the assignment brief and discuss it along the lines suggested. Thus as per the case, the personal and professional issues along with ethics of healthcare which is needed for the case are discussed. Through the essay, the research would identify the knowledge needed for a good professional like personal qualities and communication skills. Hence, the identification of the personal and professional skills to develop the helping relationship in social and community practices would also be highlighted in the process. Here the first case study has been chosen to discuss the issues. The case suggests that Patricia, an 80-year-old Maori woman had a major hip replacement surgery after a major fall at her home, where she lives alone. However, the fall of the patient is continuing even after the surgery, and she is showing signs of forgetfulness which is the major concern for her family. The home where she lives has personal alarm systems, but it is not giving the family any relief. She suggests that she has a new boyfriend who would move in soon, but there is no sign of such individual in the knowledge of the family. However, the John, her son of 60 years of age knew Bill, a man of 60 years of age who she supposes to move in and stay with her. However, the son or John finds this arrangement not suitable for the family as he finds that Bill is making Patricia move away from her family and wish to have part of the property in family inheritance which is his motivation to be so caring towards Patricia. N evertheless, she thinks that the family doesn't know about her relationship with Bill or who her boyfriend was which contrary John was aware of. Personal and Professional Relationship Issues The population of Maori in modern day New Zealand is nearly 15% of its total population. Their social justice and participation in this group have seen many reforms and is a large part of New Zealand culture which has its language which people needs to know while attending a Maori patient since these are words which are now part of regular New Zealand communication and expression (Crowden, 2008). The caretaker of Patricia where the researcher gets a place needs to understand the family and its ties of Patricia and her medical as well social relationships for various reasons and cause for best care outcomes. The family of the patient is worried about her safety since her short term memory loss is an issue which makes the personal safety alarm of no use if not used due to forgetfulness. This is one issue which the family made and had to be kept in mind that the alarm is not all but a personal eye at all times of the patient is needed for the patient (Gmc-uk.org, 2016). Further, the fal ls have increased even after the hip replacement surgery which was done due to a major fall, but it still continues. Thus the movement of the patient is an issue which needs to keep in mind for best help and safety provision (MacDonald, 2002). However, the family who has a problem with her new found boyfriend is an issue which needs special care since what Patricia feels may be false. It may true that John's view about Bill who are of same age is something which has to deal with a great deal of efficiency. The personal choices of the patients can't be interfered with as per the ethics of the profession. However, the families concern to see that the patient is getting care and is safe is to be kept in mind where this new found boyfriend and his intent has to be kept away from the care and safety process of the patient. The personnel involved in the care process shouldn't bother about patients personal choices but has to be careful to see that the patient is not exploited for some other reasons which the son of Patricia suggests. Hence, being neutral but aware of ongoing relationship may have to be given a special look which the family is concerned as a ploy to infringe on the family property rights. A balance of care along with patient's ways of dealing with people may have to be looked into as she also sufferers from the habit of forgetting things (Nordhaug Nortvedt, 2011). Thus there are few dimensions to this case where the professional ethics has to balance the family needs, best of the patient's care and safety measures into concern. Therefore, relationship developments where the patient doesn't feel alone anymore and funds comfort have to be developed. This is an extremely challenging level in the activity. A person who is himself 60 of age can't be the best caretaker for a patient who had a recent hip replacement surgery as a medical condition. The forgetting tendency also makes a great deal of difference regarding food and medicine intakes. This caretaker of healthcare has to do with good precision, professionally (Coalition of National Health Education Organizations - Home, 2016). Ethical Boundaries The professional in their ways of dealing has to be very ethical in their practices, not only in their care and safety aspects but also social-communication skills which are desired by the loved ones and need for the patients. The case suggests that Patricia who has a habit of forgetting and has developed a greater number of falls in the recent days after the hip surgery needs the instructed care and safety mechanism in place. This is the first job of the professional to know the case history and get the needed gadgets to help the patients in place for use at all times (Code of Ethics - New Zealand Medical Association, 2016). This also is another concern that the patient loses the events occurred, so the temporary memory loss is one aspect which makes it mandatory for the caregiver to see that an eye is always on her. This seems to be a case of isolation which her son John may be missing which brings in Bill who she hails as a boyfriend willing to take care of her (Jones McCullough, 2016). The ethics suggest the professional be out of family squabble and give the interested parties information about her health. This keeps the professional a good one avoiding the family issues which are associated with Bills impression of John or otherwise (Gulliemen, McDougal, Gillam, 2009). Addressing the Issue The primary concern for a caregiver is to be aware of the needs and condition of the patient and give her the care needed. Firstly, because of her background, some Maori ways need to be learned to make the care more efficient. Secondly, checking of the gadgets for the best care and safety has to be checked, and the one which is needed and not present has to be arranged. Further, the person has a tendency of forgetting, so a special care of medicine time has to be given which has to supervise too so that the forgetfulness don't bother her medication (Hazlet et al., 2012). The interaction of the patient has to be given a chance which would make her more social and find more comfort among others. The dependence of a boyfriend coming into hive her comfort can't be the reason for a breather for the professional. Again, if the person wants to come in that may hamper the patient's care and safety, like frequent falls post surgery is to be restricted. These are to be done with the family's c onsent so that the son is aware of the mother's condition. The professional is responsible for the family, and thus their will to know about her is a priority and responsibility of the professional to keep them updated (Macdonald Worthington, 2016). The professional can stay neutral in this case bothered with the care and safety of the patient without interfering in the family property dispute like complex issues. This needs to be conveyed which make the people in the family would know about Patricias health and wellbeing (Wilson-Barnett, 2010). Conclusions There is a fine balance which a professional needs to learn from the way the way the patient care is to he handled. Patient care and safety are more important than her issues which dont relate to the health and wellbeing. Making a connection with the old lady may give an insight of what she thinks and feels and what is her wants. This communication and mutual trust is an important aspect which is needed for the case. Small connections which make the patient more and more confidence in her to get up and walk with confidence without further fall can be initiated. These squabbles that John has with Bill or such issues are not the key aspect of the professionals job to be very worried about till it doesn't harm the health and well-being of the patient in question. Such balance of trust gaining, proper communication set-up, and mutual trust makes the working relations better and in the process helps the outcome, the wellbeing of the patients. References Coalition of National Health Education Organizations - Home. (2016).Cnheo.org. Retrieved 2 September 2016, from https://cnheo.org/ethics.html Code of Ethics - New Zealand Medical Association. (2016).Nzma.org.nz. Retrieved 2 September 2016, from https://www.nzma.org.nz/publications/code-of-ethics Crowden, A. (2008). Professional boundaries and the ethics of dual and multiple overlapping relationships in psychotherapy.Monash Bioethics Review,27(4), 10-27. https://dx.doi.org/10.1007/bf03351302 GMC | Maintaining a professional boundary between you and your patient (2013). (2016).Gmc-uk.org. Retrieved 2 September 2016, from https://www.gmc-uk.org/guidance/ethical_guidance/21170.asp Gulliemen, M., McDougal, R., Gillam, L. (2009). Developing Ethical Mindfulness in Continuing Professional Development in Healthcare: Use of a Personal Narrative Approach.Cambridge Q. Healthcare Ethics,18(02), 197. Hazlet, T., Sullivan, S., Leisinger, K., Gardner, L., Fassett, W., May, J. (2012). Professional Organizations and Healthcare Industry Support: Ethical Conflict?.Cambridge Q. Healthcare Ethics,7(5), 236. Jones, J. McCullough, L. (2016). The ethics of dysfunctional professional relationships.Journal Of Vascular Surgery,63(6), 1651-1652. https://dx.doi.org/10.1016/j.jvs.2016.04.001 Macdonald, A. Worthington, R. (2016).The Role of Clinical Ethics in the Health Care System of NZ.Hqsc.govt.nz. Retrieved 2 September 2016, from https://www.hqsc.govt.nz/assets/Other-Topics/QS-challenge-reports/Clinical-Ethics-Network-Final-Report.pdf MacDonald, C. (2002). Relational Professional Autonomy.Cambridge Q. Healthcare Ethics,11(03). NAHQ Code of Ethics and Standards of Practice | content. (2016).Nahq.org. Retrieved 2 September 2016, from https://www.nahq.org/Quality-Community/content/codeethicspractice.html Nordhaug, M. Nortvedt, P. (2011). Mature care in professional relationships and health care prioritizations.Nursing Ethics,18(2), 209-216. https://dx.doi.org/10.1177/0969733010389257 Professional Relationships With Industry - ACOG. (2016).Acog.org. Retrieved 2 September 2016, from https://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Ethics/Professional-Relationships-With-Industry Wilson-Barnett, J. (2010). Limited autonomy and partnership: professional relationships in health care.Journal Of Medical Ethics,15(3), 12-16.