Discussion: MMHA 6300 Patient Autonomy or Surrogate Decision Maker?

Discussion: MMHA 6300 Patient Autonomy or Surrogate Decision Maker?

Discussion: MMHA 6300 Patient Autonomy or Surrogate Decision Maker?

MMHA6300 Law, Ethics, and Policy

Week 4 Discussion

Patient Autonomy or Surrogate Decision Maker?

Patients’ rights in the United States include the right to informed consent, which means that patients must receive adequate information to make medical decisions. However, many questions can arise if a patient appears to lack the capacity to understand his or her medical condition or options.

As a health care administrator, it is your responsibility to educate medical staff about your facility’s policy on obtaining informed consent, reflecting state law, and how to determine whether a patient is competent. It is essential to balance the moral needs of protecting the rights of the patient with the legal and ethical obligations to breach this confidentiality in certain select situations, or determine circumstances requiring a surrogate decision maker.

Medical staff should have no difficulty in following a patient’s wishes specific to health treatment when the patient is a competent adult who can articulate his or her wishes to the medical team. However, what if the medical team is unable to determine competency? How would the team assess mental competency to understand benefits and risks of the medical treatment? If the patient is not competent, how should the medical staff proceed?

To Prepare for This Discussion:

For this Discussion, view the Prompt Video titled “Incident in the ER: Scene 1,” located in this week’s Learning Resources. Then, reflect on the delivery of health care services demonstrated in the Prompt Video regarding determining competency. Reflect on the positive and negative aspects demonstrated and consider how health care administrators should consider these aspects when engaged in practice.

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Discussion: MMHA 6300 Patient Autonomy or Surrogate Decision Maker?
Discussion: MMHA 6300 Patient Autonomy or Surrogate Decision Maker?

Using the Kaltura Video function as instructed in the left navigation bar, videotape yourself responding to the Challenge Video. Who decides on behalf of the patient if the patient is determined to lack competency? How should a surrogate decision maker proceed on behalf of a patient? How can a healthcare administrator ensure that the patient’s autonomy is ensured and competency is established? How do the facility’s standards and regulations affect how competency is determined?

By Day 3

Post a cohesive response to the following:

Upload your video response to the scenario to the Assignment link. The Discussion Forum will then become available. Post the same video response to the Discussion so your colleagues can view it. Please refer to the following instructions for posting the video response in the Discussion area:

If you have previously uploaded the desired video to Blackboard, there is no need to upload the video again.

From the Mashup Tool, select Kaltura Media. You will then see a list of media that you have previously uploaded to Blackboard. The video that you submitted to the Assignment link should be listed at the top.

Click the Select button that corresponds to the desired video.

Click the Submit button on the confirmation screen to add your video to your post.

Add additional text if desired and then submit the post.

Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.

Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.