AMA2.2ETHDB Article Example | Topics and Well Written Essays - 1000 words

AMA2.2ETHDB - Article ExampleA physician has the responsibility of explaining to the forbearing the benefits, encounters, and alternatives so as to enable the patient to make informed decisions or empower informed consent. The nurse has the work of acting as the patients advocate and playing a key role in getting patients consider the consequences or alternatives of refusing or accepting care (Weingart et al 2009). The nurse ought to document entirely efforts to give the patient the necessary information to decide to accept or turn down care. preserve, thus, ought to be bearing including information such as the date, time, who spoke with the patient, the content of what the information that the patient was given, the comments that the patient made, and the final disposition. Documentation of details such as telephone numbers, names, and referrals made by the nurse should be given to the patient on discharge with a listing or description of any instructions given verbally or preprinted forms (Pennycook et al 2011). Proper documentation would be done in the body of the chart of the patient. separate elements to be documented would be their capacity for decision-making, the decision of the patient, the risks that were revealed, the patients understanding of the risks, and the signatures of both the physician and the patient. It is advisable to use a comprehensive AMA form to increase proper documentation. Emergency physicians ought to do an sagaciousness of the AMA form to ensure that it is adequate, and in cases where a patient declines to sign the AMA form, the physician is expected to read it aloud, keep a documentation of refusal to sign including the fact that the patient was made aware of the risks of leaving (Schaefer, 2012). With the prevalence of against medical examination advice medical discharges and the severe problems that they present, physicians of emergency departments always make attempts to prevent patients from leaving against medi cal advice, but when it is unavoidable, 3 requirements are normally expected to be met so that the AMA process can grant optimal legal protection the patient should be considered to have the capacity to refuse care, a disclosure of all say-so risks to the patient, and the against medical advice consent be documented properly in the chart (Brown, 2012). Since the law dictates the patients right to refusal of medical care, and since treatment with aside consent could be considered battery, at the point where a patient signs out AMA, they are exercising this right of refusing medical care. Should it be determined that the patient is incapable of making the decision, and so it will be unethical and illegal for the physician to allow a discharge that could lead to imperiling the bearing and health of the patient. In as much as a patient has the legal right to refuse medical care, the exercising of this right is solely dependent of the patients capacity of decision-making. A semifor mal assessment would normally be done on the patient to determine their decision-making capacity (Brown, 2012). The ethical contract of disclosure of all risks associated with the patients leaving AMA is a secondary tool and requirement for risk management. It is also worth-noting that the appearance of the patients signature on the AMA form does not necessarily give a