Paramedics are required to make these decisions within settings that are often disordered, uncontrolled and unpredictable, where all the relevant information and circumstances are not fully known. Paramedics must deliver appropriate clinical care within the boundaries of the law, clinical guidelines and evidence-based standards. Continuing Professional Development: Ethical issues in paramedic practice Emergency Medical Services (EMS) providers face many ethical issues while providing prehospital care to children and adults. Practitioners must be mindful that, despite the frequent interactions with these patients, their behaviour is often perpetuated by mental illness, and the patient needs care for their chronic illness just the same as they would for any other illness. Nevertheless, it is important to understand that many ethical issues presented in health care have little to do with paramedicine as the latter focuses mainly on emergencies. During the shared decision-making process between clinician and patient, paramedics must respect these preferences but also be sure that the material risks associated with alternative options for treatment (including non-transport) are clearly explained to the patient (Chan et al, 2017). MA Healthcare Ltd Paramedic Practice Test. Challenges UK paramedics currently face in providing fully effective Paramedics delivering palliative and end-of-life care in community A patient who is treated by paramedics may be vulnerable because they lack the capacity to consent to treatment or, if they do have the capacity to consent to treatment, they lack the ability (or avenues) to express their worries about that treatment, or to defend themselves in circumstances where their consent has been misinterpreted. Study with Quizlet and memorize flashcards containing terms like As an EMT, the standards of emergency care are often partially based on: A. A person must be presumed to have capacity unless it is established that he lacks capacity. Our researchers and research supervisors undertake their studies within a wide range of theoretical frameworks and models relating to the development of policy and practice that takes account of: lived experiences of health and social issues, health and social care use, and, service delivery by the nursing, midwifery and paramedic professions . Furthermore, capacity can fluctuate, so clinicians must favour capacity assessments made at each attendance over capacity assumptions because of vulnerability or previous dealings with the patient. 2 Function, build and sustain collaborative, professional relationships as a member of a team within multidisciplinary teams and agencies For example, paramedics have a statutory requirement to safeguard and promote the welfare of children in their care under section 11(2) of the Children Act 2004. Therefore, paramedicine practitioners should take all measures to respect the privacy of patients and satisfy their demand for confidentiality. The article argues that the situation raised dilemmas about communication, patient autonomy and paternalism. The ethical responsibilities of a paramedic also include acting fairly and helping any patient who needs it, regardless of their race, age, gender, religion or another personal characteristic.. Ethics and law in paramedic practice: Boundaries of capacity and After completing this module, the paramedic will be able to: If you would like to send feedback, please email jpp@markallengroup.com. This exploratory case study utilized semi-structured interviews of thirteen North. On assessment, John didn't appear to understand the information given to him, the decision he needed to make, and he was unable to retain or comprehend treatment plans or the risks of noncompliance. From this point of view, paramedicine has to develop a distinct set of ethical standards and rules to cover their sphere of professional activities. It seems important to note that had John been in a private place, this option would have been void, which may have presented an even more complex situation to manage safely and legally. Overview Fingerprint Abstract Principlism is arguably the dominant recognised ethical framework used within medicine and other Western health professions today, including the UK paramedic profession. Principlism in paramedicine: an examination of applied healthcare ethics A major concern in healthcare ethics (including within paramedicine) is the protection of vulnerable persons within the realms of patient-practitioner interactions (Moritz, 2017; Townsend, 2017; Ebbs and Carver, 2019). This article explores practical issues of capacity, autonomy and beneficence as they apply to some of the most common vulnerable groups that UK paramedics may encounter: children, older people, those with a mental illness and persons with a disability. Ethical issues are closely intertwined with legal aspects of care and this module will therefore consider the four ethical principles, focusing on the two key principles of autonomy and . At the same time, the task of the paramedics is to improve their patients health conditions and choose the best way of treatment in every particular case. In conclusion, ethical and legal principles are of great importance in paramedical practices. The principles of the Mental Capacity Act 2005 and the Mental Health Act 1983. Speaking about the legal principles of paramedical practices, it is important to mention that legislative acts and rules are common for all individuals and organizations despite the scopes and directions of their activities. A mother (Victoria Gillick) sought to have medical practitioners refuse to provide medical advice to her daughters, aged under 16, in relation to contraception. In addition, due to John's virtually complete lack of speech, it was excessively difficult to ascertain if he was suffering any hallucinations/delusions at that time. Summary. The ethics in paramedicine has become a field of interest for many scientists and researchers. prevent the safe and effective practice.5 Ideally, the paramedic concerned should report any of the above issues themselves, as this reflects professional behaviour. Vulnerable patients may not have the capacity to consent to their own healthcare, or their vulnerability may mean their interests need protection. The ethical principle of non-maleficence means that paramedicine practitioners should discuss the probable negative consequences of their decisions and prevent them in order not to harm the patients. Ethical dilemmas comprise an important non-technical aspect of paramedicine but have not received significant research attention. 40: . While the ethical tenets apply to the moral aspect of practices, the legal ones help legally arrange them. N2 - Decision-making is central to the everyday practice of paramedicine. Commonly, these four principles help the paramedics make the optimal decisions and protect the interests of clients, acting both morally and legally. Clinicians have an important role in supporting vulnerable patients and upholding their autonomy. Sign up to Journal of Paramedic Practices regular newsletters and keep up-to-date with the very latest clinical research and CPD we publish each month. A progression of learning in terms of acting morally and ethically is necessary when nurses undergo training on both an undergraduate and a specialist level. Legal, ethical and social aspects of child abuse - NursingAnswers.net In particular, privacy and confidentiality considerations must be foremost when others are present such as work colleagues or neighbours. This guidance helps you to explore and understand the issues of trust in the doctor-patient relationship and looks at factors affecting patients' vulnerability. Ethical deliberation contributes to practitioners' critical thinking skills and helps prepare them for decision-making under uncertainty. EBOOK: Blaber's Foundations for Paramedic Practice: A Theoretical Perspective Amanda Blaber 2018-11-19 This bestselling undergraduate level book is an ideal resource for student paramedics looking for an excellent introduction to the main theoretical subjects studied in paramedic courses, and links practice issues to the all-important theory . Purpose of the fitness to practise process. Another important aspect when treating patients with mental illness is the stigma associated with mental ill health (Fink and Tasman, 1992). T1 - Ethics and law in paramedic practice, T2 - Boundaries of capacity and interests. For example, children (according to the law) have not reached the required age to make their own healthcare decisions, although some have the maturity to do so and will be able to make some autonomous decisions. Therefore, consideration of these effects is part of how they treat patients and make decisions. The primary task of paramedics is to provide opportune and unprejudiced services, correlating them with legal regulations. Paramedic practice must consider all of these factors to ensure ethically good care. Paramedicine presupposes direct interaction with individuals. You will see the questions are broken down into the 5 different categories you will be tested on. The police, however, do have the power to utilise section 135 and 136 of the MHA (1983). The practitioners should have the required level of education and work experience to deal with the patients in the most effective and quality manner. A recent topic of concern has been the extent to which paramedics and other health and care professionals are required to report instances of known or suspected child abuse or neglect (Foster, 2020). He is an intelligent and articulate 10-year-old boy, and also has leukaemia. U2 - https://doi.org/10.12968/jpar.2020.12.10.CPD1, DO - https://doi.org/10.12968/jpar.2020.12.10.CPD1, JO - Journal of Paramedic Practice: the clinical monthly for emergency care professionals, JF - Journal of Paramedic Practice: the clinical monthly for emergency care professionals. Paramedic Professional Practice | Curtin University 1. be able to practise safely and effectively within their scope of practice 2. be able to practise within the legal and ethical boundaries of their profession 3. be able to maintain fitness to practise 4. be able to practise as an autonomous professional, exercising their own professional judgement 122: 10 Researching paramedic clinical practice a practical guide. To provide guidance for paramedics in how to meet their obligations in reporting children at risk, the London Ambulance Service NHS Trust (2020) has produced the Safeguarding Children and Young People Policy. Insufficient competence or lack of basic knowledge can lead to harmful effects and negative consequences of treatment. Paramedics have professional duties toward vulnerable persons. People with mental illness may also be vulnerable because their illness may sometimes render them unable to make some decisions or, like older patients, their decision-making ability fluctuates. Modern paramedicine tends to use the ethical standards developed by scientists T. Beauchamp and J. Childress. From this standpoint, paramedics play a significant role in consideration of ethical issues and bear responsibility for the preservation of both legal and moral standards in every individual case of interaction with the patients. It is particularly important for clinicians to assess patient capacity every time they attend a person rather than relying on past experiences that because the person lacked capacity owing to their mental illness during a previous attendance, they will somehow lack capacity on all future presentations. @article{6040c026e1e34bd9b7239761b13480e7. Although, hallucinations, delusions etc. author = "Hamish Carver and Dominique Moritz and Phillip Ebbs". In this case, the MCA can be applied in the normal way, to provide treatment, even if for mental health disorders, should the person lack capacity (Department of Constituational Affairs, 2007). Sections 182 (1) a-e, 184 and 162 c-d of the Children, Youth and Families Act 2005 (Vic.) It seems that deciding which act is most appropriate must be managed on a case-by-case basis factoring in issues such as access to healthcare professionals available to utilise the MHA (as paramedics do not have it), the likely cause of the persons behaviour (physical/psychological), whether the patient seems likely to meet the threshold for detention under the MHA, and equally whether the patient is likely to be assessed as lacking capacity under the MCA. Additionally, according to the current laws, all patients have the right to control their lives without any external interventions, control, and management. care passports). Ethical practice forms a fundamental aspect of paramedic care, and not only is the of model 2 paramedic expected to meet standards of ethics as laid down by the HPC, but more importantly paramedics Following attendance to a call, a reflective account was completed using model 2. are required to treat patients in a way that is humane The 2011b) and it didn't seem that John could have kept himself safe until such a time he could have been detained in this way. This means that not only must they avoid doing harm - non-maleficence, they must also display active well-doing and an unselfish concern of the well being of others - beneficence. Monday, January 2, 2017. Ethics part 1: what do paramedics owe patients? This raises the prospect that a patient with legal capacity may still be a vulnerable person, and also that a vulnerable person may be harmed or exploited unintentionally within healthcare settings (Oxford University Hospitals NHS Foundation Trust, 2016; Ebbs and Carver, 2019: 27). Law and Ethics for Paramedics: An Essential Guide Authors: Georgette Eaton University of Oxford Abstract Providing a clear and concise overview of applied law and ethics to UK paramedic. Continuing Professional Development: Ethical issues in paramedic practice The Australasian College of Paramedicine Harris and Millman (2011) highlight the importance of ruling out a physical cause for the patient presenting with altered mental status such as hypoglycaemia, head injuries, infection and alcohol or drug use. In such circumstances, clinicians have the added consideration of not only treating the patient but also ensuring the other vulnerable party is protected. The first concern for an EMT must be: A. patient safety. And even though the legal issues may have been covered, the ethical implications of the lack of healthcare provided are undoubtedly contrary to good clinical practice given it represents the deliberate concealment of a therapy (or lack of it) used in a given person. Legal | Journal Of Paramedic Practice
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