Ethical and Legal Standards Used by Physician – Case Study Example

The paper "Ethical and Legal Standards Used by Physician" is a good example of a case study on social science. Case I. Confidentiality is the act of a clinician to withhold certain information about a patient to other parties. It is important in a clinician-patient relationship because it protects the image and self-esteem of the patient especially when they are still in shock of their status. Thus, doctors keep the information private until at least the patient accepts his or her HIV status and is willing to share it with others. However, if the physician chooses to withhold Carlos HIV positive status to his sister, it will cause more harm than good. As a result, confidentiality about Carlos status can be breached in this case.  That is because the physician must warn and protect Carlos’ sister from contacting the virus while taking care of him. Therefore, she has to be aware of how to handle him as she dresses his wound at home and not contact the HIV virus from him. As the physician, I would hold a confidential therapy session with Carlos before his release. In the meeting, I would carefully take him through the process of accepting himself as a homosexual HIV positive individual. Also, I would educate him about the law and its stand on (GBLT) gay, bisexual, lesbian, and transgender rights. It is important for him to know that it is legal to be a homosexual and he needs not to have a fear of being discriminated because of his sexual orientation. To boost his confidence further, I would hand him some reading material on the relevant legal provisions for one’s right to sexual orientation. Also, I would recommend that he attends counseling classes and learn how to protect others from contacting the virus. Soon after, I would hold a meeting with Carlos and his sister. The aim of the meeting is to exercise the duty to warn and protect Carlos sister. The primary meeting focus would be to encourage Carlos to disclose his HIV status to his sister. Moreover. I would give her the perceptional procedures to follow to ensure she is not infected with HIV while nursing her brother. Thus I would apply Beneficence and non-maleficence to safeguard both Carlos and his sister from any harm and benefit them simultaneously. The Tarasoff ruling might apply in this case. The physician should protect Carlos from harming others violently as he is in the process of accepting himself. 
Case II. The physician should apply therapeutic privilege to Mr. Johnson. Therapeutic privilege is whereby a physician can withhold certain information to a patient because it can cause psychological trauma. In that case, the physician should withhold the severity of the effects of the disease to the patient but explain it to his son. That is because it can cause stress to the patient hence worsen his recovery process. Therefore, I would suggest that during the therapy session with Mr. Johnson, he should not be told of his inability to sound make the judgment. Later a therapy meeting with his son can be held without applying therapeutic privilege. His son can be informed of the disease and the inability of his father to make sound decisions. Through that, I could apply the concept of informed consent of his son. That involves granting permission to know of the possible consequences of the disease. However, the information would be withheld from Mr. Johnson to reduce possible scenarios of additional stress. Also important is the issue of decision-making capacity. The elements of decision-making capacity involve the doctor identifying the patient’s risk for impaired decision making. Therefore, the doctor should consider the ethical and legal standards of disclosure in informed consent. I would recommend that the medical attendant withholds the severity of the symptoms to Mr. Johnson but educate his son about it. Therefore, he will avoid leaving his father in a challenging situation by himself because he is capable of making the wrong judgment. Throughout the therapy session, I would recommend that the doctor applies veracity while talking to Mr. Johnson’s son. That involves tackling the issue with the specificity it needs so that his son can learn about Alzheimer’s disease. The questions that he may ask need to be addressed in precise detail. Any hard medical terms ought to be broken down in a way that his son can understand and know how to help him recover.