Welcome back everyone.
Formalized in 1948, the universal declaration
of human rights recognizes the inherent dignity
and the equal and unalienable rights
of all members of the human family.
And it is on this basis of the concept of the person and
the fundamental dignity and equality of all human beings
that the notion of patient
rights was developed.
According to the American Hospital Association,
all patients have the following rights:
Respect and dignity,
To be able to select and choose
their doctor or doctors,
Have the right to transparency of their
medical condition and treatments
which means they have all the
information needed to make a decision.
They also have the right to autonomous
decisions about their medical care
meaning they can either
accept or reject treatments.
Complete freedom from abuse and neglect,
Access to emergency services,
The right to manage and control
finances and personal property,
Competent and compassionate care,
The right to religious freedom,
Accurate bills for care and services,
And finally, the right to express complaints and
have these complaints or concerns addressed.
The patients also have a
right to refuse care.
Under the patient self-determination act, this
act upholds and emphasizes the person's right
to make decisions relating to current
and future care and treatments.
Also, the Health Insurance Portablility and
Accountability Act otherwise known as HIPAA.
This supports and upholds the
clients' rights to confidentiality
and the privacy of their medical-related
information regardless of its form.
Informed consent is the patient's
election of a treatment or procedure
which is based on their full understanding of the
treatment or procedure, its benefits, its risks
and any alternatives to the
particular treatment or procedure.
There are three basic
types of consent.
Explicit consent entails the expression of the direct
and formal consent to agree to or not to agree
to any and/or all treatments.
These consents can be
verbal or in writing.
Most if not all invasive procedure consents are
explicit consents that are done in writing
and documented in the
client's medical record,
sometimes using a facility's
specific consent form.
An implicit or implied consent in contrast to an explicit
consent is indirect rather than formal and direct.
For example, a patient gives
implicit consent to nursing care
when they have simply agreed to
and consented to be hospitalized.
Opt-out consent is
passive and direct.
This type of consent is given when a
patient does not refuse treatment.
The lack of objections by the patient
indicates that the person has consented
to the treatment or procedure
with an opt-out consent.
Now regarding education about patient
rights and responsibilities,
Nurses are responsible and accountable for
ensuring that all patients and staff members
are knowledgeable about patient's
rights and responsibilities.
Nurses must also ensure that this knowledge
is applied and integrated into staff practice
and that all of the patients
are exercising their rights.
And finally, nurses must plan, implement and evaluate an
educational activity that meets this educational need.
Patient and staff understanding a patient's rights can
be measured and evaluated indirectly and directly.
Nurses can indirectly or directly observe the
staff members' interactions with the patient
and the education that the nurse provides
to the patient in terms of their rights.
Regarding patient rights, nurses should
respect the rights of the patient,
recognize each patient as an individual
with unique health care needs,
respect each patient's personal dignity,
and nurses should be committed to providing considerate,
respectful care focused upon the patient's individual needs.
So in thinking about everything that we've covered
today, I'd like for you to consider this question:
What are three types of consent?
They are explicit consents, implicit
consents and opt-out consents.
I hope you've enjoyed today's
video on patient rights.
Thanks so much for watching.