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Truth telling. Ethical & legal issues By: annick ,kal ,sam & winnie. Research. Indicates that most patient and their families want to know the truth about their illness, even when the news is not good ( Carrol 2003)
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Truth telling Ethical & legal issues By: annick ,kal ,sam & winnie
Research Indicates that most patient and their families want to know the truth about their illness, even when the news is not good ( Carrol 2003) The NMC(2004) recommends that it is important that an open culture exist in order to encourage the immediate reporting of errors or incidence in the administration of medicines.
Attempt definition of truth telling • Jackson 2000 suggest that truth telling has two definitions which are always confused. • Truth telling could be either “to tell no lies” or “to hide no truth”.
In Eilleen case • Fear of taking away a patient’s hope is one of the reason why health professionals do not want to tell patient the truth about their prognosis. • in Eilleen case, a drug error has occured and the nurse involved in this incident have the professional obligation to report it to her/his line manager for investigation and appropriate action as required by the (NMC 2004)
CONT • Deception without lies could be applied in this case; in another words it means that: although no lies are told, the patient is not informed of the truth • to support this idea, jackson(2000) argues that if telling the truth is “tell no lies”, then the use of deception without lies and non disclosure maybe acceptable.
Cont • However, whichever deception we use, there are ethical arguments about their justification for our patient care. • As patient advocate, we based our decision for the patient best interest. Patient autonomy , nurses competence or incompetence and accountability regarding this incident have been explored.
references • Carrol J(2003). Nursing as Most honest and Ethical Profession. Accessed from Athens search engine (online).[ Available on http:// gateway.uk.avid.com/gw1/ovidweb.cgi • Collis S(2006). The importance of truth telling in healthcare. Nursing Standard;vol20(17),P41-45 • Jackson J(2000). Truth, Trust and Medicine. London: Routledge. • NMC(2004). Code of professional conduct: standards for conduct, performance and ethic. • NMC(2004). Guidelines for the administration of medicines. London: NMC