Ethical Health Care - Essay Example

ETHICAL HEALTH CARE Learning outcome Cultural competence can be of several levels, but let us consider three levels out of them Purpose 2 Skills 3 Attitude What de we think about the purpose of the cultural competence, it is to achieve improved health standards of minorities and ethnic groups. This is components level, let us consider the second aspect of the cultural competence, that is "attitude" one should have will power and willingness to offer adapt selfless services to others needs when they are in distress or when they are in dire conditions The interactions between the professional and the patient should be so prcised that they should exemplify technique of communicating between the patient and the professional Minority health professional the individuals who develop the community to which they belong and the impetus should be to empower then to serve and improvise the quality health standards of their own university communities. In order to achieve this, a strategy should be adapted and must be purposed to increase the number of trained minority health professional. Taking into consideration of the desperate health standards of the social and ethnic communities must be targeted it can be analyzed the organizations services towards the empowerment of ethnic minorities, their diverging in understanding and appreciating of the minority clients, instead of just considering only needs of human services To outline few steps for ethnic sensitive services 1 Access should be developed in hiring staff numbers like bilingual bicultural 2 Interventions through learning another culture is tailored 3 In the broaden outlooks modifications process such as integrating traditional medicine with western medicine. This will certainly give a boast to improve and elevate the health standards of the minority and ethnic groups 4 It is advisable to initiate an organization development should and a specialized program model which in turn initiates a native health care system or another continuous of collaborated strategies differentiated by the degree to which time, trust, and turn can be overcome. Networking is defined as enhancing information for mutual benefit while networking itself reflects initial trust, communities of time and trust which are limited. Further the next stage is to achieve a common purpose while keeping in view the attention altering activities in enhancing information which results, time, trust and then which are mutual investments could be enhanced in a great magnitude. The third stage cooperating, which requires greater organizational commitments and their networking or coordinating collaborating, comes as a final stage. For example take Chinese population in UK between the age group United Kingdom; this is the demographic data compiled or the Chinese population in the UK. It was document Ted that at least 12-13 hours per week was a work schedule that was must to access the health care. Learning outcome 2. Issues that effect health care of ethnic Minority groups: The issues of course there are many faced by the ethnic minority of groups social classed, cultures and the varied languages this diversified. It diagnosis has to be accessed and produced it is important that the patients who come to complain about their ill health to the medicos they have to communicate, express what their problem is and what they are suffering from rather to say they should communicate in English which is becoming a barrier for some ethnic groups as they are unable to speak English that as a big barrier which may alternatively influence the quality of traditional Doctor should understand what the patient is suffering from, if the doctors does it know, the patient does it speak in English group patient. The doctor may not be able to understand if the patient expressed his problems y signals as in his own another language. Doctor is out a loss and he cannot provide treatment these are the most important factors prevailing among the ethnic groups of the minorities. Some times Interpreters are used in national health services to provide a better communication between the patient and the doctor. Bur this also hangs on a pivotal point that the interpreter should have substantial knowledge Most of the ethnic group minorities are unemployed or manual labors, they are used to live in poverty and coming to the hospital is also a factor for them. To come to the hospital it means that they save to spend money for transportations. Secondly unless they stop working they cannot come to the hospital or rehabilitation culture. Stop work means no food that day. So they prefers not to stop them work, they also prefer not to spend money on transportation ultimately they are neglecting their health develop because exhaustion of the work and improper food neglected health insight develop diseases such as heart diseases, stroke, obesity etc. The cultural also of these ethnic groups is playing important factor, cultural religion might prohibit drinking and smoking etc and that can influence health. Example take the women of the Muslim religion the religion imposes a lot may rules and anxious. The Muslim women should cover their body from top to bottom with a big dark colored single cloth piece known as burkah. This system deserving for women makes them inconvenient at times. The religion also comes on its way for Muslim women when they go to and make Doctor physically touching them and handling the body. The husband comes; he diagnoses to show his spouse to a male physiotherapist. It is prevailed in Muslim religion and culture. The physiotherapist should acknowledge these traditional and cultural factors while keeping thick dignity and provide effective treatment. Again this is a different story about the Chinese ethnic groups. They have a different types o therapy. The older people do not five much value to the modern medicine. If is their age-old belief and tradition and If they are suffering from ill health they go to a Chinese therapist sometimes these are some blockades. The required medicines of Chinese may not be available hue to various reasons the Chinese adapt therapies like acupuncture, pressure point massage sometimes they may be effective. In the end they suffer with ill health. Due to their culture and belief it is most unlikely that they approach a modern therapist rather prefer Chinese physical therapist. The above issues are some of the prevalent problems of the ethnic groups that are affecting them. The above influences taken into consideration should be by taking the ethnic groups. Perhaps some other ethnic groups have a different attitude towards health or well. Learning outcome 3. GROUP DYNAIMCS Group dynamics actually in its essence implies individual behaviors may differ as per the current or prospective connections to a social logical group. It actually means a field of social services within that focuses on the nature of groups. It may be identified urges to belong to make for distinctive different attitudes. The influence of a group can become strong where by the influencing or overwhelming pro activities and actions CONCEPTS OF GROUPS DYNAMICS There are five stages of group development First stage: In the preliminary forming stage Dependence defines and characterizes of personal relations. There are group leaders who do the act of direction and guide other members. The other members of the group look up to the leaders for patterned behavior for guidance and direction. The group members always think and accept by the group and they prefer to be always safe. In view of feature sub groups they set about gathering impressions and the similarities and differences among them. Preference is always given to farm future set groups. No controversies are brought in simplicity is observed and maintained. Orientation is considered as a major taste function Members must understand one another an behave in a set pattern to avoid controversies and misunderstandings attempting to be always oriented to the tasks Second stage: (STORMING) It is identified characterized by conflict in the personal relations dimension. To organize in the task function dimension Personal relations, individual behaviors should not be a conflict nature; they have to mould their feeling, ideas, attitudes and beliefs that should absolutely group organization. Although the conflicts may surface or may not surface "Fear of Exposure" or "Fear of failure" is the reason for which there arises the desire for commitment and structural clarifications. The questions that would come up probably are related to all as to who will stand responsible to what, what is the criterion for evaluation, what are the rules to be followed. If these questions are not given a good response conflicts may arise in the matter of authority, power structure and leadership. The behavior of the members can be thick and thin at the time of competitive issues emerging hostilities." Testing and proving "mentality must be satisfied by problem solving mentality to moved on to next stage. Third stage: By cohesion, interpersonal skills are characterized. Here the main concern of the group members is to take part actively in solving the group issuers. In maintaining the community buildings accepting and responding to the members contributions. Members modify their opinions after visualizing the facts that are on the hands of other members. These will be development in the group cohesion. They should the feelings of conflicts and develop the groupism. Learning outcome 4. MORAL REASONING Any country or any fields have to adhere by law. Law is definitely respected in all the fields at envy place. Like so is Health can ethnics also .If a patient is brought t the hospital with multiple injuries after an accident and the doctor insists of complication of legal formalities and then only he would adhere the placement the doctor for or course is doing injustice for the law but he is doing injustices the patient. Because, by the times the frames work of precede formalities are taken care of and completion takes place, the patient may succumb to injuries, and loose his life, after which any service for the dead person is of no use. Of course the doctor had done like to the legal frames work. When is the moral reasoning So to say moral reasoning is about an important attitude it may be also a moral reasoning ethnics. Let us consider other relevant clinical and other facts. Would it constitute and involve any decision making of an appropriate nature, last us work as for how is to be used responsible. A decision should be made. But when it should be made and who is to be held responsible. Who should be involved A set practice of confidentiality and the procedural practices are to be observed. If so what they are Let there be same options. A patient is brought what is it that the patient want to happen. If the patient is old and his ailment is also serious. The patients condition demands surgery. But because of the age factor the patient decisions for requesting and opts for an alternative treatment with infections and tabs. The doctor had to weigh between the legal framework and the morality or moral reasoning. Checks must be conducted whether the patient is competent and Considering the fact that the patient is not competent. What is the best can be done in the interiors of patients. IF the doctor goes for any fault consequences should be foreseen. What the care rays about the option when you go for a realistic option, identification is important to moral reasoning in support and that is favored against. Are there any strong words or terms, which may mean e.g. best interest of the person. Consider whether you aliments are valid for reasonable consequences should be considered. Due importance should be given whether the options respect persons As or general rule what will be the implications of this decision. Pull onto all the strings; judge yourself make a substantial claim that the decision opted is in all considerable reasons is totally justified at the circumstances that prevailed at that time. Learning outcome 5. Health authorities in NHS or CHS must follow and learn some group policy so that they can impart and impartial service to minority groups. For this the authorities must be trained and educated about the ethics of treating the poor and the minority group. They should be polite and benevolent to the patients and also train the patients and their accompany to learns about the sanitary discipline so that they prevent many diseases. Generally health officials are asked treat the patients with patience and win trust and confidence from the patients and their families. The minority groups consider doctors to gods on earth and since ages the olden health officials did not treat the minorities properly. Hence the five learning outcomes have been presented with due explanation. References Susan H. Taft, PhD, MSN, RN (Nov. 8, 2000). AN INCLUSIVE LOOK AT THE DOMAIN OF ETHICS AND ITS APPLICATION TO ADMINISTRATIV BEHAVIOR.< http://www.nursingworld.org/ojin/topic8/topic8_6.htm> Jonathan Montgomery. Law and the demoralisation of medicine. Volume 26Page 185 - June 2006. Retrieved August 22, 2006. from http://www.blackwell-synergy.com/doi/abs/10.1111/j.1748-121X.2006.00004.x Dr. Donna McAuliffe and Ms Terrie Ferman. 01-September-2002 Retrieved August 22, 2006. from < http://ultibase.rmit.edu.au/Articles/sept02/ferman1.htm> Orr, Robert D. and Fred Chay. Medical Ethics. (01 March 2002). 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