Question

PROCEDURE 6-1. APPLY THE PATIENTS BILL OF RIGHTS IN CHOICE OF TREATMENT, CONSENT FOR TREATMENT, AND REFUSAL OF TREATMENT CAAHEP COMPETENCY: X.P4 ABHES COMPETENCY: 4.g TASK: Ensure that the patient's rights are honored in the daily procedures performed and policies enacted in the latory healtheare setting. ambu- SCENARIO: Role-play with a parner the following case study that requires the application of the Patient's Bill of Rig as it pertains to treatment choices, consent for treatment, and refusal of treatment Dr. Patrick recommends that Mr. Tim Shields start taking Rituxan (rituximab) for non-Hodgkin's lymphoma (NHL) She provides informed consent to Mr. Shields about the risks of Rituxan, including the possibility of a srious allergic eaction, severe skin and mouth reactions, and an increased risk of serious or life-threatening complications if the patient has hepatitis B. Dr. Patrick also explains that this is the best treatment option for Mr. Shields. There are other pos treatment options, but Rituxan is the recommended drug of choice for treatment of NHL Mr. Shields states that he understands the information. He is hesitant to give informed consent, however, because he has a history of hepatitis B and is concerned about the scrious side effects from the drug. Mr. Shields opts to ref Rituxan treatment. Based on your knowledge of the Patient's Bill of Rights, has Dr. Patrick complied with the provider part of the agreement? Does Mr. Shields have the right to refuse the recommended medication? If he does refuse, is it important that his refusal of recommended treatment be documented in his health record? How can the medical assistant help both the provider and patient in this situation? EQUIPMENT AND SUPPLIES Copy of the Patients' Bill of Rights Notice of Privacy Practices form

Answer 1

• Yes,Dr.Patrick has compiled with the provider part of agreement. It is the foremost duty of a provider to explain the plan of treatment, medication its benefits as well as harms, why this treatment is recommended to the patient .Acceptance and denial is up to the patient.
• Yes,Mr.Shield has the right to refuse the treatment legally.This decision is allowed when the patient is in sound mind..The provider has to explain the clinical status there on and respect for the patient decisions. It is not mandatory for a physician to give pressure to accept treatment though when the provider knows the decision of patient is wrong.
• It is a must to document all the incidents encountered with the patients. This stands as a legal evidence in case of issue or when a patient raises complaints or sues against the provider.In certain cases even written consent are taken by the healthcare organization as per their protoc5.
• The role of a medical assistant with patients are
  • Scheduling appointment for future
  • Helping out in any laboratory investigation
• The role of the medical assistant with the provider are
  • Patient medical records has to be filled and updated for this patient
  • Maintaining the consent if provided by the patient.