Question Answered step-by-step NEEDS TO BE IN PARAGRAPH & THIRD PERSON TOPIC -RT is a 75 yo widow… NEEDS TO BE IN PARAGRAPH & THIRD PERSON TOPIC -RT is a 75 yo widow who lives in an apartment in town with her daughter. She was diagnosed with COPD at age 65 years and is followed by her primary health care provider. She reports that she has recently been having trouble with shortness of breath, especially when outdoors breathing in the cold winter air. The nurse practitioner prescribes a higher dose of her regular inhaler and a new rescue inhaler. A referral has been made to your home care agency for the management of RT’s COPD.How could a lack of interoperability between the community, hospital and primary care provider’s Electronic Health Record affect your ability to care for the patient?How would you address the daughter wanting to see the health information in the electronic health record? What ethical and legal issues are involved?How does the right to privacy fit in with your scope of practice?PAPER Interoperability of the system provides a full and comprehensive medical record of the patient, Lack of interoperability makes the whole patient data inaccessible to the point of care physician,Daughter wanting to see the information in health records will be the breach of patient privacy. The ethical issue of patient confidentiality and the legal issue of sharing of patient information is involved.Maintaining a patient’s right to privacy is the part of nurse practitioner’s practice. Nurse work to maintain the privacy of the patient. Explanation:Interoperability is defined as the ability of different EHR (electronic health record) systems to communicate with each other and exchange patient data. Due to the presence of any type of system in the market, the inoperability of systems is an issue that has handicapped the HER system to an extent. It is because of different software, systems cannot exchange data. Due to this inability, point of care physician cannot access the complete data of patient who was previously taking the services of some other healthcare provider. In this case study, a nurse practitioner cannot access RT’s data that is present in the hospital. Because of this reason, the nurse practitioner has access to only a smart part of RT’s data. In the absence of health and family history, she is not able to make a sound decision.A healthcare provider cannot permit the daughter to see the patient information on HER without the permission of her mother. This decision is reached through ethical and legal considerations. Nursing ethics states that the healthcare provider must keep the information provided by the patient confidential. Nurse or healthcare providers cannot share the information given by the patient with the family members of the patient. This ethical consideration was made binding by the HIPAA (Health Insurance Portability and Accountability Act). The act states that sharing patient’s information with a third party is a punishable offense. There are some exceptions to this rule such as sharing information for reimbursement, for administrative purposes, or if the reporting of disease is mandatory.Maintaining of patient’s right to privacy is the part of the nurse practitioner’s (NP) scope. This is important to establish trust and rapport between the NP and the patient. The establishment of trust encourages the patient to share more valuable information with the NP. This information helps the NP to take more patient-centered decisions increasing the quality of patient care. The following steps NP should take to protect the patient’s right to privacy:She should never talk to any third person about the patient’s condition. This rule applied at off-duty hours too.NP should never leave the patient’s confidential information lying in open.The identifiable information of patient should be in a lock whose access should be limited to NP only.Reference:Integrated Care Interoperability: Benefits and Importance | NextGen Healthcare Blog. (2020). Retrieved 1 September 2020, from Retrieved 1 September 2020, from Ways To Protect Your Patients’ Rights | CPH & Associates. (2020). Retrieved 1 September 2020, from Health Science Science Nursing NURS 327 Share QuestionEmailCopy link Comments (0)

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