Physician-Patient Relationship: Ethical Topic in Medicine
The relationship between young people and worker is essentially one of trust and this can lead to situations where a young person may develop some level of. national survey Adolescence: boundaries, connections and dilemmas (RCN, ). It is intended for use within the UK but readers are advised that . building relationships with young people adolescents as teenagers, but the World Health Organization .. patient refuses consent for taking blood or cannulation. If. “The more you blur professional boundaries the more you're likely to Relationships with patients can pose a challenge to doctors at any point.
Even when sex is consensual and initiated by patients, doctors take advantage of the power entrusted in them by patients and society. This is especially the case where a patient is vulnerablesuch as those where a patient is undergoing therapy. Disturbingly, a large number of cases against psychiatrists brought by their regulatory body in the UK are about sexual misconduct.
In fact, all patients may be vulnerable to some extent since, when we approach doctors, we do so because we are ill or have a concern about our health. Whether or not the patient is always vulnerable can be debated. A patient who initiates sexual contact may not feel that the trust he or she places in a doctor has been breached if the doctor consents to the advance.
But the doctor still breaches the trust that the public places in the medical profession to maintain purely professional relationships with patients. The first worker decides that they would like to how that young person is doing. They use the client information system from their service to look up recent case notes and find out how that young person is. Note — You may wish to extend the discussion by asking learners to outline some strategies whereby the worker could make appropriate enquiries about the progress of a young person.
Department of Health | Developing and maintaining professional boundaries
Question - Would it ever be appropriate to contact the young person directly? If not, why not? Question - What are the implications for the worker to continue checking on the progress of ex-clients? Question - What are the implications for the young person? Two teachers are in a tea room at the local primary school and they teach kindergarten and second class. They have two little girls that are sisters, one in each of their classes.
They both find it difficult to interact with the mother of these children who is often hostile and yells at them at times. This morning the mother attended the school and grabbed one of the teachers by the arm, threatening to slap her if she didn't teach her child more effectively.
Both the teachers were distressed by this incident, and are in the tea room 'debriefing' and talking about the family and what they should do. There are other teachers in the tearoom on their break.
2.3 Developing and maintaining professional boundaries
Note — You may wish to discuss ways in which the incident could be debriefed more appropriately. In other words, someone in the family is taking too much responsibility in this case, the daughter for something that really belongs to another individual Mom in the family setting.
Another example of boundary problems would be a father who gets into an argument with his teenage daughter. Instead of trying to work it out after the emotions have settled down, the father and daughter go days without speaking but drop obvious hints along the way that they are still upset with each other. This is an example of a disengaged boundary. This type of boundary problem arises when someone chooses to default on their responsibility or expects someone else to take it for them.
In this situation, neither the father nor daughter is taking responsibility to try and repair the relationship.
Opinions sought on doctors’ sexual boundaries
A continuum of boundaries One way to view family boundaries is to envision it as a continuum that ranges from an enmeshed system at one extreme to a disengaged system at the other end and balance near the middle. In a balanced system, each person takes full responsibility for what belongs to them in order to make that relationship work properly. A balanced boundary system could be visualized by a line the separates two people.
For a healthy relationship to occur, both have to take responsibility to come up to the line and do what they are both responsible for in that relationship.Dr. Paula Cody - Teens and Healthy Relationships
If they step over the line to do what the other person should do, it is enmeshment. If they remain distant from the line and default on what is theirs, it is disengagement.
The hard part in assessing family boundaries is deciding what belongs to me and what belongs to another person in the family.