List five instances in which the practitioner has a legal responsibility to report confidential matters that relate to health care and to report information. Explain how these are related to the harm principle
Many of the legal requirements to break or limit a patient's confidentiality have to do with the societal protections afforded vulnerable populations and requirements of public health. Examples include child abuse, communicable disease, wounds caused by knives or guns, poison or industrial accidents, and drug abuse.
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You are at the residence of an alert and oriented 87-year-old female patient who is very short of breath but is refusing to go to the hospital. Instead, she wants you to treat her at home and then leave when she feels better. As an EMT knowledgeable of the characteristics and behaviors of this age group, you would become suspicious that her request is based on the fact that she:
A) May have Alzheimer's dementia and has yet to be diagnosed B) Is concerned that she does not have the money to pay for the ambulance transport C) Is concerned that she may be giving up the independence of living in her home D) Does not trust those who are younger in age to take care of her