lecture 4: privacy & confidentiality Flashcards
privacy vs. information privacy
privacy is about people
information privacy is the client’s right to control their personal health information that’s collected/used/disclosed
what is confidentiality?
the duty to protect information
- information is shared with the health team, some is shared outside the team
- breaking confidentiality is sharing information about the patient without consent
what is personal health information?
any identifying info about the clients, in verbal/written/electronic form
ex. health number/pin, care previously provided, pictures of them
privacy legislations
PIPEDA governs collection, use, disclosure, retention of personal info during commercial activities
PHIPA meant to address issues specific to healthcare that were not clear in PIPEDA
protecting info/reporting info about patients (age)
if the patient is under 18 you have the duty to protect experiences of abuse/violence
if the patient is over 18, you cannot, can only provide resources and help therapeutically
information gathering: documentation, what it’s important for
- client’s health status and needs
- client centred plan of care
- changes in client’s condition or situation
- clients educational/information needs
documentation should be…
- factual (don’t use opinion words, ex. seems)
- specific (when, what, how often, descriptive)
- proper grammar & spelling
- professional & correct language
- punctuation
- don’t erase, write only in ink
SBAR and its components
- Situation: clear, brief description of current situation
- Background: clear, relevant background information about patient
- Assessment: assessments performed, professional conclusion based on S&B
- Recommendation: tell who you’re communicating with what you need from them, clearly and relevant