Termination of patient-provider relationship may still be considered ethical in nature as long as the welfare of the patient is the end consideration of decision process. However, rendering sensitive and competitive care for HIV and patients with infectious conditions is still considered the most recommended duty of health care. The main controversy surrounding the issue on termination of patient-provider care among HIV patients is whether such action breaches the provider’s duty of care ad the patient’s rights to receive appropriate treatment.
In analysis of the issue, the health care provider does not violate the duty of care as long as the termination of relations are due to the direct request of the patient not involving the quality of delivered care and if the patient provokes the nurse by showing incompliant or other aggressive activities. It is important to document all activities initiated by the patient if such problems have encountered during the health care process. On the other hand, termination of patient-provider care can be considered breached if the patient has been re-endorsed without appropriate proceedings (e. g. consent signing, formalized discussion, etc. ) and if the relationship has been terminated without immediate endorsements resulting to violation of patient rights subject to legal violation of patient abandonment.
Meanwhile, if the health care provider accepts the endorsement but is incapable of providing appropriate heath care regimen – possibly due to reluctance to care due to the contagious nature of patient’s case or other normative views, the relationship may be terminated accordingly; however, the health care provider shall be sanctioned due to incompetence and breach of duty depending on the institutional guidelines.
References
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Ending Neglect: The Elimination of Tuberculosis in the United States. London, New York: National Academies Press. Kelly, P. (1995). Primary Care of Women and Children with HIV Infection: A Multidisciplinary Approach. New York, U. S. A: Jones & Bartlett Publishers. Klausner, J. D. , & Hook, E. W. (2007). Current Diagnosis & Treatment of Sexually Transmitted Diseases. New York, U. S. A: McGraw-Hill Professional. Lauwers, J. , & Swisher, A. (2005). Counseling the Nursing Mother: A Lactation Consultant’s Guide. New York, U. S. A: Jones & Bartlett Publishers.