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Patient 's Right And Self Determination

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Patient 's Right to Self Determination This paper will examine how to recognize the extent to which a culture’s structures and values may oppress, marginalize, alienate, create/enhance privilege and power, and how to recognize and manage personal values in a way that allows professional values to guide practice. The interaction between the structure of society and culture play an integral role in how society decides what is normal and/or acceptable. When the structure of society impedes a person’s right to self-determination or services provided, it is important to reevaluate our value system. Values are directly associated with one’s belief system, and in turn guides behavior. Values play an integral part in choices made in life …show more content…

This semester I met Mr. X, a twenty-six year old African American male who is paralyzed from the waist down. Mr. X has been in a wheelchair since the age of seventeen and is unable to live alone. He requires twenty-four hour care due to mental health and his physical condition. Mr. X was in an assisted living facility prior to being admitted to the Behavior Health Pod. He stayed in B Pod for six weeks then transferred to Cape Fear Hospital for further treatment. He is now ready for discharge and the staff is having difficulty placing him because the agency he came from refuse to accept him back. After reviewing Mr. X’s chart, it is noted that he came from an assisted living facility but cannot return due to his abusive behavior and chronic marijuana use. I met with Mr. X to receive a clear picture of the concerns. He stated he smoked marijuana and refused to stop, it allowed him to escape and because of his use, he cannot return. He also disclosed that the facility only had older people, was located in a secluded area surrounded by trees, and he was uncomfortable. After speaking for several hours, I learned he had been kicked out of many of the assisted living facilities in the surrounding areas that accepted Medicaid. He stated he told staff he was going to commit suicide and that is how he ended up in the B Pod. Mr. X’s behavior presents a professional ethical dilemma for Cape Fear

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