Protecting the patient already died does not make any sense! - page 4

My patients was HIV+ and he died during a central line insertion... It is tragic...but that is another story. What upset me the most is....his future wife came to the unit and she is pregnant. We... Read More

  1. by   carolinapooh
    Quote from mercyteapot
    Unless the law allow providers to report HIV status to the health department, though, it doesn't make one bit of difference if it is done anonymously.
    I thought reporting HIV infection to a public health department WAS the law, but I don't know if it's done by name or a number or some other anonymous system.
  2. by   luvmy3kids
    Quote from chuck1234
    Common sense...
    If your future husband gave you the virus...why would you go to the hospital to see him....the guy is giving you the disease which requires you to swallow a lot of pills that have a lot of side effects....making you suffering!
    I don't know if I agree with this statement at all. There are many couples with one partner infected with HIV who still stay together and support each other. Just because he had HIV doesn't mean she wouldn't still want to marry him.

    He easily could have had the disease and not known until after she got pregnant. She very well could still be in love with him even though he is positive.

    If she doesn't know, I feel for her and her baby. I hope that they get the necessary treatment needed if they are infected.
  3. by   CHATSDALE
    it use to be the law that std were reported and anyone exposed would be notified
    tptb deciede that too many people were not going to seek help if their health status was going to known to insurers, employers etc
    unfortunately this leaves their patners at the whim of the infected love
    this man ws probably in denial and/or noncompliant with meds..i have worked with many hiv+ patients and those who took control of their lives and faced the facts were able to live a fairly normal life
  4. by   mercyteapot
    Quote from carolinapooh
    I thought reporting HIV infection to a public health department WAS the law, but I don't know if it's done by name or a number or some other anonymous system.
    Not where I live, it isn't. Other STDs, yes, but not HIV. Never has made any sense to me... and much less ever since the advent of retrovirals and other meds that are extending life expectancy so dramatically.
  5. by   chuck1234
    Quote from luvmy3kids
    I don't know if I agree with this statement at all. There are many couples with one partner infected with HIV who still stay together and support each other. Just because he had HIV doesn't mean she wouldn't still want to marry him.

    He easily could have had the disease and not known until after she got pregnant. She very well could still be in love with him even though he is positive.

    If she doesn't know, I feel for her and her baby. I hope that they get the necessary treatment needed if they are infected.
    Read it carefully!
    I am not talking about a partner infected with HIV....
    On the other hand, a lot of couples do not stay together once the diagnosis is out....your statement is really one example for the rest of the population...
    The bottom line is....we must be assuming that she does not know it....
    Because assuming she knows it is a fatal mistake...
    Hey guys! Nursing, besides skills, is really about common sense.
  6. by   Jolie
    Quote from chuck1234
    Hey guys! Nursing, besides skills, is really about common sense.
    Yes, but nursing requires a license. Something that you may not have if you take it upon yourself to violate privacy laws and share confidential information, however well-intended your actions may be.

    If you don't agree with the law, lobby to change it. But don't violate it without being willing to accept the consequences.
  7. by   nurse4theplanet
    Quote from kmoonshine
    I'd suggest getting your hospital ethics committee involved. They should be the ones handeling this situation so you don't feel burdened by it.
    I agree that this is the best course of action.

    I believe that the pregnant partner needs to know that he was HIV+, as it could affect her and the baby. Getting the ethics committee involved may put some pressure on the physician to do so, if she/he had decided to not get involved. There is a chance the partner already knew. However, if she did not, then I believe that her right to know and get proper care for her and her child is greater than the need to protect the privacy of a deceased individual.
  8. by   chuck1234
    Quote from Jolie
    Yes, but nursing requires a license. Something that you may not have if you take it upon yourself to violate privacy laws and share confidential information, however well-intended your actions may be.

    If you don't agree with the law, lobby to change it. But don't violate it without being willing to accept the consequences.
    I have stated..
    I know the law..
    I know I can't say anything about it..
    I know the consequences....
    and I have no intention to violate the laws...
    If you read it carefully, I also stated that we must write to the law makers
    Anyhow, thank you for your advice that I already know...
    Last edit by chuck1234 on May 11, '07 : Reason: correction
  9. by   nurse4theplanet
    Quote from mercyteapot
    Not where I live, it isn't. Other STDs, yes, but not HIV. Never has made any sense to me... and much less ever since the advent of retrovirals and other meds that are extending life expectancy so dramatically.
    Probably because other STDs don't have the same stigma that surrounded HIV...especially when the disease first emerged. Alot of people lost their jobs, their families and friends, insurance, and were even killed by former partners, etc. People didn't understand that is wasn't just a 'gay disease' or how it was spread. People just react differently to someone who has HIV vs. someone who has herpes or gonorrhea. So laws were put in place to protect those individuals from the social stigma that surrounded the disease. Unfortunately, this also can create moral and ethical situations like the one discussed in this thread.
  10. by   luvmy3kids
    Quote from chuck1234
    Read it carefully!
    I am not talking about a partner infected with HIV....
    On the other hand, a lot of couples do not stay together once the diagnosis is out....your statement is really one example for the rest of the population...
    The bottom line is....we must be assuming that she does not know it....
    Because assuming she knows it is a fatal mistake...
    Hey guys! Nursing, besides skills, is really about common sense.
    Read what carefully??? You said common sense is what tells you that this person does not know that her partner had HIV. You never said you know this for a fact... nursing and beside skills have nothing to do with it. We need to know factual information, not just something you have come to as a conclusion on your own.

    You asked what people thought of not being allowed to share confidential information with his future wife, and I am questioning you how you know that she doesn't already know.

    You have not stated FOR A FACT that she doesn't know. This woman could have very well known what was going on and chose to stay by her fiance. She could also very well know what is going on and be seeking medical treatment for her situation elseware... She could also know what is going on and test negative (as well as baby) for HIV and therefore needs no medical treatment at this time. Just because someone has HIV does not mean they lose their relationship. That is common sense to me.

    BTW: If you are not talking about a partner infected with HIV then what are you talking about? And what do you mean be assuming she does not know it because assuming is a fatal mistake. Very confusing... Please clarify.
  11. by   chuck1234
    Quote from luvmy3kids
    Read what carefully??? You said common sense is what tells you that this person does not know that her partner had HIV. You never said you know this for a fact... nursing and beside skills have nothing to do with it. We need to know factual information, not just something you have come to as a conclusion on your own.

    You asked what people thought of not being allowed to share confidential information with his future wife, and I am questioning you how you know that she doesn't already know.

    You have not stated FOR A FACT that she doesn't know. This woman could have very well known what was going on and chose to stay by her fiance. She could also very well know what is going on and be seeking medical treatment for her situation elseware... She could also know what is going on and test negative (as well as baby) for HIV and therefore needs no medical treatment at this time. Just because someone has HIV does not mean they lose their relationship. That is common sense to me.

    BTW: If you are not talking about a partner infected with HIV then what are you talking about? And what do you mean be assuming she does not know it because assuming is a fatal mistake. Very confusing... Please clarify.
    Please read the whole thing!
  12. by   luvmy3kids
    I have read the whole thing. The point of the matter is that your patient died and was infected with HIV. His future wife is pregnant and apparently (to your knowledge) does not know of the wiser. You questioned if it makes sense that you are not allowed to tell her of his HIV status.

    I want to answer it, however, I don't like to do so without all of the facts.

    But, I digress.

    So... If she is in fact unaware of her deceased fiances diagnosis, then no... it is not fair. Does it make sense to me... yes and no. While I respect the patient confidentiality laws in place, I don't know if this situation should uphold to that. However, it is not my place to decide this. And rightfully (and thankfully) so, as I don't know if I would like to handle all of that on my little plate.

    If it were me, I would be in close contact with the physician and questioning his or her opinion on this as they are the ones who are capable of intervening in this sort of situation.
  13. by   chuck1234
    Hi Luvmy3kids...
    As a health care professional, we cannot assume whether the girl knows it or not...it is better to assume she does not....
    This law, in this situation, does not make any sense at all...
    Depending on the doctors to do it....I am not so sure....some doctors are good...some doctors....just don't care....
    We spend more time with the patients than the doctors...I think we should be able to do more.
    Thank you for your respond!

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