case study

[michellemarie]

a psw worker notice a bruising on her client's legs. She questions him about the bruises. he responds that sometimes the nurse gets made at me. The psw workers says that she will need to report her finding. Client says he does not give her permission to report it. Is the psw required to keep necessary information confidential, upon learning of the bruises?Is the psw required to keep this information confidential?

[JustBeachyNurse, LPN]

PSW is personal support worker similar to CNA usually in Canada

[KelRN215, BSN, RN]

Ok, is this a nursing home or a home care environment? Either way, this patient sounds like he's one that would be considered to be at risk for abuse, either a disabled or elderly person. In my state, the law requires abuse of these persons to be reported. I work with children. I do not need their parents' consent to report abuse or neglect to the state- why would I? The parents are likely the abusers.