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Problem
Curt is a second-year nursing student beginning his rotation within a mental health outpatient clinic. In reviewing the electronic health record of his first assigned patient, Jean K, a 38-year-old woman with bipolar disorder, he notes that the patient has been in day treatment on and off for the past 10 years. She is significantly overweight, has Type II Diabetes and is scheduled for an umbilical hernia repair in the local community hospital the following week. When Curtis meets the patient for the first time, she appears agitated and expresses concern that "Since those computers came into the clinic everyone knows my business". She doesn't want everyone to know that she has a mental illness diagnosis because they will treat her differently as she has experienced in the past. Discuss the implications of the Professional Health Information Protection Act (PHIPA) as it pertains to this clinical situation. Identify and discuss key issues of privacy, confidentiality and the security of electronic health records. Discuss the potential actions for Curt to take in this situation. Get the instant assignment help. Who might be a resource to Curt? What might Curt say to the patient to create a therapeutic nurse client relationship?
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