Boundary Violations and Non pliance and Confidentiality

The boundary violation that we discussed in our group was concerning the mental health patients and the reactions of doctors. Boundary violations are disruptions of the expected and accepted social, physical, and psychological boundaries that separate physicians from patient (Falender and Shafranske, 2004). There is a therapeutic nexus between a doctor and a patient is emanating from the purpose of the therapy and whenever there is deviation from the basic goal of treatment, it is referred as boundary violation. Another boundary violation that we discussed involved the exploitation of the patient. Have you witnessed mental health nurses engaging in any of these? Occasionally mental nurses don’t respect the dignity of the patients, the trust created, often called the notion of trust or good faith is not asserted by the nurses (McAuliffe, 2005). The nurses go forth revealing the status of the sick persons to third parties without their consents. Difference between a boundary crossing and boundary violation? Explain. A boundary crossing is an aberration from classical therapeutic action that is non-exploitative, and possibly in-line with the therapy itself. Alternatively, the infringement of the boundary is destructive or hypothetically harmful, to the patient. It amounts to mistreatment of the patient. Equally, boundary infringement can originate from the patient or the therapist (Baca, 2011) Do you see any connection between this issue and the issue of Trauma Informed Care? There is a connection between boundary violations and trauma informed care. Trauma informed care approach is aimed at engaging persons who have previous records of trauma and make them recognize presence of trauma signs and appreciate the role the role played in their lives. The two are connected in the sense that they both deal with social, physical and mental aspects. Through these aspects, the munity can act caringly and take steps to ensure wellness (Elliott, at al.2005). Baca, M., 2011. Professional boundaries and dual relationships in clinical practice. The Journal for Nurse Practitioners, 7(3), pp.195-200. Elliott, D.E., Bjelajac, P., Fallot, R.D., Markoff, L.S. and Reed, B.G., 2005. Trauma?informed or trauma?denied: principles and implementation of trauma?informed services for women. Journal of munity Psychology, 33(4), pp.461-477. Falender, C.A. and Shafranske, E.P., 2004. Clinical supervision: A petency-based approach. McAuliffe, D., 2005. Putting ethics on the organisational agenda: The social work ethics audit on trial. Australian Social Work, 58(4), pp.357-369.