DARREN – confidentiality is important because of the care relationship the nurse has with Darren. The dilemma is whether to damage this relationship in order to alert Darren’s parents and teachers to his risk-taking and unlawful behaviour. Darren is a minor – the nurse should not give the booster and should document the reason why in his medical notes. The nurse will then have to reveal this to one of his parents and an appropriate person in school.


YASMIN – Confidentiality is important because of the care relationship and because Yasmin may terminate the appointment if her disclosure is revealed. The health visitor should maintain confidentiality within the primary health care team. The health visitor is likely to document the information and may express concerns about the risks to the baby and Yasmin to a relevant child protection worker.


EILEEN – The confidentiality request places the nurse in a difficult position as she would be denying Eileen’s wishes if he/she alerts anyone. However, the nurse is legally and professionally bound to breach confidentiality in this situation.


JENNIFER – This is a difficult situation. Many GPs would not reveal details of the consultation to Jennifer’s parents. Others would refuse to consider the request. Confidentiality should be maintained. The dilemma is over protecting Jennifer’s sexual health and trust and condoning under-age sexual activity.


STABBED MAN – The nurse should deal with the man’s injuries and maintain confidentiality. The nurse should not report the situation to the police at this point.


LEE – Confidentiality is important to establish an effective relationship with Lee at this point. His wishes should be respected as he has the legal capacity to leave home and refuse contact with his family”.


Adapted from Walsh, M (2002) Health and Social care for GCSE Teacher Support Pack. Collins


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