the patient does not want to be there in the hospital, consultation, health center, emergency room, the patient is usually not prepared at any time, and does not usually have the precise knowledge to make decisions autonomously, and finally the patient is not alone . Many times the patient decides in a shared way with family, friends, caregivers, professionals who care for him, etc.  REPLY2 After reviewing the ANA code of ethics found in Butts (2015) textbook I can see that they use the term patient in lieu of client now.  I honestly see the two as synonymous because I have been using the term patient since before I went to nursing school and worked as an xray technician but when I went to nursing school they told us to call them clients instead of patients.  Now it seems like we’ve made a full circle and come back to calling them patients again.  I simply do not see the difference and don’t disagree with calling them patients or clients.  I do suppose calling them clients makes me feel like we work for them instead of caring for them but, again, the two words have become synonymous to me and I don’t care one way or another what we call the patients/clients.   

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REPLY1   When referring to the recipients of nursing care, I agree with this change, because I consider as a patient the person who suffers pain or discomfort and receives the services of a health professional, and undergoes an examination, treatment or to an intervention. Because it could refer to Mercantilism as a term for a nurse, I do not use Client. However, I understand that if patients are treated as clients, we can trust their competence and knowledge. The following reasons I won’t treat a patient like a patient: they don’t want to be in the hospital or consultation at the health center, emergency department, the patient doesn’t know how to decide on his own, is often not well prepared, isn’t usually able to take decisions independently, and the patient is not always has to care for him/caretakers. The patient often decides together with his family, friends and caregivers.

REPLY2 I have reviewed the ANA code for ethics in Butts (2015) textbook and found that the term client is being used in place of the patient.  Since I was an xray technion before going to nursing school, I’ve used the term patient. However, they advised us that we call patients clients when we went to school for nursing.  Now it seems like we’ve made a full circle and come back to calling them patients again.  I simply do not see the difference and don’t disagree with calling them patients or clients.  I do suppose calling them clients makes me feel like we work for them instead of caring for them but, again, the two words have become synonymous to me and I don’t care one way or another what we call the patients/clients.

 

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