leadsag
Joined: 31 Oct 2002
Posts: 263
Posted: Mon Sep 15, 2003 11:58 pm Post subject: Behavior contracts
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Found this in Renal Network 6 Guidelines. How unethical can you get?<
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>Provide Appropriote Consequences.....terminate treatment for the day...."Less that adequate dialysis may cause xxxx to feel poorly."
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Disgusted
Joined: 26 Jan 2003
Posts: 45
Posted: Tue Sep 16, 2003 3:19 am Post subject: And this is the problem.
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Contracts are abused by the providers in reality. What needs to be addressed is beyond a mere piece of paper that shows a one sided view of what is happening in the clinics. The contract is a tool for failure for the patient.
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BE
Joined: 23 Jun 2003
Posts: 25
Posted: Tue Sep 16, 2003 8:32 am Post subject: Contracts
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Contracts are a little like orders of protection. They sound good in theory but in practice they tend to make matters worse. There are behavorial ways to prevent patients from escalating. Frustration on the patients part from a chronic illness can lead to acting out. This is normal human behavour. The fact that there is a prepared contract also is not good. For contracts to work they need to be negotiated. No one party should have the upper hand. And it has to be agreed to by both parties. For a contract to be valid there has to be consideration. You both have to give a little to get something. Either you both go away happy or mad. Point is you both go away equally satisfied or dissatisfied. There are books written on this such as Gavin Debecker. Unfortunatly, social workers do not have near the skills to handle these type of situation. If they did there would be fewer instances of situations getting out of control. Also, having staff that does not really understand the dialysis procedure can be frustrating, for good reason.
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patient
Joined: 29 Oct 2002
Posts: 137
Posted: Tue Sep 16, 2003 8:45 am Post subject: contracts
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first we must understand that we have patients with mental problems who have esrd also there are patients who lose their meds during dialysis. plus we have workers who are control freaks and are sadists. the only thing i can see is that contracts terrorize the patients. an empty chair speaks volumns. like the empty cell in the death house.
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Contracts
Joined: 16 Sep 2003
Posts: 1
Posted: Tue Sep 16, 2003 4:13 pm Post subject: Signed under duress
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The ESRD Network is the place the industry goes to get these behavioral contracts to use on patients.<
>Who do they protect?
