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PDF Editor FAQ

Under what circumstances do doctors break confidentiality with their clients?

Mr. Cohen’s answer is right on target. However, I want to answer the question from a different vantage point: how to avoid the confidentiality issue in the first place. There is the broad area of Durable Powers of Attorney in which the patient gives a broad consent, usually to a loved one, to receive information directly from the physician, especially under circumstances in which the patient is unable to make decisions on his or her own.Physicians are in a particularly difficult situation when there is a family history directly relevant to children or grandchildren, but which must be kept confidential because of doctor-patient privilege.The best way to avoid a number of challenging situations is to have a conversation with parents or other loved ones well in advance of an event in which the confidentiality issue might arise. There is a wonderful set of tools developed by an organization and posted on a web site called The Conversation Project, which is designed to cause families and friends to discuss the most challenging health and confidentiality issues.This is the web site. The Conversation ProjectThe one thing of which I would make sure is that, in each state, these Durable Powers of Attorney and companion documents called Advance Directives are filed with everyone or available with everyone that might administer care. In Indiana, where my late mother-in-law resided when she died, EMT workers were not bound by advance directives, unless the document was presented to them at the time they tried to administer resuscitation services.

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