Autonomy

Autonomy is another ethical principle that you may already be aware of, but not know by that name. The term refers to every individual's right of self-determination, independence and freedom to make their own choices. In the context of healthcare, the concept of autonomy is most concerned with the ethical obligation of the practitioner to respect their clients' right to make decisions about their own health. Autonomy must be respected even if you, as the healthcare provider, do not agree with the client's decision. For example, in Case Study 7.1, Chaltu may feel that Almaz's parents should know what has happened to their daughter, but you must respect Almaz's right to maintain confidentiality about her condition.

However, there are conditions in which that personal choice or autonomy may be restricted because of concern for the wellbeing of the community. For instance, if a communicable disease, such as tuberculosis, is diagnosed, clients can be required to take prescribed medication and may have to be isolated to prevent the spread of the infectious agent to others.