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Most people probably think of humiliation as being injurious to self esteem. Its definition; however, includes being injured in the esteem of others. It becomes a dignity issue and in healthcare settings dignity issues, even for patients who can't realize them, are GINORMOUS.
Keep in mind that for those who aren't self aware enough, there's someone with a power of attorney for healthcare whose opinion carries as much weight as the patient's would under normal circumstances. Violations can result not only in adverse administrative actions like job loss and loss of professional license; but, also criminal prosecution.
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