This article discusses confidentiality, anti-discriminatory practice, individual rights, and identity. It covers legislation relating to confidentiality, evaluation of effectiveness of methods of giving, receiving and storing information, issues related to confidentiality in the care setting as a nurse or midwife making reference to the client choice and need to know, personal contribution as a nurse or midwife in promoting anti-discriminatory practice, roles and responsibilities as a nurse in terms of accountability and diversity in the hospital, differentiating Rosemary’s personal rights and legal rights in the case, factors which potentially may affect her rights, factors that influence the development of identity, ways in which the caregiver practices can support Rosemary’s basic human needs, and ways in which Rosemary’s beliefs and preferences may affect her care delivery.