29: Death and Dying - Hirsch Flashcards
1
Q
Guiding principles governing physicians’ actions for end of life care (ethical principles)
A
.
2
Q
5 psychological stages of dying
A
shock and denial anger bargaining depression acceptance
dont have to be linear
can experience more than one at the same time
other stages exist
not everyone experiences all stages
3
Q
4 ethical principles
A
autonomy
beneficence
nonmaleficience
justice
4
Q
competence is a …
A
legal decision
compare to capacity (medical)
5
Q
two meanings of informed consent
A
autonomous authorization AND institutional/policy rules of consent
6
Q
describe capacity
A
- any physician can determine
- capacity varies by decision
- other cognitive abilities do not need to be intact
- is not the same as competence
7
Q
pt rights during terminal illness
A
- right to receive considerate and respectful care
- right t receive information about the illness, treatment and likely outcome (in language he can understand)
- right to receive care that involves informed consent
- right to active participation in decisions regarding medical care, include the right to refuse any or all treatments
8
Q
what guides care?
A
patient goals
assess priorities to develop initial plan of care
review with any change in health status, advancing illness, setting of care or treatment preference
