4 principles and doctor-patient rs Flashcards
the doctor-patient rs went from paternalism to —- by which its an old model based on doctor making decision on behalf of a competent patient without their consent
collaboration
today however the model of collaboration process is based in —– but —- and — may influence the decision
patient autonomy , religion/culture
true or false :
1- doctors bring their knowledge , training , expertise, and experience to diagnose and manage patients condition
2- patinet bring knowledge of their own subjective values and aims
3- doctors often have conflicting between —- and —-
4- for the best is a therapeutic relationship based on — and —-
1- true
2- true
3- autonomy and beneficence
3- on trust and mutual respect
types of relationship for patients :
1-PATER nalistic
2-INTERPRET ive
3- INFORM ative
4- COLLABORAT ive
-Physician promotes patient’s well being independently of patient’s current preferences & autonomy
-Wants best for patient without their involvement
is a type of which rs
paternalistic model
Patient has fixed values, physician provides factual information (menu) & implements patient’s selected intervention
Respects patient autonomy
Physician informs patient
Example: Cosmetic surgery for enhancement purposes is a type of which model
informative
Patient values unclear, somewhat confused
Physician elucidates, interprets as well as informing patient
Physician supports patient autonomy through advise is a type of which model
interpative model
Patient autonomy compromised through accident, condition, illness, medication
Assisted Decision-Making (Capacity) are examples of which model
interpretive
Patient values open to discussion/development
Physician persuading (nudging) patient of the best course of action in line with their developing values… but not imposing
Supports developing self autonomy of patient is a type of which model
collaborative model
Cosmetic surgery for enhancement purposes is an example of which model
informative
When a patient’s choice may be medically unproductive/futile is an example of which model
collaborative model
the art of nudge includes —- which means encouraging ppl to make choices in their best interests while maintaining freedom. It must be —— , —– , —– and patient can still — the best option
- framing info
- transparent , defensible not coercive
- refuse
nudging has emerged from —-
physiology , sociology , and economic
organ donation is an example of —
nudging
the intentional overriding of patient preference by manipulating info, nondisclosure of info , lying , deception , and coercion falls under —-
paternalism
