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Palliative > 8 - Legal & Ethical > Flashcards

8 - Legal & Ethical Flashcards

1
Q

______ is a process of reflecting on moral beliefs.

A

Ethics

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2
Q

_________ refers to the study and analysis of ethical issues that arise in the fields of health care and biological sciences.

A

Bioethics

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3
Q

One dimension of bioethics?

A

Nursing Ethics

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4
Q

______ are strength of character that relate to habitual patterns of perceiving, feeling and behaving.

A

Virtues (Virtue Ethics)

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5
Q

Decisions determined by character?

A

Virtue Ethics

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6
Q

Contemporary health care ethics asserts that good decisions should be guided by ethical duties that require respect for persons. Principles include:
(6 - BNA VFJ)

A 
Beneficence
Non-Maleficence
Autonomy
Veracity
Fidelity
Justice
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7
Q

Doing good for others by listening knowing the patient, relieving suffering, advocating on pt behalf.

A

Beneficence

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8
Q

Avoiding causing physical or emotional harm by foreseeing harm, a mandate to avoid killing and to prevent suffering

A

Non-maleficence

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9
Q

T/F Non-maleficence plays heavily in day to day decisions of care.

A

TRUE

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10
Q

What might we ask in non-maleficence?

A

Is what I’m doing contributing to their pain & suffering?

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11
Q

Individual liberty and self-determination are paramount in NA society. Honoring these requires informed consent.

A

Autonomy

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12
Q

Speaking the truth is fundamental to an ethical relationship and involves avoiding lying, deception & fraud.

A

Veracity

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13
Q

T/F Self determination is possible w/o knowing the truth.

A

FALSE

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14
Q

This involves the establishment of a trusting nurse patient relationship and involves being an active presence at end of life.

A

Fidelity

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15
Q

Respect for this involves treating people fairly without discrimination and a fair distribution of community resources.

A

Justice

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16
Q

Relates to providing the greatest good to the highest number of individuals.

A

Utilitarian Ethics

17
Q

Utilitarian ethics focus on these:

A

Consequences

18
Q

The problem in utilitarian ethics?

A

Each person may have a different idea of what’s a benefit and what’s a burden.

19
Q

Where we are now - these focus on moral decision making that occurs within the context of relationships.

A

Care Ethics

20
Q

This focuses on what is good for the patient, however, it lives in the context of family or loved ones.

A

Family good & family harm (Contemporary health care)

21
Q

Pt’s may alter their health care regimen because they can’/t afford it, understand it, or don’t like the side effects.

A

Non-compliance

22
Q

A patient must understand information provided to make decisions.

A

Informed Consent

23
Q

Patients must be mentally sound.

A

Decisional Capacity

24
Q

Included in an ACD?

CWAR BU

A 
Circumstances covered
Withold/draw intervention that prolongs dying
Resuscitation
Artificial food & fluids
Blood/antibiotics/ventilator
Use of analgesics
25
Q

When a proposed intervention can result in both good and harm.

A

Double Effect

26
Q

An intervention which is incapable of achieving a positive result

A

Futile Intervention

27
Q

DNR orders should be written when

A

1-Code is futile
2-Pt or SDM consents to DNR
3-QoL following will be poor

28
Q

It is important to remember that the pt is dying from _________ not from the __________ __ _________.

A

Disease

Withholding of Treatment

29
Q

Translated as “Good Death” or “Mercy Killing” in which a person kills another with merciful intent

A

Euthanasia

30
Q

Involves the pt killing themselves with lethal Rx prescribed by Dr

A

Assisted Suicide

31
Q

Interventions administered with intent to end patients life. Asked for it.

A

Voluntary Active Euthanasia

32
Q

Pt is incapable of making decision, and killed against prior expressed wishes.

A

Non-voluntary Euthanasia

33
Q

Involves the commission of an act with intent to kill

A

Active Euthanasia

34
Q

Death has been defined as the irreversible cessation of…

A

Heart & Lung function

35
Q

T/F Ventilator permits breathing & oxygenates a beating heart even when braindead.

A

TRUE

36
Q

A person can be declared dead when all brain functions including these 2 have ceased to function

A

Cerebral cortex

Brain stem

37
Q

T/F Braindead pt can be declared dead and have organs harvested if consent has been given

A

TRUE

38
Q

Pt in permanent vegetative states are unconscious but may have limited reflexes maintained by brain stem. Is this function?

A

No, just reflexes

Palliative (14 decks)

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