Acute Care Practice Flashcards
Beneficence
Promoting a person’s well-being; doing what is best for one’s patients.
Maleficence
The act of committing harm or evil.
Nonmaleficence
To do no harm.
Distributive Justice
Promote a fair allocation of goods, benefits, and services.
Autonomy/Self-Determination
Prescribes that a person acts to foster personal responsibility and plan her life to develop her abilities and opportunities to flourish.
Veracity
Telling the truth.
Fidelity
Keeping promises.
Justice
Providing services in a fair manner without bias.
Substituted Judgment
Decision made on behalf of a noncompetent patient.
- Based on what the patient would have wanted.
Best Interest
Decision made based on the total well-being of the patient.
Communication
S - Situation
B - Background
A - Assessment
R - Recommendations
One sender, one receiver, one message!
Medical Malpractice
Harm caused by unethical conduct or breach in standard of care.
Consent
Give assent, approval or agree.
- Acknowledges that patient or parent has adequate information to make informed decisions for patient care or procedures.
Assent
- Assisting the patient achieve developmentally appropriate awareness of the nature of his or her condition.
- Telling the patient what he or she can expect with tests and treatments.
- Making a clinical assessment of the patient’s understanding of the situation.
- Including whether there is inappropriate pressure to accept testing or therapy. - Soliciting an expression of the patient’s willingness to accept the proposed care.
Confidentiality
Adolescents should be encouraged to involve their families in health decisions, but confidentiality must be ensured if the child is acting responsibly.
- Especially in areas such as pregnancy, sexually transmitted diseases, and substance abuse management.
Do Not Resuscitate (DNR)/Allow Natural Death (AND)
Patient aged 18 and over can request and consent.
- Parents can consent for younger child.
- Can be revoked.
- Should be collaborative discussion and decision.
Certification
Validation of knowledge through objective testing process.
Licensure
Permission to practice granted by a specific organization.
Credentialing
Process through which an employer verifies that a practitioner has the required qualifications for the position into which she is being hired.
- Regulated by the institution.
- Mandated by the Joint Commission.
Privileging
Process through which skills are verified.
- Practitioner demonstrates competency in order to be privileged to practice.
Family Centered Care
Work with family to plan and accomplish care for the child based on where the child’s care is being provided.
Hospice Care
- Subset of palliative care.
- Most often occurs in the home.
- Patient must be deemed terminal to receive.
- Comfort, not curative.
Palliative Care
- Occurs wherever patient is cared for.
- Begins at diagnosis of a life-threatening illness.
- Comfort and life prolonging therapy, if possible.
- Curative therapy may continue.
Medical Home
Conceptual model of holistic care.
- Accessible, continuous, comprehensive, compassionate, coordinated, family-centered, and culturally effective.
Medically Fragile Child
Organization of care based on hospital, specialist, or generalist model.
Effect on Families
Impact from financial, survival, complex provision of care.
