BIOETHICAL PRINCIPLES Flashcards
-Personal belief/ standard of what is right or wrong
-internlized during childhood
-parents, environment, religion
Moral
-Critical standard in evaluating morals
-universally accepted; as Guide
Ethics
Conflict between 2 or more ethical principles
Ethical Dilemma
-Critical standard applied in life situations
Purpose: General guide in life situations
Bioethics
-act of kindness & mercy
-after the act
-primary principle
-care, attention, information
BENEFICENCE
Test taking technique:
-Positively stated
-do no harm; prevent
-safety of pt
-before or during the act
-secondary principle
NON-MALEFICENCE
Test taking technique:
-Negatively stated
-Avoid
-Not to do
-Prevent
-Decline
-Do no
HARM
-telling the truth
-acceptability of deceit
-patient bound to tell truth; Dx
-coordinate plan of care
Veracity
what to divulge to patient?
Permission from physician
Withhold information, otherwise can cause further emotional harm.
Benevolent Deception
-Freedom to make decisions, free from coercion
Autonomy
Free & rational act that presupposes the knowledge of procedure.
Explain:
-Condition
-First line treatment & alternatives
-Risk & benefits
-Complications if left untreated
-what the client may feel during procedure
INFORMED CONSENT
-Explains procedure
-obtain signature/ informed consent
PHYSCIAN
SURGEON
ROLE OF NURSES WITH CONSENT
Verify the ff:
-Understanding of patient.
-Qualified to sign the consent
Witness
-explanation of physician
-Signing of patient
-Signing of patient does not guarantee understanding informed consent.
Qualification to sign consent:
-Legal age
-sound-mind
-Conscious/Coherent
Not qualified to sign consent
-Minor
-Unsound mind (declared by court Psychologic problem)
-Under influence of drug/alcohol
-Unconscious/ Emergency
Minor allowed to sign consent:
-Pregnant
-Emancipated: Stand alone
-Members of military
-Married
Types of informed consent:
Express consent:
-Oral
-Written
Type of informed consent
-Oral
-Written
Express consent
Type of consent
-During an emergency when pt is unable to give consent for life-saving treatment.
-AKA “ER Doctrine”
Implied Consent
Elements of Informed Consent
-Voluntary
-Competent: Practitioner
-Detailed: Manner