BIOETHICAL PRINCIPLES Flashcards

1
Q

-Personal belief/ standard of what is right or wrong
-internlized during childhood
-parents, environment, religion

A

Moral

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2
Q

-Critical standard in evaluating morals
-universally accepted; as Guide

A

Ethics

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3
Q

Conflict between 2 or more ethical principles

A

Ethical Dilemma

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4
Q

-Critical standard applied in life situations

Purpose: General guide in life situations

A

Bioethics

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5
Q

-act of kindness & mercy
-after the act
-primary principle
-care, attention, information

A

BENEFICENCE

Test taking technique:
-Positively stated

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6
Q

-do no harm; prevent
-safety of pt
-before or during the act
-secondary principle

A

NON-MALEFICENCE

Test taking technique:
-Negatively stated
-Avoid
-Not to do
-Prevent
-Decline
-Do no
HARM

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7
Q

-telling the truth
-acceptability of deceit
-patient bound to tell truth; Dx
-coordinate plan of care

A

Veracity

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8
Q

what to divulge to patient?

A

Permission from physician

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9
Q

Withhold information, otherwise can cause further emotional harm.

A

Benevolent Deception

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10
Q

-Freedom to make decisions, free from coercion

A

Autonomy

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11
Q

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

A

INFORMED CONSENT

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12
Q

-Explains procedure
-obtain signature/ informed consent

A

PHYSCIAN
SURGEON

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13
Q

ROLE OF NURSES WITH CONSENT

A

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.

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14
Q

Qualification to sign consent:

A

-Legal age
-sound-mind
-Conscious/Coherent

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15
Q

Not qualified to sign consent

A

-Minor
-Unsound mind (declared by court Psychologic problem)
-Under influence of drug/alcohol
-Unconscious/ Emergency

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16
Q

Minor allowed to sign consent:

A

-Pregnant
-Emancipated: Stand alone
-Members of military
-Married

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17
Q

Types of informed consent:

A

Express consent:
-Oral
-Written

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18
Q

Type of informed consent
-Oral
-Written

A

Express consent

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19
Q

Type of consent
-During an emergency when pt is unable to give consent for life-saving treatment.
-AKA “ER Doctrine”

A

Implied Consent

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20
Q

Elements of Informed Consent

A

-Voluntary
-Competent: Practitioner
-Detailed: Manner

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21
Q

-Overriding of the autonomy of the patient.
-4 situations: Minor, Mentally ill, Unconscious during emergency,
-Living will: Document DPA (Durable power of attorney); Pt is incapacitated.

A

Paternalism

22
Q

2 types of paternalism

A

-Advance Directives
-DPA (Durable power of attorney

23
Q

Type of paternalism where there is written document made by patient

A

-Advance directives

24
Q

-Type of paternalism authorizes someone to transact on behalf
-Health care could be proxy

A

DPA; Durable Power of Attorney

25
Q

LINE OF CONSENT

A

1st: Spouse
2nd: Child/ offspring (legal age)
3rd: parents
4th: siblings
5th: legal guardian (lola-lolo)
6th: relatives (tito-tita)
7th: medical director

26
Q

-Non-disclosure of information
-privileged communication: based on trust
*Husband-Wife
*Doctor-Pt
*Lawyer-Client

A

Confidentiality

27
Q

Grave Cause; Confidentiality ends:

A

When Public Danger Begins:
R: Rape/incest
A: A communicable dse
P: Plan to kill self/others; Public Safety
compromised
E: Elder/ Child Abuse

28
Q

-Fair or Equal
-Allocation of resources: Human or Material

A

Justice

29
Q

Being faithful to:
Patient- Keep one’s promises
Profession- CPD; stick to career;

A

Fidelity

30
Q

Protect clients right with welfare

A

Advocate

31
Q

VAWC

A

RA 9262

32
Q

-Violation of civil code relationship: Fine, Damages
-Actual damage: Hospitalization
-Moral damage: Incapable of exactness
-Loss of income: years of diability

A

CIVIL CRIMES

33
Q

Serious injury

A

> 30 days

34
Q

Less serious injury

A

10-30 days

35
Q

Slight physical Injury

A

<9 days

36
Q

Civil Wrongdoing against personal/property

A

Tort

37
Q

Right to travel

A

Liberty to abode

38
Q

No right to travel

A

-Court order; criminal
-Communicable dse

39
Q

Imprisonment w/o valid basis

A

false imprisonment/ illegal detention

40
Q

Imminent threat to bodily harm

A

Assault

41
Q

unconsented touch
-restraint
-Except: therapeutic touch

A

Battery

42
Q

Restraint least to most restrictive:

A

1st: Verbal Restraint
2nd: Physical Restraint: using equipment
3rd: Chemical Restraint: Tranquilizer &
Anxiolytics

Monitor for chemical restraint:
1st: RR
2nd: Liver Toxicity
3rd: Rashes: steven’s johnson

43
Q

Right to be left alone; free from unwarranted publicity

A

Privacy

44
Q

2 types of violation

A

Invasion of privacy: Personal life & private part

Breech of confidentiality : Condition (Medical Related Information)

45
Q

type of violation r/t Personal life & private part

A

Invasion of privacy

46
Q

type of violation r/t Condition (Medical Related Information)

A

Breech of confidentiality

47
Q

-Damaging of good reputation
-it may be factual or fictitious

A

Defamation

48
Q

Verbal Defamation

A

Slander

49
Q

Written, Posted, or Picture

A

Libel

50
Q

-Agreed to an online post
-Shared with additional Caption

A

Cyber Libel

51
Q

Nursing Management for Restraint:

A

1st: Check doctor’s order
2nd: Obtain consent
3rd: Check circulation; every 30 minutes
Rotate-Release; Rotate-Release: every 2 hours
4th: Never leave pt when you release restraint
5th: Proper documentation

***Renew every 8 hours checked by MD

52
Q
A