Ch4-6 Flashcards
The written assessment of a patient to receive a proposed treatment
Informed consent
The concept that patients are to be treated as individuals and informed about procedures to facilitate appropriate decisions
Autonomy
Who established a patient care partnership document a.k.a. autonomy or patient’s right to information
American Hospital Association
Patient preference rule
Professional custom rule
Prudent person rule
Subjective substantial road
- Information patient wants to know
- Information normally given to patients
- Information patient needs to know to consent to or refuse treatment
- Provide patients with all information
What act helps ensure patient autonomy
The patient self-determination act of 1991
The ability to make choices
Competence
Physicians and imaging professionals must decide what the patient needs to know based upon their emotional state
Therapeutic privilege
Preconditions informed consent may be disregarded
- The patient is in capable of giving consent and no surrogate
- Danger to life or risk of a serious impairment to health
- Immediate treatment is necessary to avert dangers
A predetermined choice made to inform others of the ways in which the patient wishes to be treated while incompetent
Advance directives
Why is utilitarianism not relevant and considerations of autonomy and consent
Because it applies to a large number of persons
Failure to obtain consent may result in allegations of torts such as
Assault, battery, false imprisonment and negligence
A deliberate act where one person threatens to harm another without consent
Assault
Touching to which the victim has not consented
Battery
For this to be found, plant tiffs must prove that they were re-strained either physically or by threat and that they did not consent to the restaurant
False imprisonment
The 2 standards of care that are applied throughout the US are:
Professional standard
Lay standard
What concepts has the American Academy of pediatrics AAP Recognized
Parental permission and patient assent
It recommends minors to have the right of consent
Which two rules are a good combination to use in the informed consent process
The prudent person rule and subjective substantial rule
Obligation to tell the truth and not to lie or deceive to others
Veracity
Defined as conformance with fact or reality
A falsehood told to another who has a reasonable expectation of the truth
Truthfulness
Lie
3 obligatory secrets
Natural
promised
professional
Obligatory secrets are defined as
A confidence that will result in harm if it is revealed
The most important obligatory secret
Professional secrecy because of the damage incurred as a result of its violation the good must outweigh the evil of the violation
The refusal of treatment by a person who knows that refusal will lead to death
Passive suicide
The taking of one’s own life the way conscious act
Active suicide
Deliberately ending the life of another to end up suffering
Euthanasia
when one active leads to another and then leads to another and an exhilarating rate
Slippery slope
A person who substitutes for another often in decision making process
Surrogate
What act allows a person to die if all brain function is lost
The uniform determination of death act (UDDA)of 1980
Persistent vegetative state
PVS
Irreversible, when all higher brain function is lost
A condition of severely altered consciousness minimal but definite behavioral evidence of self-awareness is demonstrated
MCS
Minimally conscious state
What is a DNR
“Do not Resuscitate”
CPR she’ll not be performed if there is a DNR order in the patient’s chart
The value of life and it’s impact on the ethical decision making abilities of the imaging professional influences choices concerning
Death and dying
The well publicized cruzan case in 1990 help to further the development of the law regarding
While Terri schiavo has underlined the importance of……..
Advanced directive’s
Physician assisted suicide is a legal in all states except for
Oregon
