Ch4 Patient Autonomy and Informed Consent

Question 1

Informed consent is the ____ assent of a patient to recieve _____

____ is essential for the patient to give consent

What will happen if an informed consent is not obtained?

Answer 1

Informed consent is the WRITTEN assent of a patient to recieve PROPOSED TREATMENT

ADEQUATE INFORMATION is essential for the patient to give consent

What will happen if an informed consent is not obtained? PATIENT WILL NOT BE TREATED

Question 2

Autonomy is the concept that patients are ________

Informed about ____ to make the ____

Answer 2

Autonomy is the concept that patients are TO BE TREATED AS INDIVIDUALS

Informed about PROCEDURES to make the APPROPRIATE DECISION

Question 3

_____ established a patient care partnership document which is given to patient to help them understand the:

• ____
• ____
• ____

High quality hospital delivered with ___, ____, and ___

Answer 3

AMERICAN HISPITAL ASSOCIATION established a patient care partnership document which is given to patient to help them understand the:

• EXPECTATIONS
• RIGHTS
• RESPONSIBILITIES REGARDING HEALTHCARE

High quality hospital delivered with SKILL, COMPASSION, and RESPECT

Question 4

Informed Delivery

1. Patient Preference Rule =
2. Professional Custom Rule =
3. Prudent Person Rule =
4. Subjective Substantial Disclosure Rule =
5. Combination of rules =

Answer 4

Informed Delivery

1. Patient Preference Rule = PROVIDES INFORMATION PATIENTS WANT TO KNOW
2. Professional Custom Rule = PROVIDES INFORMATION NORMALLY GIVEN TO PATIENTS
3. Prudent Person Rule = PROVIDES INFORMAITON PATIENTS NEED TO KNOW TO CONSENT TO OR REFUSE TREATMENT
4. Subjective Substantial Disclosure Rule = PROVIDES PATIENTS WITH ALL INFORMATION
5. Combination of rules = PROVIDES INFORMATION WITHOUT OVERBURDENING THE PATIENT

Question 5

Competence is…

Surrogacy is when…

Incompetence surrogacy is when…

Answer 5

Competence is PATIENT’S ABILITY TO MAKE CHOICES

Surrogacy is when ANOTHER PERSON MAKES THE CHOICE FOR THE PATIENT

Incompetence surrogacy is when PATIENT IS NOT ABLE TO MAKE THEIR CHOICE

Question 6

Verification of informed consent is when…

Answer 6

Verification of informed consent is when PATIENTS ACKNOWLEDGE THEIR CONSENT FOR TREATMENT

Question 7

Radiographers should always be available to answer patient’s concerns about the ____.

Questions outside of the scope of practice should be referred to…

Answer 7

Radiographers should always be available to answer patient’s concerns about the PROCEDURE.

Questions outside of the scope of practice should be referred to THE RADIOLOGIST OR THEIR OWN PHYSICIAN (EX, RADIATION EXPOSURE, RISK RATES)

Question 8

Emergency Situations

What are the 3 conditions that must be present for omission of informed consent to be justified?

Answer 8

1. Patient incapable of giving consent and no lawful surrogate is available
2. Danger to life or risk of a serious impairment to health is apparent
3. Immediate treatment is necessary to avert these dangers

Question 9

An advanced directive is a ________ with the patient’s ____ while _____ (ex - serious ____, prior to ____)

Note: sometimes you will see a statement in the patient’s _____

Answer 9

An advanced directive is a WRITTEN STATEMENT with the patient’s WISHESwhile INCOMPETENT (ex, serious ILLNESS, prior to SURGERY)

Note: sometimes you will see a statement in the patient’s CHART

Question 10

• Tort law is a ___ wrong
• tort action is filed to ____ personal ____ or ____ from _______ or ______

Answer 10

• Tort law is a CIVIL wrong
• tort action is filed to RECOVER personal INJURY or PROPERTY DAMAGE from NEGLIGENT CONDUCT or UNINTENTIONAL TORTS

Question 11

Define assault

Answer 11

A threat to harm a patient without their consent

ex, telling a patient you will take their x-ray exam without their consent

Question 12

Define battery

Answer 12

Touching a patient to which the patient has not consented

ex, performing an x-ray on a patient without their consent

Question 13

Define false imprisonment

Answer 13

Unlawful confinement of a person within a fixed area

ex, immobilization devices, taping the patient

Question 14

Consent forms are…

Answer 14

Consent forms are A WRITTEN USEFUL TOOL TO HELP INFORM THE PATIENT ABOUT THE PROCEDURE

Question 15

Consent forms must include (8)

Answer 15

1. Name of procedure
2. Place where procedure will occur
3. Date of procedure
4. Who will perform the procedure
5. Any risks from the procedure
6. Signature of the person explaining the procedure
7. Signature of the patient
8. Date