Chapter 11 Flashcards
Zaner’s reference to the tension that patients feel when accessing health acre
unavoidable trust
Appropriate professional behavior that serves to maintain trust between patients and nurses and to maintain nurses’ good standing within their profession
boundaries
Occurs when a person is in a situation where their capabilities can be effectively applied
dignity
Acting without keeping score of who gives or receives the most
generosity
involves the nurse’s moving from the patient to the healthcare system
advocacy
Nurses mistreating other nurses can be referred to as:
lateral/horizontal violence
refers to experiencing happiness in regard to the good things experienced by others
sympathetic joy
the right to perform certain activities because they conform to the accepted standards of a community or because they will not harm, coerce, restrain or infringe upon the interests of others or because there are good rational arguments in support of the value of such activities
Moral right
Rights allowing persons to pursue their legitimate interests or those personal interests that do not interfere with the interests of other persons’
welfare (positive) rights
Rights involving the right to noninterference from any person or governmental entity when pursuing one’s legitimate interests
liberty (negative) rights
in the US ___ rights are emphasized over ___ rights, except in case of the elderly & poor
liberty; welfare
Examples include: the right to receive basic goods such as education, medical care & police protection & a right for the government to provide these
Welfare rights
Examples include: autonomy, privacy, freedom of speech, freedom from harassment, confinement, unwanted medical treatment, or participation without informed consent
Liberty rights
includes the rule that meaningful information must be disclosed even if the clinician does not believe that the information will be beneficial
informed consent
The 2 standards that are often applied to suffice for informed consent
The reasonable person standard & the subjective standard
This standard states the healthcare professional will disclose information that a reasonable person would want to know
reasonable person standard
This standard states that disclosure must be based on the subjective interests of a particular patient rather than a hypothetical reasonable person
subjective standard
Designed to facilitate the knowledge and use of advance directives
Patient self-determination act
a written expression of a person’s wishes about medical care, especially care during a terminal or critical illness
advance directive
A formal legal document that provides written directions concerning medical care that is to be provided in specific circumstances
living will
not a formal legal document but provides specific written instructions concerning the type of care and treatments that individuals want to receive if they become incapacitated
medical directive
The legal document with the most strength, a written directive in which a designated person is allowed to make either general or healthcare decisions for a patient
durable power of attorney
A virtue that guides us in created organized human interactions we call institutions
social justice
occurs when a person takes an action to end a life
active euthanasia
occurs when a person allows another person to die by not acting to stop death or prolong life
passive euthanasia
occurs when a person of sound mind authorized another person to take their life or to assist them in achieving death
voluntary euthanasia
occurs when a person is not able to express their decision about death
nonvoluntary euthanasia
characterized by voluntary active euthanasia
rational suicide
providing comfort rather than curative measures for terminally ill patients
palliative care
defined narrowly as the use of high doses of pain medication to lessen the chronic and intractable pain of terminally ill patients even if doing so hastens death
rule of double effect
used to guide medical decisions that involve formerly competent patients who no longer have any decision making capacity
standard of substituted judgment
decisions made on behalf of an incompetent person and are based on decisions that the formerly competent person has made
pure autonomy standard
based on the goal of the surrogate’s doing what is best for the patient or what is in the best interest of the patient
best interest standard
treatment with no physiologic benefit for a terminally ill person
futile care
when a suffering patient is sedated to unconsciousness
terminal sedation
the act of providing a lethal dose of medication for the patient to self-administer
physician-assisted suicide
This act allowed for physician assisted suicide to be legal in Oregon
death with dignity act
