Chapter 2 Flashcards
The Person's Right
If a resident requests any information about their medical record, or is refusing treatment, who do you report this to?
The Nurse
What is the right to information?
Access to all records about the person
T/F: The request for information can only be written
FALSE: Request for information can be oral or written
T/F: You can fully inform the patient of his or her health condition
False you cannot
A person cannot be treated without?
Consent
________ ________ are part of the right to refuse treatment
Advance directives
What are advance directives?
Written statement of a person’s wishes/instructions regarding medical treatment when the person is not able to make such decisions or communicate them to a doctor.
What includes the living wills and instructions about life support?
Advance Directives
A patient is refusing treatment.
What must the center do next after patient is refusing treatment? (4)
- Find out why they are refusing
- Explain the problems resulting from the refusal
- Offer other treatment options
- Continue to provide all other services
The Patient Care Partnership: Understanding Expectations, Rights, and Responsibilites is from the?
American Hospital Association
What document explains the person’s rights and expectations during hospital stays?
The Patient Care Partnership
Understanding expectations, rights, and responsibilites
What is OBRA? What does it stand for?
- Federal law applied in 50 states. A law set the minimum standards for quality of care in nursing centers
- Omnibus Budget Reconciliation Act of 1987
Who enforces OBRA?
Centers of Medicaid & Medicare Services (CMS)
_____ Requires that nursing centers provide care in a manner and in a setting that maintains or improves each person’s quality of life, health, and safety
OBRA
What is a representative?
Is someone with the legal right to act on the patient’s or resident’s behalf when the person cannot do so alone
Nursing centers must inform residents of their rights ______ and in ______
Orally and in writing
Residents are informed of their rights, rules of their conduct, and responsibilities. When is this information given?
Given before or during admission to the center, as needed during the person’s stay, and when the laws or center rules change
How can you promote the persons right to personal privacy? (3)
- Close privacy curtains, doors, and window coverings
- Remove residents from public view
- Provide clothes or drape the person to prevent unnecessary exposure of the body parts
Residents have the rights to make their own choices, this includes? (4)
- Choosing doctors
- Choosing friends and visitors
- Helping to plan care and treatment
- Choosing activities, schedules, and care
What does personal choice promote?
Quality of life, dignity, and self-respect
How is grievances related to the persons rights?
They have the right to voice concerns, questions, and complaints about treatment and care
How is work related to the persons rights?
The person has the right to work or perform services if he or she desires
How is resident groups related to the persons rights?
The right to form and take part in resident groups
Residents have the right to keep and use personal items. The items allowed depend on?
Space needed and the health & safety of others
