Chapter 3: Medical, Legal And Ethical Issues Flashcards
Patient autonomy
The right of a patient to make decisions concerning his or her health
What is expressed consent?
“Actual Consent”
The type of consent given when the patient verbally or otherwise acknowledges that he or she wants you to provide care
What is implied consent?
Used when a person is unconscious or otherwise incapable of making a rational, informed decision about care and unable to give consent.
What is involuntary consent?
The type of consent used when assisting a patient who is mentally ill or in behavioral crisis
When does a minor not have to have parent or guardian consent?
When they are emancipated
I.e. Married, a member of the armed forces or pregnant/parent
Explain ‘in loco parentis’
When a minor is in school or camp setting, a school teacher or official may act in the place of the parent and give concert to treat the child if the parent or guardian is not available
Forcible Restraints
Sometimes necessary when you are confronted with a patient who is in need of medical treatment and transportation but is combative and presents a risk of danger to himself or others
Adults who are _______, _________, and ______________ have the right to refuse treatment or withdraw from treatment at any time, even if doing so may result in serious injury or death.
Conscious, alert, and appear to have decision making capability
When a treatment is refused, you must asses the patients ability to ____________________.
Make an informed decision
Patient records can only be released under what 3 circumstances?
- Legally subpoenaed
- Patient signs a written release
- It is needed for billing purposes
Advanced directive is also know as…
Living will or health care directive.
Written document that specifies medical treatment.
Most commonly used when a patient is comatose.
Who can determine the cause of death?
Physician
Roll of a physician?
Presumptive signs of death include…
Unresponsive to painful stimuli Lack of carotid pulse or heartbeat Absence of breath sounds No need tendon or corneal reflexes Absence of eye movement No systolic blood pressure Profound cyanosis Lowered body temperature
All listed are ______________ signs of death
Definitive signs of death…
Obvious mortal damage
Dependent lividity
Rigor mortis
Putrefaction
All are _________ signs of death.
Scope of practice
Outlines the care you are able to provide for a patient
