Chapter 3- medical, Legal, And Ethical Issues Flashcards
Consent
Permission
Decision making capacity
The ability of a patient to understand the information you’re providing, along with the ability to process that information and make it informed choice regarding medical care
Patient autonomy
The right of the patient to make decisions concerning his or her health
What should be considered when determining a patients decision making capacity?
- is their intellectual capacity altered?
- age (18 in most states)
- is the patient impaired?
- does the patient seem to be experiencing significant pain?
- are there any hearing or visual problems?
- does the patient have a significant injury that could distract him from a more serious injury?
- language barrier
- does patient understand what your saying l?
Expressed consent (actual consent)
The type of consent given where the patient verbally or otherwise it knowledges that he or she want you to provide care or transport
Informed consent
You explained the nature of treatment being offered, also the potential risks, benefits, and alternatives to treatment, and the patient has given consent
Implied consent
Applies only when a serious medical condition exists and should never be used unless there is a threat to life or limb.
Emergency doctrine
The principal of implied consent
Medicolegal
A term relating to medical law
Emancipated minors
People are under the age of 18, but can legally be treated as adults in certain circumstances
In loco parentis
In the position or place of a parent, and can legally give consent if a parent isn’t around
Forcible restraint
Sometimes necessary when your confronted with a patient who is in need of medical treatment but is being combative or causing a risk to you and your team
What can you do when A patient, parent, or guardian refuses treatment or transport in order to protect yourself?
Write a thorough patient care report, along with having them sign an official refusal form
Breach of confidentiality
Talking about confidential information without proper authorization, and can result in a liability
Protected health information (PHI)
Any information about health status, healthcare, or payment for healthcare that can be linked to an individual
Do not resuscitate (DNR) order
To not attempt resuscitation
Competent
Able to make rational decisions about personal well being
Advanced directive
A written document that specifies medical treatment for a competent patient, should he or she become unstable to make decisions
Health care directive
A written document that specifies medical treatment for a competent patient should he or she become unstable to make decisions. Also known as an advanced directive
What makes a DNR order valid?
- clear statement of the patients medical problems
- signature of the patient or legal guardian
- signature of one or more physicians or other licensed healthcare providers
- in some states, DNR orders contain an expiration date. DNR orders with expiration dates maybe dated in the preceding 12 months to be valid
Durable power of attorney for healthcare OR healthcare proxies
A type of advanced directive executed by a competent adult that appoints another individual to make medical treatment decisions on his or her behalf, in the event that the person making the appointment lose his decision-making capacity
What are the presumptive signs of death?
- unresponsive to painful stimuli
- lack of a carotid pulse or heartbeat
- absence of chest rise and fall
- no deep tendon or corneal reflexes
- absence of pupillary activity
- no systolic blood pressure
- profound cyanosis
- lowered or decreased body temp
Dependent lividity
Blood settling to the lowest points of the body, causing discoloration of the skin
Rigor mortis
The stiffening of body muscles caused by chemical changes within muscle tissue