Chapter 7: Adult Health Nursing Ethics Flashcards
Exam 3
Compliance
Patient’s approval/agreement of treatment or regimen
What is a compliance statement start with?
“I agree…”
Adherence
Extent of match between patient behaviors and recommendations
What does an adherence statement say?
“I’m doing the things…”
Concordance
Shared approach to treatment plan, patient-centered teamwork
What is a concordance statement?
“We came up with this plan together”
Noncompliance
Deliberate refusal or failure to act
What is a noncompliance statement?
“I’m choosing not to do the things…”
Nonadherence
Unintentional behavior or external forces that fail to follow the treatment plan
What are examples of nonadherence?
ex. forgetfulness, lack of money to pay for treatment
What is a statement by someone who is doing nonadherence?
“I can’t do the things…” or “I forgot to do the things…”
Organ Procurement:
1 donation can save how many lives?
1 person’s donation can save up to 8 lives
What is in place for organ procurement?
Systems or programs for organ procurement
Organ Procurement:
Presumed consent
Presumed consent: People automatically consent unless indicated otherwise.
Organ Procurement:
Mandated choice:
Mandated choice: Competent people are required to indicate yes or no.
Organ Procurement:
Donor card:
Donor card: Gives permission for use of organs in event of death
Organ Procurement:
Required response include:
Driver’s License check-box indicates expressed wish
Living Will
Organ Procurement:
Required response:
Required response: Expression of wishes regarding organ donation
Fair Allocation of Organs:
What act created a transplant list? Who is it maintained by?
The National Organ Transplantation Act 1984 created a transplant list maintained by the United Network for Organ Sharing (UNOS)
The Organ Procurement Transplantation Network (OPTN) is administered by UNOS by these two main ethical principles:
Justice:
Medical utility:
The Organ Procurement Transplantation Network (OPTN) is administered by UNOS by these two main ethical principles:
Justice
Justice: Safeguards fairness in allocation and the fair consideration of candidates and medical needs
The Organ Procurement Transplantation Network (OPTN) is administered by UNOS by these two main ethical principles:
Medical utility:
Medical utility: increase the number of transplants performed and the length of time patients and organs survive
Fair Allocation of Organs:
Those needing organs go on list- only after a physician from a UNOS transplant center evaluates the patient and documents need:
Medical urgency/emergency
Blood/tissue type and size match
Time on waiting list
Proximity of donor and recipient
Ethical Issues of Death and the Dead Donor Rule:
What does the Uniform Determination of Death Act defined legal death as?
Uniform Determination of Death Act defined legal death as “irreversible cessation of circulatory and respiratory functions, or irreversible cessation of all functions of the brain”
Ethical Issues of Death and the Dead Donor Rule:
What is the Dead Donor Rule?
Donor must first be dead before retrieval of organs.
Person’s life/care cannot be compromised in favor of organ recipients.
Nurses and Organ Donors:
Manage care for all involved:
Supporting the family’s decision
Realizing that caring for the patient shows care for the family
Encouraging and respecting grieving
