Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PPD SEM 1 and SEM 2 > Consent and ethical practice > Flashcards

Consent and ethical practice Flashcards

1
Q

What is consent?

A 
- Informed (PARQ)
P= procedure
A= alternatives
R= risks
Q= questions
  • Voluntary
    = can refuse treatment
    = not coorced (forced/pressure)
    = transparent conversation between doctor and patient
- Competence
o	Understanding
o	Retain
o	Weigh up
o	Communicate decision
o	Capacity can vary over time - dont ask patient at 3am lol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What should patients be allowed to say to a doctor?

A
  • should be given the option to say no
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is competence?

A
  1. Patient must understand
  2. Retain information
  3. Weigh up information
  4. Communicate their decision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What act is competence under?

A

Mental Capacity Act 2005

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why is consent important?

A
  • Legal requirement
  • respect patient autonomy
  • establish trust with patient
  • benefit patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does benefiting patient require?

A

a. Subjectiveness of ‘benefit’ (e.g., Jehovah’ Witness)
b. More realistic expectations (pt. feels they are in control)
c. More co-operation (e.g. they will fast before surgery) If

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What happens if the patient refuses beneficial treatment?

A
  • doctor must assess if the patient is competent and is giving valid consent
  • COMPETENT ADULTS CAN refuse a life-saving procedure
  • doesn’t matter if this feels irrational to doctors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where is consent not needed?

A
  • Necessity: patient not competent but treatment needed
  • Emergency: Dr must act e.g. if ambulance brings in a patient
  • patient posing risk to others= can cause public health risk
  • if patient declines all information - not informed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are ethical practices?

A
  • Moral Perception
  • Moral Reasoning
  • Moral Action
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is moral perception?

A
  • consider ethical dimensions which may not be apparent at first sight
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is moral reasoning?

A

The 4 principles:

  • Autonomy
  • Non-maleficience
  • Beneficience
  • Justice
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is autonomy?

A
  • respect decision making capacities of autonomous person

- enable individuals to make reasoned informed choices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is non-maleficience?

A
  • HCP shouldn’t harm the patient

- all treatment involves harm, but harm should not be disproportionate to the benefits of treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is Beneficience?

A
  • balance the benefits of treatments against the risks and costs
  • HCP SHOULD BENEFIT THE PATIENT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is justice?

A
  • distributing benefits, risks and costs fairly

- all patients should be treated in same manner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the attributes of a HCP?

A
  • Belong to an organisation (NHS)
  • Exercise autonomy over their work
  • Pledge assistance to those in need
  • Possess ‘esoteric’ knowledge= deep knowledge understood by few
  • Licensed by state
17
Q

What are the duties of a HCP?

A
  • Moral duty – is it the correct ethical expression? (guilty)
  • Professional duty – what does the regulatory body say (GMC)? (sacked)
  • Legal duty – is it within the boundaries of the law?
18
Q

What is the ICD-10?

A

code of:

  • diseases
  • signs
  • symptoms
  • abnormal findings
  • complaints
  • social circumstances
  • external causes of injury or diseases (classified by WHO)
19
Q

What is the GMC?

A
  • legal body
  • deals with complaints about doctors
  • its like a police lol
  • give doctors general guidance on practising medicine
  • outlines duty of a doctor
  • registers F1 doctors
  • ensures suitable care for the public
20
Q

Are the GMC rules the law?

A
  • GMC guidance created NO LEGAL duty

- does carry weight in law and courts

21
Q

What is the BMA?

A
  • group of doctors, philosophers, lawyers, theologians and lay people (family)
  • has medical ethics department
  • answers ethical enquiries from doctors
  • produces guidelines and books on ethical issues
22
Q

What is competence?

A
  • task specific + Fluctuating e.g. during shock
23
Q

What is consent?

A
  • continuing (patient needs to know they can change their mind at any point) + Specific

PPD SEM 1 and SEM 2 (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions