Ethical Decision Making Flashcards
Name the Topic: (4 topics)
Those facts about the patient’s physiological or psychological condition that indicate which forms of diagnostic, therapeutic (management), or educational interventions are appropriate
Medical Indication
Name the Topic: (4 topics)
- A state of satisfaction for the patient who has sought treatment.
- The patient is both made well and feels well.
- Personal satisfaction expressed or experienced by individuals about their own physical, mental, and social situation.
Quality of Life
Name the Topic: (4 topics)
- Outside factors that influence clinical decisions… the “context” in which the clinical encounter occurs.
- Professional, familial, religious, financial, legal, institutional factors
Contextual Features
What are the 3 Elements of Informed Consent?
- Threshold Element
- Information Elements
- Consent Elements
Name the informed Consent Element: A. Disclosure of Information -Laymen’s terms -Written/verbal B. Understanding of Information -Teach back
Information Elements
Name the informed Consent Element:
A. Competence- do they have the intellect to make the decision
-LEGAL decision unless told otherwise by the court
-Must assume competence
Threshold Element (minimal foundation)
Name the informed Consent Element:
A. Voluntariness- can’t be under a threat
B. Authorization- easy for patient
Consent Elements
T/F?
2 out of 3 Elements of informed consent must be met to make a proper decision.
false
ALL
T/F?
Medical indications are governed by Beneficence and Non-maleficence
true
T/F?
NON-MALEFICENCE is the Duty to try to bring about those improvements in physical or psychological health that medicine can achieve.
false
BENEFICENCE
What involves providing beneficence in ways that prevent further injury or reduce the risk of injury i.e.;
- ADR/side-effects
- Non-compliance
Non-maleficence
T/F?
Disclosure is the ability of the patient to understand the decision at hand.
false
Competence
T/F?
Voluntariness is difficult to measure.
false
-Understanding
T/F?
What must be provided via a legally valid (consent) document?
Authorization
T/F?
Voluntariness is when the patient acts w/o being under the control of another.
true
T/F?
Disclosure must be appropriate bases on contemporary professional standards.
true
Quality of Life is governed by what 2 things?
- Beneficence
- Respect for Autonomy
What is governed by Justice and Fairness?
Contextual Features
Justice or Fairness?
A moral characteristic relevant to transactions and relationships between individuals.
Fairness
Justice or Fairness?
Distribute the benefits and burdens of a social system in a fair and equitable way among all participants in the system. (equal distribution of resources)
Justice
Justice or Fairness?
Demands that transactions and relationships give to each participant that which they deserve and reasonably expect.
Fairness
Justice or Fairness?
It is unfair to exploit by deceit, manipulation, or discrimination.
Fairness
T/F?
Contextual Features deal with Conflict of Interest and Normal therapeutic relationships.
true
T/F?
All Normal Therapeutic Relationship INVOLVE a potential Conflict of Interest
TRUE
How does the HCP have potential conflict of interest?
- knowledge and skill needed by…
- power to benefit personally by exploiting the vulnerability of the patient
- patients are vulnerable individuals.
T/F?
Benefit -Risk- Ration involves Beneficence and Non-maleficence
true
ADHC abbreviation
Advance Directive for Health Care
ADHC are allowed to: (2)
- appoint you health care agent and/or
- direct the withholding or withdrawal of life sustaining procedures
The ADHC replaces both the ________ and the _____ in the state of Georgia
- Durable Power of Attorney for Health Care
- Living Will
DNR
Do not Resuscitate
Measures of Quality or Outcomes (3)
- physical functions
- social interactions
- mental acuity
Sanctity of life
human life has the highest value that must be strenuously protected and preserved
Physical Functions of Quality of Life: (3)
- mobility
- ADLs
- Absence or Presence of Pain
ADLs
Activities of Daily Living
A situation in which a person might be motivated to perform actions that his or her professional role makes possible but that are at variance with the acknowledged duties of that role.
Conflict of interest
Normal ______ involves a potential conflict of interest
therapeutic relationship
Conflict of Interest:
HCP (2)
- power to benefit personally by exploiting the vulnerability of the patient
- knowledge and skill needed by….
Conflict of Interest:
Patient
vulnerable individual
