Ethical Decision Making Flashcards

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1
Q

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

A

Medical Indication

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2
Q

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.
A

Quality of Life

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3
Q

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
A

Contextual Features

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4
Q

What are the 3 Elements of Informed Consent?

A
  1. Threshold Element
  2. Information Elements
  3. Consent Elements
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5
Q
Name the informed Consent Element:
A. Disclosure of Information
-Laymen’s terms
-Written/verbal
B. Understanding of Information
-Teach back
A

Information Elements

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6
Q

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

A

Threshold Element (minimal foundation)

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7
Q

Name the informed Consent Element:
A. Voluntariness- can’t be under a threat
B. Authorization- easy for patient

A

Consent Elements

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8
Q

T/F?

2 out of 3 Elements of informed consent must be met to make a proper decision.

A

false

ALL

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9
Q

T/F?

Medical indications are governed by Beneficence and Non-maleficence

A

true

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10
Q

T/F?
NON-MALEFICENCE is the Duty to try to bring about those improvements in physical or psychological health that medicine can achieve.

A

false

BENEFICENCE

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11
Q

What involves providing beneficence in ways that prevent further injury or reduce the risk of injury i.e.;

  • ADR/side-effects
  • Non-compliance
A

Non-maleficence

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12
Q

T/F?

Disclosure is the ability of the patient to understand the decision at hand.

A

false

Competence

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13
Q

T/F?

Voluntariness is difficult to measure.

A

false

-Understanding

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14
Q

T/F?

What must be provided via a legally valid (consent) document?

A

Authorization

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15
Q

T/F?

Voluntariness is when the patient acts w/o being under the control of another.

A

true

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16
Q

T/F?

Disclosure must be appropriate bases on contemporary professional standards.

A

true

17
Q

Quality of Life is governed by what 2 things?

A
  • Beneficence

- Respect for Autonomy

18
Q

What is governed by Justice and Fairness?

A

Contextual Features

19
Q

Justice or Fairness?

A moral characteristic relevant to transactions and relationships between individuals.

A

Fairness

20
Q

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)

A

Justice

21
Q

Justice or Fairness?

Demands that transactions and relationships give to each participant that which they deserve and reasonably expect.

A

Fairness

22
Q

Justice or Fairness?

It is unfair to exploit by deceit, manipulation, or discrimination.

A

Fairness

23
Q

T/F?

Contextual Features deal with Conflict of Interest and Normal therapeutic relationships.

A

true

24
Q

T/F?

All Normal Therapeutic Relationship INVOLVE a potential Conflict of Interest

A

TRUE

25
Q

How does the HCP have potential conflict of interest?

A
  • knowledge and skill needed by…
  • power to benefit personally by exploiting the vulnerability of the patient
  • patients are vulnerable individuals.
26
Q

T/F?

Benefit -Risk- Ration involves Beneficence and Non-maleficence

A

true

27
Q

ADHC abbreviation

A

Advance Directive for Health Care

28
Q

ADHC are allowed to: (2)

A
  • appoint you health care agent and/or

- direct the withholding or withdrawal of life sustaining procedures

29
Q

The ADHC replaces both the ________ and the _____ in the state of Georgia

A
  • Durable Power of Attorney for Health Care

- Living Will

30
Q

DNR

A

Do not Resuscitate

31
Q

Measures of Quality or Outcomes (3)

A
  • physical functions
  • social interactions
  • mental acuity
32
Q

Sanctity of life

A

human life has the highest value that must be strenuously protected and preserved

33
Q

Physical Functions of Quality of Life: (3)

A
  • mobility
  • ADLs
  • Absence or Presence of Pain
34
Q

ADLs

A

Activities of Daily Living

35
Q

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.

A

Conflict of interest

36
Q

Normal ______ involves a potential conflict of interest

A

therapeutic relationship

37
Q

Conflict of Interest:

HCP (2)

A
  • power to benefit personally by exploiting the vulnerability of the patient
  • knowledge and skill needed by….
38
Q

Conflict of Interest:

Patient

A

vulnerable individual