Ethics Flashcards
1
Q
What must you do if pt refuses treatment
A
- Explore ICE > may be reason that can be addressed
- Assess capacity only if you have reason to think they don’t have capacity
- assess four areas of capacity
if has capacity:
- explain risks of not having tx INCL death
- explain has right to leave / refuse treatment
- consider involving family if pt consents
- give self discharge form to sign
- speak to senior
- DOCUMENT carefully, following hospital self discharge policy
If no capacity:
- DOLS
- give treatment in best interest
- let family know, ask them to let me know what patient would want
2
Q
How to start ethical scenario discussion
A
- There are multiple ethical dilemmas involved here
- Patient safety is my paramount concern
Then assess capacity // think about it 4 pillars of medical ethics // four schools of thought depending on scenatio