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
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2
Q

How to start ethical scenario discussion

A
  1. There are multiple ethical dilemmas involved here
  2. Patient safety is my paramount concern

Then assess capacity // think about it 4 pillars of medical ethics // four schools of thought depending on scenatio

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