Ethics Flashcards
Order of decision making
Pt w/ capacity Healthcare proxy Living will People familiar w/ pt wishes (substituted judgement) Family
When is an ethics committee important
Pt lost capacity
Advanced directive missing/unclear
Pt/proxy asking for stupid tests/treatments
When to go to court
Never
When to get psych eval
Never
Only time minors can make decisions
Contraception
Prenatal care
Substance abuse treatment
STDs including HIV/AIDs
Answer for minor and abortion
Tell minor to notify parents
Do you need consent to stop therapy in brain death
No
Features of consent
Pt is an adult Each procedure needs its own consent Implied in emergency Person doing procedure must obtain Adverse effects explained Consequences of refusal explained
Can a pregnant woman refuse procedures and treatments for unborn children
Yes
Is telephone consent valid
Yes
Pt is DNR, What can you not do
Cardiopulm resuscitation
All other procedures are OK
When to do physicial assisted suicide
NEVER
When is euthanasia the answer
NEVER
Meds to prevent pain can shorten life as a side effect
Still give as long as role is to lessen pain
Do you still give rx if it won’t help pt
Not obligated
When is payment for tissue acceptable
Sperm and eggs
Who asks for organ donation consent
Organ donor network
Pt has organ donor card but family refuses
No donation
Only time pt confidentiality is broken
STDs, HIV/AIDS, airborne communicable diseases, court order
Pt has HIV, do you have to inform employer
No, only uninformed partner
When are gifts acceptable
Small from pts not related to treatment request
NEVER from drug companies
Reporting elder abuse
Always
Report domestic violence
Only if partner consents
Drunk driver
Suggest pt finds alternate means of transportation
Execution of prisoners
Never
Torture
Never, even if part of military
Report Child abuse
Always
