ethics Flashcards
1
Q
withholding vs withdrawing
A
no ethical difference
2
Q
when can minors have a say in their treatment
A
if emancipated or if “mature” (~14)
3
Q
beneficial interventions
A
temporary revisions to standing DNR orders (e.g. in case of surgery)
4
Q
PCP’s role with insurance companies
A
advocate for patient for crucial services
e.g. advocate for referrals, medications, etc even if negatively impacts PCP
5
Q
dead donor rule
A
removal of paired/vital organs and a non paired organ cannot precede or cause death
6
Q
savior sibling rules for SCT
A
- no adult or donor options are available
- strong positive relationship between siblings
- both donor and recipient benefit
- risk to donor is minimal
- child must assent if old enough
7
Q
savior sibling rules for solid organs
A
- donor and recipient have to benefit
- surgical risk to donor must be minimal
- absence of coercion verified by 3rd party
8
Q
assent of child
A
- input solicited
- age-appropriate understanding of situation
- tell child if treatment will happen regardless of child’s assent
- respect if culture says not to involve child
9
Q
inclusion of test on NBS
A
- significant deleterious effect
- effective treatment if diagnosed early
- screen that is acceptable to the population
10
Q
GH is FDA approved for
A
- Turner syndrome
- chronic renal insufficiency
- Prader Willi
- idiopathic short stature
11
Q
HIV positive child
A
- support for teens
- no boxing, wrestling
- NOT mandatory to disclose to school
- identify health proxy for teens
12
Q
IPV exposure for chidlren
A
- at risk for physical injury
- increased chance of aggression
- separation anxiety
- at risk for school failure and risky sexual behavior
13
Q
reporting IPV
A
mandatory reporting bc child may be exposued
14
Q
foster care
A
- health screen within 72 hrs
- comprehensive assessment within 30 days
- child represented in court by law guardian (trained volunteer or attorney)
15
Q
children in research
A
- healthy: cannot participate if more than minimal risk
- w/disorder: can participate if there is potential benefit (if no direct benefit, only if minor increase over minimal risk)
