Ethics Final Flashcards
three ethical guiding principles
autonomy, beneficence, justice
autonomy
the patients wishes and values that guide the treatment
patient based care
patient’s wishes are values are the practitioner’s priority
choose what kind of healthcare they want
treated with respect
reduced autonomy circumstances
minor
elderly
critical illness
how does the practitioner ensure autonomy for the patient
letting the patient decide the treatment
aware of the side effects
right to refuse treatment
informed consent means
patient wants the treatment and is okay with the treatment modalities.
explains side effects
protects practitioner from litigation
beneficence
doing good, helping those in need
non maleficence
doing no harm with a set standard of practice
best interests standard
the doctor makes decisions by assuming the patient’s values and beliefs
justice
treating a patient fairly and with respect
no one else is burdened by treatment
ways an acupuncturist could potentially harm a patient
incompetance
ignorance
aggressive treatment
three areas of medical professionalism
knowledge
atttiude
virtues
boundary dynamics
power
trust
respect
personal closeness
ways to break boundaries
crossings
violations
gifts
sexual impropriety
crossings
minor
violations
more serious, practitioner deliberately crossed lin
errors
any outcome or process one would have preferred not occured,
adverse events
incidence caused by the therapy
negligence
an even that causes harm
preventable
not would have been made by a careful clinician in the same circumstances
examples of negligence
duty of care
breech of standard care
injury to patient
injury/harm due to breech
professional misconduct
conduct that falls below a minimum standard for safe and ethical practice
areas of professional misconduct
incompetence
sexual misconduct
illegal actions
incapacity
illegal conduct
allowing a non registered person to practice in your clinic
submitting family member MSP claims
incapacity
a health condition that prevents a practitioner from practicing safely
examples of incapacity
addictions, mental illness, physical injury
capacity
patient’s ability to perform a specific task or make a specific decision
competence
assessment of functional capacity
competence
understand the information relevant to making a decision
ability to appreciate consequences of decision
things that do not affect capacity
culture, religion, age, education etc
professional reporting
practitioners are expected to disclose information about the risk they may pose to the pubic
guidelines of reporting a colleague
ensure wrongdoing is grave document info look for peer support follow institutional channels of complaint make disclosures in good faith
mandatory disclose for
sexual misconduct
danger to public
hospitalized registrants
duty to warn
duty of candour
requires practitioners to be open and honest with patients if something goes wrong
exceptions to telling the truth
patient’s waiver- forgo their right to know
incapacity of patient
medical emergencies
therapeutic privilege
confidentiality
the info a patient reveals is private
the patient has control over how and when it is disclosed
personal information collected must be
related to healthcare service
directly from patient/representative
accurate and current
use of personal information must be
for healthcare service
if a patient has consented to its use
disclosure of personal information
patient has consented
from the court
research/statistics
collecting a debt
adequate clinical record
should have enough info so practitioner of same profession understands
practitioner’s response if a patient wants their info
give it to them
refuse info if significant risk to patient or other
it gives info about someone else
CTCMA code of ethics
part of standards of practice based on a set of core values which practitioners must uphold in relationship with patients
the 6 parts of code of ethics
- health and well being
- choice
- respect
- fairness
- accountability
- safe environment
6 standards of practice
specialized body of knowledge competent application of knowledge responsibility and accountability provision of service to the public code of ethics self regulation
provision of service to the public
provides healthcare services and refers clients to acupuncture
responsiblity and accountability
standards, CTCMA, laws
code of ethics
autonomy, respect, confidentiality
examples of conflicts of interest
referring a patient to a business you have a financial interest in
selling an unnecessary product
receiving benefits from suppliers or persons receiving referrals
splitting fees with someone who has referred a patient
scope of practice
can practice TCM only
cannot treat a serious problem unless
first see MD
can only administer acupuncture anesthetic if
MD is there
must consult MD if no improvement within
2 months
must discontinue treatment after __ months or if the condition worsens or if new symptoms develop
4 months
bylaws: marketing
cannot be false misleading take advantage imply results "specialist" must keep anything published for a year if the board wants it
complaints must include
name
concern
date
your contact info
possible outcomes of complaints
dismissal
further investigation
consent order
citation and formal hearing
