ethics/systems Flashcards
Beneficence
obligation to help pts and relieve suffering
Autonomy
patients freedom to choose
justice
fair distribution
medicare
must accept medicares maximum fee, cannot bill pt or another party for the difference between what medicare allows and what the physician wants to charge
to make an advanced directive a pt must have what two things
capacity and be competent (legal decision that a pt has sufficient ability to manage own affairs)
parens patriae
allows the state to intervene and act as a surrogate parent for those who are unable to care for themselves or may hurt themselves
actus reus
voluntary conduct
mens rea
evil intent
respondeat superior
person at top of hierarchy are responsible for the actions of those at bottom of hierarchy
nonmaleficence
do no harm
altruism
putting the needs of others before your own
fiduciary duty
obligation to work in the patient’s best interests
Asking the pt to sign consent is an example of what?
autonomy
disability
a physical or mental impairment that substantially limits one or more of the major life activities of such individuals
- record of such impairment or
being regarded as having such impairment
disability
a physical or mental impairment that substantially limits one or more of the major life activities of such individuals
- record of such impairment or
being regarded as having such impairment
HIPPA
health insurance portability and accountability act
- protect the transmission and confidentiality of pt info
- right to written copy
- right to know how protected
- right to copy of records (does not include psychotherapy notes)
commission of a criminal act has two components actus reus and mens rea
actus reus=voluntary conduct
mens rea=evil intent
MNagten rule
did the defendant understand difference between right and wrong with respect to the act at time it was committted
ford v wainwright
competence to be executed
competence case of dusky v us
- must be able to demonstrate knowledge of the charges
- must demonstrate knowledge of persons in the case
- must be able to collaborate with his attorney
category A-X
A: controlled studies show no human risk. generally considered safe
B: animal studies show no risk. no human studies available. caution advised
C: animal studies show adverse fetal effects. no human studies available. weigh risks and benefits
D: human fetal risk seen. may be used in life-threatening situations
Category X: proved fetal risk in humans. No indication for use even in life threatening situations
most common reason for psychiatric malpractice suits
include suicide attempt or completed suicide
substituted judgement
surrogate makes a decision based on what the patient would have wanted, taking into account his or her wishes or values
who is competency decided by?
the court
what are the four standards of capacity
- ability to communicate choice
- ability to understand the information presented
- ability to understand how information applies to one’s own circumstances
- ability to reason in a logical manner (even if most people wouldnt agree with the final decision )
