Exam 3 Flashcards
The study of conduct and character.
Ethics
Freedom from external control. The commitment to include pts in decisions about all aspects of care as a way of acknowledging and protecting the pts independence.
Autonomy
Taking positive actions to help others. The best interests of the patient remains more important than self-interest.
Beneficence
Refers to harm or hurt.
Maleficence
The avoidance of harm or hurt. Ethical practice involves not only the will to do good, but the equal commitment to do no harm.
Nonmaleficence
Includes fairness; includes the just distribution of resources.
Justice
Telling the truth; The agreement to keep a promise.
Fidelity
A set of guiding principles that all members of a profession accept. Its a collective statement about the group’s expectations and standards of behavior.
Code of Ethics
The support of a particular cause. The health, safety, and rights of patients, including their rights to privacy.
Advocacy
A willingness to respect one’s professional obligations and follow through on promises.
Responsibility
The ability to answer for one’s actions. You learn to ensure that your professional actions are explainable to your patients and your employer.
Accountability
HIPPA stands for
Health Insurance Portability and Accountability Act
Legislation defines the rights and privileges of patients for protection of privacy.
Confidentiality
A personal belief about the worth of a given idea, attitude, custom, or object that sets standards that influence behavior.
Values
Name the 7 Key Steps in the Resolution of an Ethical Dilemma
.1. Ask the question.
- Gather information relevant to the case.
- Clarify values.
- Verbalize the problem.
- Identify possible courses of action.
- Negotiate a plan.
- Evaluate the plan over time.
4 Issues in Health Care Ethics
- Quality of Life
- Genetic Screening
- Care at the End of Life
- Access to Care
___ serve to complement relationships within the workplace and the community and offer a valuable resource for strengthening these relationships.
Ethics committees
Anti-discrimination laws enhance the economic security of people with physical, mental, or emotional challenges. These changes have increased the integration of disabled persons into general society. The changes remind society, including health care workers, that definitions of quality are deeply based in individual experience.
Quality of Life
This can alert a patient to a condition that may not yet be evident but that is certain to develop in the future.
Genetic Screening
Refers to something that is hopeless or serves no useful purpose. Interventions unlikely to produce benefit for a patient.
Futile
What is the nurses role when it comes to loss death, and grief?
nurses have a primary duty to prevent illness and injury and help patients and families cope with things that cannot be changed and facilitate a peaceful death.
Losses that are eventually replaced by something different or better, however some losses cause them to undergo permanent changes in their lives and threaten their sense of belonging and security.
Necessary loss
A form of necessary loss and includes all normally expected life changes across the lifespan.
Maturational loss
Sudden, unpredictable external events.
Situational loss
The extent of grieving depends on value of object, sentiment attachment to it, or its usefulness.
Loss of possessions or objects
Loss occurs through maturational or situational events or by injury/illness. Loneliness in an unfamiliar setting threatens self-esteem, hopefulness, or belonging.
Loss of known environment
Close friends, family members, and pets, fulfill psychological, safety, love, belonging, and self-concept.
Loss of a significant other
Illness, injury, or developmental changes result in loss of a valued aspect of self, altering personal identity and self-concept.
Loss of an aspect of self
Loss of life grieves those left behind. Dying persons also feel sadness or fear pain, loss of control, and dependency on others.
Loss of life
emotional response to a loss manifested in ways unique to an individual and based on personal experiences, cultural expectations, and spiritual beliefs.
Grief
Coping with grief involves this period. The outward, social expressions of grief and the behavior associated with loss.
Mourning
encompasses both grief and mourning and includes the emotional responses and outward behaviors of a person experiencing loss.
Bereavement