foundations/ethics of critical care Flashcards
traditions of beliefs about right or wrong in human behavior
morals
inquiry and goal to understand morality
ethics
when there is a conflict surrounding an ethical decision
ethical/moral dilemma
principle; freedom to make own decision
autonomy
principle; to do good and what is best for the patient
beneficence
principle; to do no harm
nonmaleficence
principle; having equal access to healthcare
justice
provider tells patient that they know better so they should make decisions about the patient; no consent of the patient
paternalism
unnecessary treatments and interventions
medical futility
unnecessary actions
ethical futility
contract with the patient that you will care for them
duty
failure to act consistently or an inaction that doesn’t follow the standard of care
breach of duty
action/inaction on the PART of the nurse that causes damage
causation
intentional verbal or written act to cause harm
assault
intentional physical touch/violence that causes harm
battery (CPR on DNR is considered battery!!)
unethical and improper restraint
false imprisonment
medical negligence leads to the patient passing away
wrongful death
verbally talking poorly about a patient
slander
defaming a person through writing
libel
deviation from the standard of care
negligence
inappropriately leaving the care of your patient
abandonment
negligence associated with a professional
malpractice
measures how alert/conscious the patient is to make their own decisions
decision making capacity
describes the code/living will/POA status of the patient
advance directives
document: specific tx options at end of life care but NOT FOR EMERGENCY situations
living will
document: what patient wants in the case of an EMERGENCY situation
code status
individual who makes decision for the patient; designated by pt; in line with pt wishes
power of attorney
focused on comfort, symptom management, and treatment
benefits anyone living with serious condition
palliative care
focused on comfort and symptom management (NO TREATMENT)
anyone with <6 months to live
hospice care
discussing + prepping for future decisions about medical care if patient becomes to ill
advance care planning
not initiating or starting a tx (tube feed is ordered but won’t start it)
withholding
discontinuation of life prolonging measures (pt is on ventilator - POA decides to pull it out)
withdrawing
organization; seeks to establish professional standards of care and gives the beacon award
american association of critical care nurses (AACN)
main priority of the AACN
education of critical care nurses
organization: seeks to focus on nursing scope and standards of practice
american nurses association
the ability to show standard of practice, patient focused care, directing coordination of care
leadership
how we treat each other, role models, enthusiasm, positivity, feedback
environmental health
innovative approach to manage pt issues; goal is to reduce morbidity and mortality
ABCDEF bundle
explain all the letters of the ABCDEF bundle
a - assess and manage pain
b - spontaneous breathing trial / spontaneous awakening trial
c - choice of analgesia or sedation
d - delirium assessment
e - early mobility + exercise
f - family engagement and empowerment
gives ICU nurses more autonomy with management tools and parameters
order sets
biggest spot for errors during care transition
med reconciliation
priority with care transition
maintain quality of care
goal of hospital readmission reduction program (HRRP)
reduce medicare fees in hospitals with high readmission rates
the ability to handle/tolerate difficult situations
hardiness
capacity to withstand and recover quickly
resilience
desire for a certain thing to happen
hope
believing in oneself and the ability to cope well
positive self-concept
how a person perceives their control over their own actions vs events in life occur due to external forces
internal locus of control
