foundations/ethics of critical care Flashcards

1
Q

traditions of beliefs about right or wrong in human behavior

A

morals

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2
Q

inquiry and goal to understand morality

A

ethics

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3
Q

when there is a conflict surrounding an ethical decision

A

ethical/moral dilemma

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4
Q

principle; freedom to make own decision

A

autonomy

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5
Q

principle; to do good and what is best for the patient

A

beneficence

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6
Q

principle; to do no harm

A

nonmaleficence

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7
Q

principle; having equal access to healthcare

A

justice

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8
Q

provider tells patient that they know better so they should make decisions about the patient; no consent of the patient

A

paternalism

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9
Q

unnecessary treatments and interventions

A

medical futility

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10
Q

unnecessary actions

A

ethical futility

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11
Q

contract with the patient that you will care for them

A

duty

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12
Q

failure to act consistently or an inaction that doesn’t follow the standard of care

A

breach of duty

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13
Q

action/inaction on the PART of the nurse that causes damage

A

causation

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14
Q

intentional verbal or written act to cause harm

A

assault

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15
Q

intentional physical touch/violence that causes harm

A

battery (CPR on DNR is considered battery!!)

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16
Q

unethical and improper restraint

A

false imprisonment

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17
Q

medical negligence leads to the patient passing away

A

wrongful death

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18
Q

verbally talking poorly about a patient

A

slander

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19
Q

defaming a person through writing

A

libel

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20
Q

deviation from the standard of care

A

negligence

21
Q

inappropriately leaving the care of your patient

A

abandonment

22
Q

negligence associated with a professional

A

malpractice

23
Q

measures how alert/conscious the patient is to make their own decisions

A

decision making capacity

24
Q

describes the code/living will/POA status of the patient

A

advance directives

25
Q

document: specific tx options at end of life care but NOT FOR EMERGENCY situations

A

living will

26
Q

document: what patient wants in the case of an EMERGENCY situation

A

code status

27
Q

individual who makes decision for the patient; designated by pt; in line with pt wishes

A

power of attorney

28
Q

focused on comfort, symptom management, and treatment
benefits anyone living with serious condition

A

palliative care

29
Q

focused on comfort and symptom management (NO TREATMENT)
anyone with <6 months to live

A

hospice care

30
Q

discussing + prepping for future decisions about medical care if patient becomes to ill

A

advance care planning

31
Q

not initiating or starting a tx (tube feed is ordered but won’t start it)

A

withholding

32
Q

discontinuation of life prolonging measures (pt is on ventilator - POA decides to pull it out)

A

withdrawing

33
Q

organization; seeks to establish professional standards of care and gives the beacon award

A

american association of critical care nurses (AACN)

34
Q

main priority of the AACN

A

education of critical care nurses

35
Q

organization: seeks to focus on nursing scope and standards of practice

A

american nurses association

36
Q

the ability to show standard of practice, patient focused care, directing coordination of care

A

leadership

37
Q

how we treat each other, role models, enthusiasm, positivity, feedback

A

environmental health

38
Q

innovative approach to manage pt issues; goal is to reduce morbidity and mortality

A

ABCDEF bundle

39
Q

explain all the letters of the ABCDEF bundle

A

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

40
Q

gives ICU nurses more autonomy with management tools and parameters

A

order sets

41
Q

biggest spot for errors during care transition

A

med reconciliation

42
Q

priority with care transition

A

maintain quality of care

43
Q

goal of hospital readmission reduction program (HRRP)

A

reduce medicare fees in hospitals with high readmission rates

44
Q

the ability to handle/tolerate difficult situations

A

hardiness

45
Q

capacity to withstand and recover quickly

A

resilience

46
Q

desire for a certain thing to happen

A

hope

47
Q

believing in oneself and the ability to cope well

A

positive self-concept

48
Q

how a person perceives their control over their own actions vs events in life occur due to external forces

A

internal locus of control

49
Q
A