informed consent Flashcards
autonomy
patient has the right to choose or refuse tx
beneficence
provider must act in the best interest of the patient
non-maleficence
first do no harm
justice
fairness and equality in getting tx
dignity
both patient and practitioner have a right to dignity
honesty
informed consent–> the pt has to understand if the tx isnt initiated what the natural outcome of the dz is
disclosure
telling the pt the natural course of the dz balance of treatment and strategy -complications -name of provider doing the tx -use of prosthetic -any lifestyle changes during recovery -alternatives to the proposed treatment -natural hx of the dz
professional standard
disclose info to pt that other providers would discloce
prudent patient
disclose any info that would be important by a reasonable pt in making a decision
discussion of tx and strategy
competency
- pt able to perceive, remember, communicate with provider
- adult is competent unless legally declaired incompetent
- minor is considered incompetent
capacity
- pt is of sound mind and intelligence to make decision
- pts can be temporarily incompacitated
- is impaired by severe stroke, alsheimers
surrogacy
can intervene on behalf of the pt
used for non-emergent and emergent situations
emergent and non emergent are similar but in non emergent situations the tree extends futher
surrogacy in non emergent procedures
often spouse, individual defined by state as domestic partner
adult son or daughter
custodial parent of miner
adult bro or sis
adult grandchild
available adult with closest degree of kinship
surrogacy in emergent porcedures
pts' living will, power of attorney, legal guardian, advance healthcare directive spouse domestic partner adult son or daughter custodial parent of a minor adult bro or sis
voluntary consent
- obtained before procedure
- pt can pt out or withdraw
