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PHA333 > Law and Ethics > Flashcards

Law and Ethics Flashcards

1
Q

What is autonomy?

A

Informed decision about their own medical care

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2
Q

What is beneficence?

A

Act for the benefit of the patient, prevent harm

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3
Q

What is non-maleficence?

A

To not do harm

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4
Q

What is justice?

A

All patients treated fairly and equally

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5
Q

What do we need to gain?

A

Consent - can be written or verbal, need to ensure it is willing and informed

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6
Q

What is explicit consent?

A

It is clear a patient has given specific permission - spoken/written

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7
Q

What is implied consent?

A

Assumed consent, e.g prescription brought in to be dispensed

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8
Q

What are the layers to consent?

A

F - Freely given
R - Reversible
I - Informed
E - Enthusiastic
S - Specific

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9
Q

How much information is needed for consent to be informed?

A
  • All info on what the procedure involves
  • Benefits & risks of the treatment
  • Any reasonable alternatives
  • What could happen if the treatment doesn’t go ahead
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10
Q

What does capacity mean?

A

Being able to understand information and make decisions about your life

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11
Q

What is the Gillick competence?

A

U16 own decision

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12
Q

What is the act for adults?

A

Mental capacity act 2005

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13
Q

What is a power of attorney?

A

Representative to make decisions on their behalf

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14
Q

What are the two areas of a POA?

A
  • Health and welfare
  • Property and financial affairs
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15
Q

What must be see when dealing with a POA?

A

Documentation supporting this

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16
Q

What is covert administration?

A

Administer medicines without patient knowledge or consent

17
Q

What is the two step?

A

Impairment in brain?
Sufficient for them to make decison?

18
Q

Who may not have capacity?

A
  • Patients with dementia
  • Patients with UTI
  • Patients under influence of drugs/alcohol
  • Patients who are unconscious
19
Q

When is covert administration used?

A
  • When a patient actively refuses medicine
  • Person assessed not to have capacity to understand their refusal
  • Medicine is deemed essential to their wellbeing
20
Q

What are the 5 principles?

A

1) Presumption of capacity
2) Individuals supported to make their own decision
3) Unwise decisions
4) Best interests
5) Less restrictive option

21
Q

Who to deal with it?

A

Multi disciplinary team
Patients may then regain capacity

22
Q

What about crushing tablets and how to check if appropriate to crush/open capsules?

A

Off license
NEWT guidelines to check

PHA333 (4 decks)

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