Legal & Ethics up to Quiz 3 Flashcards
RED
Respect
Empathy
Dignity
Respect
respecting someone is to show that person attention and regard the person’s feelings
Empathy
- treating a patient as you would want to be treated; understanding the patient’s needs fosters the trait of empathy
- -The highest standard of professionalism involves maintaining a spirit of helpfulness, knowledge, and regard for the patient’s condition, always showing EMPATHY and concern, with the PATIENT’S BEST INTEREST BEING THE TOP PRIORITY
Dignity
showing a patient respect empowers that person to feel dignity; dignity arises from another person showing you regard. This is especially an issue in vulnerable populations like the elderly
Ethical Standards
Seeing the patient as an individual is essential in performing healthcare services to the highest standards: no patient, no health care
Examples of Ethical Standards
Examples of ethical standards: do not let an external influence, such as a drug representative, compromise the patient’s best interest; do not waste resources (e.g., overusing supplies) or withhold needed items of care
Cultural Competence
Developing and practicing appropriate, relevant, and sensitive strategies and skills in interacting with those who are different from yourself
Cultural Competence: Principle 1
OTs shall demonstrate a concern for the well-being and safety of the recipients of their services
Cultural Competence: Principle 4
OTs shall provide services in a fair and equitable manner
Cultural Competence: Principle 4F
OTs shall provide services that reflect an understanding of how OT delivery can be affected by factors such as economic status, age, ethnicity, race, geography, disability, marital status, sexual orientation, gender, gender identity, religion, culture, and political affiliation.
– Speaks directly to prohibition of discrimination in the delivery of services.
Cultural Competence: Principle 1E, 3I, 5F
These principles remind practitioners of the importance and duty of lifelong learning to develop the knowledge and skills required to provide culturally appropriate service.
Cultural Competence: Principle 7
OTs shall treat colleagues & other professionals with respect, fairness, discretion, and integrity.
Ethical Considerations in healthcare Provider-Patient Relationships
Guidelines for appropriate professional behavior dealing with these areas:
- Fostering trust.
- Listening without judging.
- Patient undressing.
- Respecting boundaries.
- Appropriate language.
- Sexual or other contact.
- Intimate examinations.
- Avoiding promises.
Transference
occurs when a patient retains feelings or attitudes associated with childhood which may surface during treatment and be transferred onto the healthcare provider
Counter-transference
occurs when the provider experiences feelings for the patient that are out of the norm, such as anger
Contract of care
An agreement that creates a relationship where the healthcare provider is to provide care to the patient
Consent
A patient’s agreement to treatment. This consent can be informed or implied
Informed consent:
- Informed consent = expressed consent
- This occurs when a provider explains the treatment or procedure and the patient or patient representative agrees. This form of consent can be verbal but is usually written in a signed consent form
Implied consent
- Occurs when a patient’s behavior suggests compliance (e.g. rolling up a shirt sleeve when the nurse arrives to administer a shot).
- In emergency situations consent by accident victims is considered to be implied
- In emergency situations, the Good Samaritan law protects the provider from being sued when performing medical care in good faith. Every state has some version
Can a physician “fire” a patient?
- A provider has a right to release a patient. In June 1996, the American Medical Association (AMA) issued Opinion 8.115 – Termination of the Physician-Patient Relationship. Notice must be given to the patient or patient’s representative sufficiently in advance to permit a replacement
- Patients may be dismissed by a provider due to noncompliance (not following the provider’s advice), insurance plan participation, failure to keep appointments, and nonpayment for services.
- This is also allowed as a therapist.
- Supervisor discussion
- Carry over to another therapist
Patient Care Partnership
- This document is a guide for patients to understand their rights and responsibilities when receiving care during a hospital stay.
- This document also addresses financial aspects of patient care, confidentiality, and patient choices in their own medical care
Patient Abandonment
-Withdrawal from treatment of a patient without giving reasonable notice or providing a competent replacement = ABANDONMENT
