LESSSON 2: PATIENT'S RIGHTS

Question 1

what is just reasonable, what is due,
what is ought to be

Answer 1

RIGHTS

Question 2

a moral power or claim to do, to
possess or receive from others as
belonging or due to a moral agent.
- moral claim

Answer 2

RIGHTS

Question 3

rights of health seekers to
fundamental goods or needs that
contribute to their health or wellbeing

Answer 3

PATIENT’S RIGHTS

Question 4

claims that patients may demand in
order to promote the natural striving
advancement to health for as long
as they are essentially life saving

Answer 4

PATIENT’S RIGHTS

Question 5

• an entitlement to one’s humanity
  rather than it being a privileges
• borne out one’s natural striving to
  enjoy health

Answer 5

PATIENT’S RIGHTS

Question 6

Patient’s Rights can be exercised on patients behalf
by a designated surrogate or proxy decision-making if:

Answer 6

the patient lacks decision making capacity
legally incompetent
a minor

Question 7

w/o any discrimination and within
the limits of the resources,
manpower, and competence
available for health and medical
care at the relevant time.

Answer 7

Right to appropriate medical care
and humane treatment.

Question 8

appropriate health and medical care
of good quality.

Answer 8

Right to appropriate medical care
and humane treatment.

Question 9

If immediate treatment cannot be
given:

Answer 9

patient needs to be referred
or sent for treatment elsewhere,
where the appropriate care can be
provided.

Question 10

No deposit, pledge, mortgage or any
form of advance payment for
treatment during emergency
situations:

Answer 10

(can write promissory
notes)

Question 11

making the Right and Good medical decision

Answer 11

Clinical Bioethics

Question 12

satisfies appropriate medical standards (laws and policies)

Answer 12

Right medical decision

Question 13

satisfies appropriate ethical standards (values of patient)

Answer 13

Good Medical decision

Question 14

Right to clear, truthful, and substantial
explanation, in a manner and language
understandable to the patient

ONLY the attending Physician can obtain

Answer 14

Right to Informed Consent

Question 15

components of informed consent

Answer 15

a. proposed procedure, whether diagnostic, preventive, curative, rehabilitative or therapeutic.
b. person who will perform said procedure shall provide his name and credentials to the patient.
c. possibilities to any risk of morality or
side effects
d. problems related to recuperation, and probability of success and reasonable risks involved.

Question 16

Key Aspects of Informed Consent (N A R O)

Answer 16

● Nature of treatment
● Alternatives
● Risks Benefits
● Opportunity for questions

Question 17

Patient will not be subject to any procedure
without his written informed consent except:

Answer 17

• in emergency cases, patient is imminent risk of physical injury, decline of death if treatment is withheld or postponed
• health of population is dependent on the adoption of mass health program to control epidemics
• law makes it compulsory for everyone to submit a procedure
• when patient is either a minor or legally incompetent
• disclosure material information to patient will jeopardize success of treatment in which case third party disclosure and consent shall be in order
• patient waives his right in writing

Question 18

In case the patient is incapable of giving consent and third party consent is required: order of priority

Answer 18

i. spouse
ii. son or daughter of legal age
iii. either parent
iv. brother or sister of legal age
v. guardian

Question 19

freedom from unwarranted public exposure

Answer 19

Right to privacy and confidentiality

Question 20

freedom from unwarranted public exposure EXCEPT:

Answer 20

a. mental/physical condition is in controversy and the appropriate court, in its discretion, order him to submit to a physical or mental examination by a physician
b. public health and safety so demand.
c. patient waives this right in writing.
d. when needed for continued medical treatment or advancement of medical science

Question 21

• result of evaluation of the nature and extent of his/her disease
• The patient is entitled to a brief,
  written summary of the the course of
  his/her illness (clinical abstract)

Answer 21

Right to Information

Question 22

Patient must be informed about:

Answer 22

-any other additional or further contemplated medical treatment on surgical procedure.

-including any other additional medicines to be administered and their generic counterpart including
the possible complications and other pertinent facts.

• Statistics of studies regarding his/her illness

Question 23

Freedom to choose health care provider to serve him as well as facility, except when he is under care of a service facility or when the public health and safety so demands or when the patient expressly waives this right in writing.

Answer 23

Right to choose Health Care Provider and Facility

Question 24

Right to discuss his condition with a consultant specialist at the patients request and expense
- Seek second and so on opinions if appropriate from another health care provider

Answer 24

Right to choose Health Care Provider and Facility

Question 25

Right to avail of any recommended diagnostic and treatment procedures.
- Of legal age and of sound mind may make an advance written directive for physicians to administer terminal care when he/she suffers from the terminal phase of a terminal illness

Answer 25

Right to self-determination

Question 26

patient is authorizing another individual the authority to make healthcare decisions, do financial transactions, or sign legal documents

Answer 26

Durable Power of Attorney

Question 27

Right to refuse medical treatment or procedure which may be contrary to his religious belief subject to the limitations

Answer 27

Right to Religious Belief

Question 28

Right to Religious Belief shall not be 8imposed by:

Answer 28

parents upon children who have not reached the legal age in a life threatening situation as determined by the attending physician or the medial director of the facility

Question 29

-Entitlement to a summary of his medical history and condition.
- Right to view contents of his medical record, except psychiatric notes and other incriminatory information
obtained about third parties, with the attending physician explaining contents.

Answer 29

Right to Medical Records

Question 30

Right to Medical Records is not applicable if:

Answer 30

-If patient is of legal age and requests not to disclose, you may not disclose information.
- If patient passes, the medical record may be disclosed to his/her family.

Question 31

medical records are owned by the hospital (TRUE OR FALSE)

Answer 31

TRUE
Medical records are owned by the hospital, only content is owned by patient.

Question 32

Any other document that patient may request shall be provided within __days upon request.

Answer 32

45 days

Question 33

Right to leave any other health institution regardless of his physical
condition provided:
a. He is informed of the medical consequences of his decision

b. He releases those involved in his care from any obligation relative to consequences of his decision
- Home Against Medical Advice/ Discharge Against
Medical Advice

c. His decision will not prejudice
public health and safety

Answer 33

Right to Refuse Participation in Medical Research

Question 34

Communicate with relatives and other persons and to receive visitors subject to reasonable limits prescribed by the rules and regulations of the health care institution.

Answer 34

Right to Correspondence and receive Visitors

Question 35

• Express complaints and grievances about the care and services received without fear of discrimination or reprisal and to know about the disposition of such complaints.
• System shall afford all parties concerned with the opportunity to settle amicably all grievances.

Answer 35

Right to Express Grievances

Question 36

Practice the med profession, referrals and anything attendant to his medical skill and knowledge.

(TRUE/FALSE): Rights of Health care professionals

Answer 36

TRUE

Question 37

To accept or refuse patients (except
in emergency cases). Has no rights over patients as an attending physician.

(TRUE/FALSE): Rights of Health care professionals

Answer 37

FALSE

To accept or refuse patients (except in emergency cases).

Has rights over patients as an attending physician.

Question 38

Clinical and scientific research of subjects.

(TRUE/FALSE): Rights of Health care professionals

Answer 38

FALSE

Clinical and scientific research, with PRIOR INFORMED COSENT of subjects.

Question 39

Practice of profession according to religious and moral beliefs.

(TRUE/FALSE): Rights of Health care professionals

Answer 39

TRUE

Question 40

Professional fees including colleagues in the profession or his child and spouse.

(TRUE/FALSE): Rights of Health care professionals

Answer 40

FALSE

Professional fees (except those prohibited by virtue of outstanding policies, like those of colleagues in the profession or his child and spouse.)

Question 41

Legal representation in courts of law when his expert opinion is sought in order to serve the demands of justice.

(TRUE/FALSE): Rights of Health care professionals

Answer 41

TRUE