Management of Care Flashcards
What is an advanced directive
A written document that informs healthcare personnel of your wishes if you cannot speak for yourself
Advance Directives can be verbal (T/F)
False, they must be written
Advance directives are legally binding (T/F)
True. Once they are written the health care team must follow them within reason
What are the negative results of NOT having an AD
Suffering, confusion, expense, poor decision making
Document that identifies a specific person to make health care decisions for you when you cannot
Durable power of attorney, Health care proxy
Document that identifies tx you would/not want and not to keep you alive and comfortable during the dying process
Living will
Treatments that living wills specify
To do CPR or not, vent or not, tube feedings or not, dialysis or not, donate tissues/organs or not, palliative care or not
Do living wills have to be signed and notarized
Yes
Document that directs providers to give you the care you desire when you ALREADY have a serious/terminal illness
POLST - Physicians Orders for Life Sustaining Treatment
Principle that claims people are free from control from others
Autonomy
Principle states that is right to take positive action to help others
Beneficence
Principle that says do NO harm
Non - Maleficence
Principle that states that actions should be fair
Justice
Principle that claims that is right to keep promises
Fidelity
When a nurse includes a patient in the decision making process what ethical principle makes it right?
Autonomy
When a nurse takes the position that children should not be immunized because there could be many unknown effects the principle being used is ____
Non-Maleficence
When a nurse takes the position that children should be immunized because its has its benefits, the principle being used is ____
Beneficence
When a Nurse tells a patient they will be back in 30m and stops talking to another nurse to go back to the patient in 30m what principle is in effect?
Fidelity
Truth
Veracity
Does confidentiality mean you never discuss patient info with anyone
NO you only discuss with others that NEED to know
Examples of info you cannot keep confidential
STDs, Abuse, threat to kill/harm self or others
Assault (define)
Threat or an attempt to make bodily contact with another person without consent
Battery (define)
An assault that is carried out
Common Law (define)
Law from court decision that is followed when cases arise with similar circumstances
Malpractice (define)
An act of negligence – commonly used when speaking of negligent acts committed by a person working medicine or nursing
Ethics
A system that defines actions with respect to their being judged right or wrong
False imprisonment
Unjustifiable restraint or prevention of the movement of person without proper consent
Negligence
A general term that denotes conduct lacking in due care; Carelessness; and. A deviation from the standard of care that a reasonable person would use in a particular set of circumstances.
How could a nurse be convicted of assualt
If the nurse intends to do a procedure without consent or justification
How could a nurse be convicted of battery
If the nurse touches a client that is wrong in some way.
3 groups of people who cannot give legal consent
Minors
Unconscious client (even under the influence of CNS drugs)
Mentally ill
ante -
before in time or place
ie antepartum - before giving birth
im-; in-
not or into
intra-
occurring within
per-
throughout completely, a large amount
ec-
out of
e-;ex-
out from, away from, outside
iso-
combining form meaning ‘equal’
para-
similar beside
What is an advanced practice registered nurse (APRN)
A nurse with a masters or doctoral degree in 1 of the 4 advances practice specialties: Certified Nurse Midwife, Certified Nurse Anesthetist, Clinical Nurse specialist, and NP
