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Professionalism/Ethics > Medical Ethics > Flashcards

Medical Ethics Flashcards

1
Q

Bioethics definitions

A
  • Truth-telling and advocating for your patients, even when you don’t always agree with their choices
  • Act consistently and dutifully for our patient’s welfare and best interests
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2
Q

What must be do in regards to bioethics

A
  • Evaluate own values

- Separate moral values and principles

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3
Q

First major text on clinical bioethics

A

Principles of biomedical ethics (1971)

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4
Q

4 principles of medical ethics

A
  • Autonomy
  • Beneficence
  • Nonmaleficence
  • Justice
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5
Q

What is autonnomy?

A

Self-rule

- The right to make own decisions and choices

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6
Q

What is beneficence?

A

Act in patient’s best interests

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7
Q

What is nonmalificence?

A

Do no harm

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8
Q

What is justice?

A

Fair distribution of resources, risks, costs, standards of care

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9
Q

The 4 principles of medical ethics are included in what AAPA document?

A

The Guidelines for Ethical Conduct for the PA profession

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10
Q

What model did Jonsen, Siegler, and Winslade create?

A

“4 topics” decision-making model

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11
Q

What are the 4 topics of the Jonsen, Siegler, Winslade model?

A
  • Medical indications
  • Patient preferences
  • QOL
  • Contextual features
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12
Q

Which of the 4 principles come into play in medical indications? (2)

A

Beneficence & nonmaleficence

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13
Q

Which of the 4 principles come into play in patient preferences? (1)

A

Autonomy

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14
Q

Which of the 4 principles come into play in QOL? (3)

A

Autonomy, beneficence & nonmaleficence

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15
Q

Which of the 4 principles come into play in contextual features?

A

Justice

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16
Q

Maintaining/assessing skills & competence

A
  • National cert & recert
  • CME
  • Guidelines for Ethical Conduct for the PA profession
17
Q

PAs should not do what in regards to skills and competence?

A

Perform/provide services that they are not trained in or competent with

18
Q

PA-patient relationship

A
  • Mutual respect
  • Ethical obligation to see that each patient receives appropriate care
  • Sensitive to patient beliefs & expectations
  • Principles of beneficence & autonomy
  • Respect diversity, avoid discrimination
  • Disclosure of potential conflicts of interest
  • Informed consent
  • Maintain confidentiality/HIPAA and accurate medical records
  • Report errors
19
Q

What is a conflict of interest?

A

A situation in which a person is or appears to be at risk of acting in a biased way because of personal interests

20
Q

What are 3 types of conflicts of interest?

A
  • Financial
  • Personal
  • Professional
21
Q

What is informed consent?

A

A process of communication between a patient and physician that results in the patient’s authorization or agreement to undergo a specific medical intervention

22
Q

How do we obtain informed consent?

A
  • Complete & current information about the condition or diagnosis, treatment or procedure
  • Discussion of risks, benefits, and alternative as well as non-treatment options
  • Opportunity for patients to fully participate in decision/ask questions
23
Q

Informed consent needs to be documented prior to

A
  • Surgical procedure or administering anesthesia
  • Radiation or chemotherapy
  • Blood transfusion
  • Inserting a surgical device or appliance
  • Using an experimental med, device, or an approved device for an experimental reason
24
Q

Per HIPAA, patients have a right to what

A
  • Access their own medical records
  • Request medical records be corrected when errors are found
  • Request that personal health information not be shared with other health care providers even if health care related
25
Q

Per HIPAA, the medical practice must provide what to the patient?

A

A notice of privacy practices

26
Q

Patient personal information should not be released to whom?

A

Non-health care providers

27
Q

Genetic testing requires

A
  • Informed consent

- Pre & post-test counseling

28
Q

Reproductive decision-making requires………but may invoke…….

A

Ethical obligation to provide un-biased info………conflicting personal values

29
Q

End of life care

A
  • Advanced directives/living wills
  • D-POA
  • Organ donation
  • Palliative/hospice care
30
Q

PAs and other professionals

A
  • Team practice
  • Knowledge of complementary and alternative medicine
  • Report illegal or unethical conduct by others
  • Identify impairment
31
Q

PAs and the healthcare system

A
  • Address workplace concerns that are potentially harmful to pts
  • Duty to teach (patients, family, community, students, other HCW)
  • Honesty in research
32
Q

PAs and society

A
  • Respect the law
  • Executions
  • Access to care
  • Mandatory reporting

Professionalism/Ethics (4 decks)

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