Minors and vulnerable adults Flashcards
what should be the primary motivation in decision making? what principle is this?
best interest of the patient
benificence
principle: requires acting with due care, measuring benefits and risks to comply with the perspective of the patient
nonmaleficence
principle: justice (2)
- fair allocation of resources
- prohibits discrimination in provision of services
what are the obligations owed to the vulnerable?
- meeting needs
- providing appropriate care
- minimizing risks of harm
- avoiding exploitation
what is the manifestation of a healthcare provider’s recognition of and response to the different sources of a patient’s vulnerability?
advocation
the combination of which two principles aim to harness the knowledge and skills of practitioners to protect the interests of persons who are made vulnerable by ill health and the need to seek health care?
benificence and nonmaleficence
what are the clinician’s obligations to vulnerability and patient
- respond to patient’s immediate ailment
- attend to the particular ways that each patient may be vulnerable, to find out which (patient) interests are at stake, and what resources the patient commands (or lacks) in order to protect patient interests
what is the central feature of responding to patient vulnerability?
- taking into account the social context and factors that support or undermine the patient’s autonomy
- then respond in ways that consciously aim to support or foster the patient’s autonomy in the clinical setting
what defines autonomy in the context of vulnerability?
- obligation to foster autonomy
- avoid discrimination, stereotyping, and paternalism that not infrequently accompany responses to vulnerability
what is the rationale for allowing minors to consent to certain types of care?
- encourage minors to receive medical care they might not otherwise receive if they had to obtain consent from a parent or guardian
what services are provided by title X?
- family planning and provision of contraception, education, counseling
- breast and pelvic exams
- breast and cervical cancer screening
- screening and treatment for STIs
- education about preventing STIs and HIV
- pregnancy diagnosis (NOT CARE)
- pregnancy counseling (NOT CARE)
- abortion is EXCLUDED
title X services must be provided to what demographic?
- all adolescents, regardless of age
- cannot be contingent upon parental consent or notification
what medicolegal aspects are covered by title X?
consent and confidentiality
can parents of a minor generally authorize disclosure of a minor’s PHI to third parties? under what regulation?
- yes
- HIPAA
do “ authorized caregivers” have consent ability?
no