Part Two Flashcards
Therapeutic Relationships
Nonjudgmental approach Mutual trust Professional boundaries Confidentiality Cultural competency – respect – spiritual needs
Therapeutic Communication
Listen more than you talk “tell me “ Never, “why? “ Focus on feelings! – And mad, sad, glad, afraid, ashamed Do not mince words; no euphemisms , “I am concerned about alcoholism “ “I’m sorry but, she died “
Crisis Intervention
Ensure safety/boundaries
Call security if necessary
establish trust/rapport
Crisis/acute grief therapeutics communication
Acknowledge feelings
Offer cell
Advanced Directive
Written statement of a patient’s intent regarding medical treatment
The patient self-determination act of 1990 requires that all patients entering a hospital should be advised of the right to execute an advance directive
Healthcare Directive
Type of advanced directive that may or may not include a LivingWell and or specifications regarding durable power of attorney in one or two separate documents
Living Will
Written compile Leeshan of statements in document format that specifies which life-prolonging measures one does and does not want to be taken if he or she becomes incapacitated
In the US, most states recognize living wheels as long as the world is specific enough and addresses the problem at hand
Living wills often include granting**durable power of attorney to a significant other to act as a proxy of the patient in making healthcare decisions should be picked that patient become incapacitated
Power of attorney must usually be in writing before it will be honored by most institutions such as hospitals,banks
Health Insurance Portability and Accontability Act (HIPAA)
Title one of HIPAA protects health insurance coverage for workers and their families when they change or lose their jobs (Comprehensive omnibus reconsolidation acts COBRA)
Title II of Hippa, known as the administrative simplification provisions, requires the establishment of national standards for electronic healthcare transactions and national identifiers to providers, health insurance plans and employees
The office for civil rights enforces the HIPAAA, which protects:
Privacy of individually identified health information
Hyppa security rule, which sets national standards for security of electronic protected health information
Confidentialities provisions of the patient safety rule, which protect identifiable information being used to analyze patient safety events and improve patient safety
The privacy rule: Patients Rights
See or receive a copy of their health records
Have corrections attitude or health information
Receive a notice that tells the patient how their information health information maybe used and shared
Decide if they want to get permission before their health information can be used or shared for certain purposes, such as marketing
Receive a report outlining win and why their health information was shared by certain purposes
File complaints with one’s healthcare provider, health insurance, and or the US government if their rights are being denied or their health information is not being protected
Situations for which health information is **allowed to be viewed/shared
To ensure proper treatment and coordination of care
To pay healthcare services
With a patient’s family, relatives, friends, or other patient identifies as being involved with their healthcare or bill payment
To ensure quality care given by healthcare providers
To protect the health of the public
To make required reports to the police
The patient safety and quality improvement act (PSQIA)
Established a voluntary reporting system to Hantz the data of available to assess and resolve patient safety and health care quality issues
PSQIA provides federal privilege and confidentialities protection for patient safety information, call patient safety work product, tinkered for reporting and analysis of medical errors
Confidentiality Vs “duty to warn”
Did you need to warn supersedes the right to confidentialities if a patient’s condition made in danger others
The duty to protect a patient from harming him/herself supersedes the right to confidentialities
Invasion of privacy
Damaging one’s reputationAs a result of information being shared without patient’s permission
The charge cannot be made if the information can be shown to have been accurate, given in good faith, and the receiver had a valid reason for obtaining the information (a consult in practitioner has a right to know specific patient information)
