PP2: Ethical and Legal Issues w/ older adults Flashcards
7 core values
Altruism
Justice
Truth
Prudence
Freedom
Equality
Dignity
7 ethical principles
Beneficence
Nonmaleficence
Autonomy
Confidentiality
Justice
Fidelity
Veracity
Valuing worth of self and each person
Dignity
Right to autonomy
Freedom
SHOULD treat everyone equal
Equality
Governing discipline to clients and others
Prudence
Facts and reality
Truth
Upholding professional practice; MUST know
Justice
Equal opportunity w/ in Justice
Social justice
must know/follow
Procedural justice
Unselfish concern for others
Altruism
Example: an individual is given a grant to join a clinic
This is what kind of justice?
Social justice
Example: after an individual is given grant to attend a clinic, he/she must know and follow the rule at the clinic
This is a what kind of justice?
Procedural
Kindness
Beneficence
Do no harm
Nonmaleficence
Right to choose
Autonomy
Privacy - HIPAA
Confidentiality
Social and procedural rules
Justice
Respect for clients and coworkers
Fidelity
truth and honesty
Veracity
Ethics are determined by
AOTA
Standard of care and duty =
acceptable and appropriate care by OTR
Evidence based, Medically necessary, 0 prejudice
required in all states
Licensure
initial license, roles, safety, allow/disallows
ASBOT
Documentation is based on
Payor and facility requirements
Informed consent involves
Autonomy, pt health care literacy (SES, education, cog, health), understanding all aspects of tx
Health Insurance Portability and Accountability ACT
HIPAA
Privacy - certain ppl have rights to info
What are the two exceptions to HIPAA
Potential harm to client
Potential harm to others
What are some things that people may consider exceptions to HIPAA violations BUT ARE NOT
Home health, nursing homes, rehab
intentional; knowing/willingly not based on truth
Fraud
unintentional/goes against medical norms
Abuse
authority to act for another person in SPECIFIC or ALL legal and financial matters
Does not continue after death, cannot change the will, cannot change it someone else
Power of attorney
Health care proxy; choose doctors, decide on medical care, housing placements, diet, caregivers
Medical power of attorney
Health Care Directive; not part of the medical record UNLESS you provide it
Living will
DNR
DO NOT RESUSCITATE
when individual is incapable, all medical & financial aspects
Guardianship
does not go into effect until death, 6 mo probate, can be changed if principal is deemed competent
Last will and testament
Risks of elder abuse?
family problems, past history of abuse, social/financial isolation, dysfunction in caregiver, inadequate housing
Signs of elder abuse?
depression, fearful, withdrawal, odd injuries, delay in medical care, dehydration/malnutrition, evidence of poor care, neglect