Professional Adjustment Flashcards
right of person/pt to decide for himself for own welfare;
Decision-making
Autonomy
If patient refused medication:
Accept!!!
(Principle of Advocacy)
Waiver is the decision of the _______.
Doctor
explains the action of drug to the patient
Doctor
PRIORITY if patient refused medication:
Document!!!
If the medication is new and the patient refused to take medication:
DO NOT explain the action of drug.
BUT explain the consequences of refusal.
-Before giving medication, the nurse is already explaining the action of drug so does not need to explain
head of healthcare team
Doctor
WITHHOLD AUTONOMY OF PATIENT for the benefit of the patient because the patient’s condition is unstable.
Paternalism
Jehovah’s Witness patient, unconscious in a vehicular accident with no company, the doctor orders immediate blood transfusion.
Paternalism
GIVES CONSENT:
Patient
EXPLAINS THE INFORMED CONSENT CONTENT:
Physician
WITNESS
Nurse
Next of Kin:
a. legal spouse
b. parents
c. siblings
Requirements to sign consent:
a. Legal age: 18 years old and above
b. Should be of Sound Mind
Ability to read and write is not required / required to sign the consent!
not required!!
used to sign for illiterate people
Thumb mark
Mother is 15 yrs old (Minor), and patient is baby. Can the mother give consent?
NO. The mother CANNOT give consent because she is a minor. There is no emancipated minor in the Philippines.
Mother is 15 yrs old (Minor), and patient is baby. Who is the next of kin?
a. Father of baby
-If in the age of majority (18y/o) and acknowledges the baby of its own (signed the birth certificate)
b. Grandparents of only MOTHER SIDE.
5 things that the Nurse shall Witness
i. Actual conversation of Doctor and patient
ii.There must be full and sufficient explanation from physician/doctor
iii.Patient should have fully understand
iv.Patient should have voluntarily consented
-No force, violence, intimidation
-Patient in sound mind
v.Patient voluntarily SIGNED the consent
practice of telling the truth
VERACITY
concept of faithfulness and the practice of keeping promises
Fidelity
Withhold the truth from the patient for the benefit of the patient because the patient condition is unstable
PRINCIPLE OF BENEVOLENT DECEPTION
One responsible for telling the truth to the patient
Doctor
Failure to meet the standard of due care
Breach of duty
Injury to the plaintiff is directly caused by the breach of duty
Causation
the lack of ability, legal qualifications or fitness to discharge the required duty
Incompetence
To Do [Good]
BENEFICENCE
To prevent or To protect
NON-MALEFICENCE
Tepid Sponge Bath, Gave Pain relievers PRN
BENEFICENCE
Withhold giving medication to infant to prevent overdose; picked up banana peel on the floor; raising of side rails
NON-MALEFICENCE
The good effect should overcome the bad effect.
Principle of Double Effect
In Principle of Double Effect, If the bad effect overthrows the good effect, _____.
STOP
Chemotherapy
oKills cancer cells
o Nausea and vomiting, decrease immune system
Principle of Double Effect
equal or fair treatment of patients that are SIMILARLY situated
JUSTICE
Name is not disclosed to protect identity
Anonymity
use only INITIALS
Anonymity