QUIZ 5 Flashcards
Legal issue
resolved by referencing the law
ethical issue
issues of behavior and character
Ethical process
- balance between science and morality
- code of ethics
values
what we believe to be important, good, and meaningful drives our behavior
ethical dilemmas
problems involving more than one choice and stems from differences in values and beliefs
autonomy
pt is involved in decision making process
veracity
telling the truth
beneficence
selfless act, promotes good
nonmaleficence
do no harm
fidelity
fulfillment of promises
justice
fairness in care and use of resources
ANA code of ethics
all members of a profession accept the code
advocacy
support pt health, wellness, safety, wishes, wellness, and rights
responsibilty
accept obligations and follow through
accountability
answer ones own actions
confidentiality
protection of privacy
moral distress
actions taken are different from what the nurse considers ethically correct
legal responsibilities in nursing help
protect pt rights and reduce the risk of nursing liability
nurses are accountable for
- practicing within the confines of law to shield from liability
- advocate for pt rights
- provide care within nurses scope
- provide safe proficient care
federal regulations in nursing practice
- HIPPA
- EMTALA
- ACA
EMTALA
emergency personnel provide equal care to pt regardless of insurance or financial status
3 major provisions of EMTALA
- all pt must see provider
- in emergency hospital must stabilize pt. If they cannot provide care pt must be transferred
- if pt cannot be stabilized in ED, physician must verify and sign off
What does HIPPA do
- provides rights to pt
- protects employees
- standards regarding accountability in health care
- establishes pt rights regarding privacy of their health info and records
ACA
“obamacare”
- mandates every American to have health insurance
- can be fined if you dont
- forbids insurance to deny pt w/ preexisting conditions
4 components of ACA
- consumer rights and protection
- affordable health coverage
- increases access to care
- quality of care that meets needs of pt
PSDA
- right to refuse treatment
advance directives
document by pt that provides info about to do tasks before, during, and after their death
nurse practicing acts
standards of care or legal guidelines of care
tort law
- an individual carries out an act or fails to carry out an act that results in injury or harm to the pt
- civil wrong committed against an individual
- intentional of unintentionally
intentional torts
- assault
- battery
- false imprisonment
quasi-intentional torts
- acts where a person may not intend to cause harm but does
- invasion of privacy, slander
malpractice
nurse actions aren’t consistent w/ best practice standards and harm is caused to pt
implied and informed consent
Implied: by actions
Informed: must be provided/educate about risks, benefits and alternatives
good Samaritan law
- nurse cannot be held liable for deciding not to provide care
- protect nurse from being held responsible for harm
civil and common issues
- roe vs wade
- heartbeat laws
- assisted suicide (need 2 physician consents)
whistleblowing
act where person reports on illegal wrongdoing or unethical practice
what is palliative care?
provides relief of symptoms and improves quality of life for a pt living w/ a serious illness
palliative care goals
- pt and family focused
- minimize suffering
- assist w/ complex medical decision making
- establish goals of care
- support effective communication and understanding
- not mutually exclusive of disease directed therapies
advanced care planning conversations
- what is important to the pt
- hopes, goals, what is important for their future
- realities facing the pt
- diagnosis, abilities, limitations, and resources
- completing documents and arrangements
legal aspects
- advance directives
- living will
- power of attorney
palliative care factors include
- physical wellbeing
- psychological wellbeing
- social wellbeing
- spiritual wellbeing
Biological sex
persons anatomy
gender identity
individuals sense of being a certain gender
gender expression
way we show our gender
sexual orientation
physical, emotional, romantic attraction to others
cisgender
gender identity matches sex assigned at birth
nonbinary
person that doesn’t identify as man or women
two spirit
identify as combination of male and female
considerations of LGBTQ youth
- family support/ lack of support
- support at school/ accommodations
- possible conflict w/ religious beliefs
- lack of sexual education
- “conversion therapy”
considerations of LGBTQ elders
- dual discrimination (age/identity)
- poverty/mental health
- issues due to lifetime of unique stressors associated w/ being a minority
- family support/ lack of support
- social isolation
- end of life care/ housing insecurity
