Sat Wk 3 Ethics Flashcards
it is unethical to discuss any information regarding __ w another person
cannot confim or deny __
use professional __ during informed consent process
only use family in __
use __ loop communication to reduce misunderstandings
sender transmits message which is __ by recipient
w reason to suspect elder abuse, interview pt __
pt
anythng
interpreter
emergency
closed
repeated
alone
RF for elder abuse F\_\_ gender Dementia or \_\_ illness Functional I\_\_ social \_\_ shared \_\_ enviro poor \_\_
Sx- physical/sexual
atypical A__ or fractures
pain not __ w etiology
anogenital injury or new __
Psych/verbal: change in __/__
D/A
Neglect: Inadequate N/H
__ ulcers or deterioration
Financial: failure to adhere to __ regimen
multiple __ apptments
unpaid __
female chronic impairment isolation living SES
abrasion
consistent
STI
behavior/personality
depression, anx
nutrition/hydration
pressure
medical
missed
expenses
if pt is refusing tx, must asses __ making capacity
pt must communicate __ by indicating preference
must __ info and tx options
A__ consequences and risks
must have R__ as to why
if pt is incapacitated, decision falls to __
___ intervenes if no next of kin is available
EMTALA states that hospital must __ anyone coming to ED for medical care
if emergent, must __ the cx
cannot transfer individual w the cx if pt is not _-
decision wish understnad appreciate rationale
next of kin
court
screen
stabilize
stable
it pt has serious cx but parents are refusing tx, physician must attempt to address parental __
if cannot be resolved, next option is __ or involvement of CPS
competent pt can __ to receive diagnostic info
respect based on A__
physician should try to ___ the pt and address any concerns
under HIPAA, w/out consent from pt, information cannot be __
can be verbal or __
care for deaf pt uses trained sign language __
improves clinical __
if urgent, can use other __
any procedure/tx requires __ of pt alone
concerns
courts
refuse
autonomy
understand
shared
written
interpreter
outcomes
methods
autonomy
as part of admission process, pt should be asked about __
consists of a living __ w end of life issues
Health care __ is individual named to make decisions if pt is incapacitated
proxy makes decision according to __
__ is insurance plan w low monthly premiums/copayments/deductibles/total cost
confines pt to __, requires referrals to specialist, and denies __ for services not necessary
__ is similar to HMO w requirement to see PCP
may see __ providers, thus premium/cost is higher
__ is more flexible, w choices for in/out of network
costs more than __
does not req __ to specialist
advance directives
will
proxy
will
HMO
network, payment
POS
out of network
PPO
HMO/POS
referral
if pt is in emergency situation, physician can disclose information about __ to family members
Hospice focuses on __ of life
used to control __
team is __ w various areas that care is provided
requires prognosis of < __
physicians are obligated to report __ colleagues
contact immediate __ first
if nonemergent, contant __ health program/hospital committee
if not possible, contact state licensing __
basic care
quality
sx
interdisciplinary
6m
impaired
supervisor
physician
board
physicians must protect pt confidentiality in __ places
in situation, __ to private setting
do not mention __ connected to the pt
if pt has different religious views, offer __ w out interjecting own opinion
always address pt by __ first and ask preferrence
if pt is not in distress, he can __ to receive info abt cx
A__ take precedence over wishes of family members
if there is a disagreement, consult __ committee
public
defer
anything
support
surname
refuse
advance directives
ethics
maintain __ stance on sexual history
inquire about __ sex partners
Bad news: Set \_\_ arrange for comfortable _ maintain _ contact P_ use OEQ to asses \_\_ I- ask how much they want to \_\_ K- warn that bad news is \_\_ speak in \_\_ terms ask for U\_\_ E\_\_ w emotions S\_\_ and strat create \_\_ w end of life discussions
neutrl
all
stage setting eye perception perception invitation, know coming simple understanding empathize summary plan
in emergency, perform life saving tx even w out __
always provide life saving therapy to __
all surrogate decisons must be based on what pt would have __
informed consent must be performed by __ provider
requires accurate __ of intervention, R/B, alternatives and answering of __
Minors can consent to __ care, dx/tx of STD/contraception, and drug/alcohol R__
cannot consent to a__
emancipated minor is one who is H__ or a _
married or in __ service
financially __ or high schol graduate
consent
minor
wanted
knowledgable
description
questions
prenatal, rehab
abortion
homless, parent
military
independent
pt w low literacy has problems w reading and _ language
thus, must use drawings or __
RF include low __, impaired cog, hx of __ or poor SES
when evaluating child for abuse, interview __
signs include __ lesions, swelling, bone tenderness, unwilling to use __, retinal hemorrhage, genital trauma or signs of __
look for different stages of __ or cig burns
if positive, report to __
in pt w sexual abuse, physician should convey __ and concern
aknowledge __ and discuss when pt is __
spoken
videos
education
incarceration
alone
skin, limb, neglect
healing
CPS
empathy
trauma, ready
pt w suspected IPV should be assessed for __ in supportive, nonjudgmental way first
ask if they feel __ or have safety plan
do not __
can refer to __
Sx of IPV include location of \_\_\_ inconsistent \_\_ of injury STD or chronic \_\_ pain nonadherence to \_\_ overly \_\_ partner who does not allow pt to be alone refusal to \_\_ exam appear fearful or D\_\_
safety
safe
pressure
help
injury explanation pelvic tx intrusive sexual distressed
when confronted about disabilities, physician should perform further __ and exams
physicians are ethically req to disclose medical __ to pt regardless of harm/benefit
include simple __
only consult __ if serious harm of litigation ensues
must have explicit __ to disclose info to family/employer
Exceptions include suspected child/elder __
K/G wound
__ disease
threats to __ self/others
assessment
error
apology
risk management
consent abuse knife, gunshot communicable harm
__ decision is one surrogate believes pt would chose
if no AD, use __ then friend
disclose error in __ in timely manner w apology
should identify problem in timely manner via __ analysis
identifies __ for error
obtain __ for complete info of event
interview multiple __ to understand how prob happened
once determined, recommend __
substitute
family
person
root cause reason data staff members plan
physician is not req to provide medical service against __
but are obligated to __
have __ discussion w respect for autonomy
unethical to accept __ of significant value
decline w expressing __
pt going through denial should only be confronted if it is interfering w __ or significant relationships
provide __ to pt as much as possible
morals
refer
neutral
gifts
gratitude
tx
hope
Grief
Denial- denies cx or __
Anger- expressed to __ or others
Bargain- in return for __
Depression- becomes __ and hopeless
Acceptance- Becomes at _
prognosis
doctor
cure
sad
peace
