Test 2 Flashcards
State of physical, mental and social well-being
Health
Proper body mechanics should be implemented when moving and caring for patients to maintain good health
Study of the human body in the working environment
Ergonomics
Sensitivity to the needs of others
Empathy
3 reasons why it is a radiographers professional and ethical responsibility to keep consumption of supplies to a minimum (large quantities of supplies are consumed in healthcare facilities)
Environmentally advantageous
Department costs
Keeps department moving more effectively
Contains district groups which hold conferences for radiographers
One in each state and four more
Provide opportunities to advance the profession and help members stay current
ASRT
Describes how individuals learn morality:
First behave according to obedience and punishment
Then behave morally to gain acceptance and approval
Eventually behave according to conscience that recognizes morality to society and the human condition
Kohlberg’s Theory
Branch of philosophy that is a systematic reflection on morality
Considering the proper response to any situation
Professionals are responsible for knowing and honoring the principles of ethics that govern their profession
Ethics
Provide remedies when patients have been caused harmed or treated harm or treated wrongly
Laws
Establishes broad principles of professional cants
Put aside personal prejudice and emotional bias when rendering professional services
Radiology protection for self and others
Patient confidentiality
Code of ethics
Mandatory, specific standards of minimally acceptable professional conduct
Rules of ethics
Method of evaluating situations in which the correct action is in question
Ethical analysis
4 basic steps of ethical analysis
Identify the problem
Develop alternative solutions
Select the best solution
Defend your selection
6 moral/ethical principles that are guides to correct action
Beneficence Nonmaleficence Veracity Fidelity Justice Autonomy
Goodness, actions that bring about good are considered right
Beneficence
No evil, an obligation not to inflict harm
Nonmaleficence
Truth, obligation to tell the truth
Veracity
Faithfulness, obligation to be logical or faithful
Fidelity
Fairness
Justice
Self-determination, respecting the independence of others and acting with self-reliance
Autonomy
Hospitals required to provide protection for patients concerning the release of individual financial and medical information without written consent
No information given to employer, financial institutions or other medical facilities
Each facility will have a written procedure for compliance with these standards
Health Insurance Portability and Accountability Act (HIPAA)
Most consent is given on admission and is implied for routine procedures
Certain procedures such as myelograms and arteriograms require the patient receive full explanation of the procedure and potential risks, patient and witness then sign a consent form
Informed consent
Patients can refuse treatment or examination at any time
The healthcare worker should communicate with the patient and explain the situation
If the patient still refuses, notify the physician
Right to refuse treatment
Do not resuscitate; when a patient agrees to not be revived if they code
DNR
Outline of specific wishes about medical care if patient loses the ability to make communicative decisions
Some states also have physician assisted deaths
Advance directive
Deals with offenses against the state or society
Criminal law
Thefts and drug related crimes
Felonies
Violation of laws that regulate practices
Misdemeanors
2 types of criminal law
Felonies
Misdemeanors
Deals with rights and duties of individuals with respect to one another
Civil law
Civil wrong by one individual against another person or their property
Tort
The suing party
Plaintiff
The party being sued
Defendent
Threat of harm
Assault
Unlawful touching
Battery
Unjustifiable detention on one against their will; the least restrictive immobilization device possible should be used, hand or leg restraints must be ordered by the physician. Ex: a patient wishes to leave and is not allowed
False imprisonment
Confidentiality is not maintained or when a patient’s body has been exposed
Invasion of privacy
Malicious spread of information, written information
Libel
Defamation of character in verbal form
Slander
Neglect or omission of reasonable care or caution
Negligence
2 torts
Intentional misconducts
Negligence
6 intentional misconducts (torts)
Assault Battery False imprisonment Invasion of privacy Libel Slander
Res ipsa loquitur
“The thing speaks for itself”
Resondeat superior
“Let the master respond” (the employer is responsible for the employee’s negligent acts)
Body language says a lot; ex: leaning forward while a patient talks shows interest
Nonverbal communication
A way we show how we feel about our career and patients
Uniforms present a simple, neat this and are easily cleaned
Clean exam rooms show respect for the patient
Appearance
Good listeners wait their turn to provide input
Listening skills
Clear, distinct speech that uses language and content appropriately
Verbal skills
Revealed by nonverbal behaviors, voice tone and word choice
Attitude
Validate that you have understood
Sometimes you may find yourself in a new procedure or with another healthcare worker with an accent
Validation of communication
The healthcare professional consciously influences a client or helps to better understand through verbal or nonverbal communication
Therapeutic communication
First contact is usually the introduction; patients should be addressed as a person, not as an exam
Addressing the patient
Patients like to share making choices involving their healthcare
Valid choices
Idea that elderly are ill, worthless and unattractive
Ageism
4 most important opportunities for patient education
During the explanation of procedures
Responding to patient concerns
Part of patient prep procedures
During instruction for follow up procedure
2 situations that may arise when the radiographer deals with a deceased patient
Radiographs for placement of lines needed to support organs for donation
Homicide (ex: person shot, find bullets)
Service for patients when they are likely not to live more than six months
Hospice
Provide relief but not intended for a cure
Palliative
5 stages of grieving (Dr. Elizabeth Kubler-Ross)
Denial Anger Bargaining Depression Acceptance
Grieving person refuses to accept the truth
Denial
Person experiences frustration of helplessness and a feeling of outrage
Anger
Person seems to be attempting to earn forgiveness or mitigation of the loss by being “very good”
Bargaining
Person accepts loss or impending death and deals with life relationships on a more realistic basis
Acceptance