Topic One: client’s rights Flashcards
Autonomy
respecting the right of the patient to make their own decision (includes right to refuse treatment)
Beneficence
The duty to act to benefit or promote the health and well-being of others
Nonmaleficence
Doing no harm to the patient
Justice
The duty to distribute resources or care equally, regardless of personal attributes
Fidelity
Maintaining loyalty and commitment to the patient and doing no wrong to the patient
Ex: maintaining expertise in nursing skill through continuing nurse education
ethical dilemma
results when there is a conflict between two or more courses of action, each carrying favorable and unfavorable consequences.
least restrictive alternative doctrine
mandates that care providers take the least drastic action to achieve a specific purpose.
For example, if you can treat someone safely for depression on an outpatient basis, hospitalization would be too restrictive and unnecessarily disruptive
Emergency Commitment
used (1) for people who are so confused they cannot make decisions on their own or (2) for people who are so ill they need emergency admission
What is the purpose of Emergency commitment?
The primary purpose of this type of hospitalization is observation, diagnosis, and treatment of patients who have mental illness or pose a danger to themselves or others
Patients’ Rights Under the Law
Right to Treatment
Right to Refuse Treatment
Right to Informed Consent
Right to Treatment
The right to be free from excessive or unnecessary medication
- The right to privacy and dignity
- The right to the least restrictive environment
- The right to an attorney, clergy, and private care providers
- The right to not be subjected to lobotomies, electroconvulsive treatments, and other treatments without fully informed consent
Right to Refuse Treatment
Patients may withhold concent at any time, retract consent that are already given.
The state may override a patient’s right when the patient poses a danger to self or others.
In an emergency situation where a person may cause serious and imminent harm to self or others, institutions can medicate a person without a court hearing.
implied consent
patient indicates a willingness to receive the medication, implied consent has occurred