UNIT 4 HEALTHCARE TRENDS & NURSING ISSUES Flashcards
What is telemedicene?
Use of audio, video & other telecommunications and electronic information processing technologies to monitor the health status of a patient from a distance
What are the benefits of telemedicine?
- Support long-distance clinical health care
- Promotes patient and professional health-related education
- Support public health and health administration
- Reduce healthcare costs
-patient counseling
-case management- Supervision/preceptorship
What might be some disadvantages/things to be aware of with telemedicine?
- HIPPA, Confidentiality and informed consent
- May require additional licensure
- ANA scope of standards of nursing practice
- Future
-reimbursement
-legal issues
-health care ressources
What are different types of practice areas in telemedicine?
- Teletriage
- Teletrauma
- Telestroke/Telecaridology
- Telemental health
- Telehomecare
- Forensic Telenursing
True or false social media is a good platform for telemedicine?
false
What are the different types of healthcare payment models?
- Public insurance
- Private insurance
- Private pay
- Diagnosis-related groups (DRGs)
- Pay for performance
What are different accreditation a hospital can receive?
- Centers for Medicare and medicated (CMS)– which is evaluated by the Joint commission (JCAHO).
- Magnet designation
- Other- Trauma/NICU/Stroke
- Nursing education program accreditation
What is beneficence?
Ensuring that the patient’s best interest is considered regardless of the nurses personal opinion.
What is autonomy?
Autonomy in nursing grants nurses the power to determine components of a patients care without having to consult doctors to make decisions
What is justice?
Fairness or an equal distribution of benefits. Justice in nursing relates to impartiality regarding a patients age, ethnicity, economic status, religion, or sexual orientation
What is nonmaleficence?
The avoidance or minimization of harm
What is veracity?
Requires that healthcare providers be honest in their interactions with patients?
What is confidentiality?
Protecting patient privacy
What situations could cause an ethical delimma?
- Informed consent
- DNR
- Pain control
- Withdrawal of fluids and nutrition
- Genetic testing/reproductive therapies
- Inability to afford tx
- Organ/tissue donation
What legal documents aid in the ethical decision making process?
- Advance directives
- Living wills
- Patient care partnership/patient bill of rights
- Power of attorney
-Medical
-Legal
Interprofessional care teams help make ethical decision by?
Address issues beyond a strictly medical focus
Ethics committees help make ethical decisions by?
- Create policies to assist with decision making
- Education
- Review
- Policy Development