Vision, Risk, and Informed Consent Flashcards

1
Q

Describe professional formation

A
  • Head (cognitive): foundational science, theories of movement
  • Hand (psychomotor): learning the skills of touch, facilitation & inhibition of movement
  • Heart (affective): belief about human movement is necessary for health, well-being, & function, empathy
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2
Q

Components of a professional and personal vision

A
  • Vision: aspire for the future, where you want to go
  • Mission: what you do now to achieve the vision, how you do it
  • Goals: mission milestones, steps to move closer to your vision
  • Values: what you stand for, beliefs that guide you
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3
Q

Define micromort

A
  • Unit of risk defined as one in a million chance of death
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4
Q

Describe license protection

A
  • State board of PT arising from a complaint
  • Allegations about professional conduct: abuse, behavior, or fraud
  • The BOARD can suspend or revoke the license; goal to protect the public
  • Can result in legal actions
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5
Q

Describe professional liability

A
  • Civil lawsuit from a pt’s malpractice claim
  • Allegations about clinical practice & professional responsibilities
  • Justice system via lawsuit to compensate pt’s who have suffered injury as a result of professional negligence
  • Can result in license suspension
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6
Q

What are the top closed claims by allegation

A
  • Improper management over the course of treatment
  • Failure to supervise or monitor a patient
  • Improper performance using a biophysical agent
  • Improper performance using therapeutic exercise
  • Improper performance of manual therapy
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7
Q

What are the top closed claim by injury

A
  • Fracture
  • Increase or exacerbation of injury/symptoms
  • Burns
  • Muscle/ligament damage
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8
Q

Define informed consent in healthcare

A
  • Voluntary agreement by a person who possesses sufficient mental capacity to make an intelligent choice to allow a medical procedure & or treatment proposed by another to be performed o him/herself
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9
Q

What type of TORT is battery

A
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10
Q

Healthcare informed consent basics

A
  • a legal doctrine that provides a patient has the right to know the potential risks, benefits, and alternatives of a proposed procedure
  • Patients have the “Right to Know” and the “Right to Control” what happens to their bodies
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11
Q

Difference between express consent and implied consent

A
  • Express: can take the form of a verbal agreement, or it can be accomplished through the execution of a written document authorizing medical care
  • Implied: is determined by some act or silence, which raises a presumption that consent has been authorized
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12
Q

Describe “Abraham’s Law”

A
  • the right to make ones own decisions about Onnes body is without exaggeration, the very bedrock on which this country was founded
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13
Q

Verbal vs written vs implied consent

A
  • Verbal: is just as binding as written, however it is more difficult to corroborate; requires witnesses that have heard the conversation
  • Written: should be used when any proposed treatment may involve some unusual risk(s) to the patient
  • Implied: exceptions to the above that exist with respect to emergency situations; Ex: unconscious pts where it can be assumed if conscious they would have consented to the required procedure
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14
Q

Written consent essentials

A
  • Nature of the pt’s illness or injury
  • Procedure or treatment consented to
  • Purpose of the proposed treatment
  • Risks & probable consequences of the proposed treatment
  • Probability that the proposed treatment may be successful
  • Alternative methods of treatment & their associated risks & benefits
  • Risks & prognosis if no treatment is rendered
  • Indication that the pt understands the nature of any proposed treatment, the alternatives, the risks involved, & the probable consequences of the proposed treatment
  • Signatures of the pt, physician, & witnesses
  • Date the consent is signed
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15
Q

Statutory consent versus judicial consent

A
  • Statutory: state legislation that supports the implied consent of above for emergent situations; if no time to contact attending physician, relatives, or get a court order then it’s advisable to get a 2nd medical opinion & then where emergent perform the procedure
  • Judicial: backup plan if the above of consent are not able to be obtained; time sensitive & unable to wait for the court to be in session
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16
Q

Verbal healthcare consent requirements

A
  • Discuss the Clincal condition
  • Suggest/describe the best intervention
  • Present 2 alternate options including risks & benefits
  • Assess the patient’s understanding
17
Q

Steps to shared decision making

A
  • Identify the decision to be made
  • Explain evidence about benefits & harms
  • Ask about what matters most to the patient
  • Prioritize options based on preferences
  • Make a decision with the patient
  • Consider facilitators & barriers to the decision