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Ethics II > Vulnerable adults and kids > Flashcards

Vulnerable adults and kids Flashcards

1
Q

What are the 8 goals of medicine?

A
  • Promote health
  • Educate
  • Maintain health
  • Improve function
  • Avoid harm
  • Relief near death
  • Prevent untimely death
  • Cure dz

(I-PREACH)

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2
Q

What is dependence?

A

The state of relying on or being controlled by someone or something else

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3
Q

What is vulnerability?

A

State of being open to injury

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4
Q

True or false: we are all dependent

A

True

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5
Q

True or false: the degree of dependence correlates with the degree of vulnerability

A

True

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6
Q

What are the two major categories of dependence?

A

Social or health parameters

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7
Q

What are the obligations of a physician to vulnerable adults?

A
  • meet needs
  • Provide care
  • Minimize harm
  • Avoid exploitation
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8
Q

What is the central feature of advocating for a vulnerable patient?

A

Help maintain their autonomy

Avoid discrimination/paternalism

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9
Q

What is infantilising adults?

A

Treating the elderly as infants

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10
Q

True or false: it is appropriate to obtain consent in pt with mental illness at times when they are most lucid

A

True

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11
Q

True or false: implied consent is sufficient for sharing healthcare information to the healthcare team

A

True

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12
Q

True or false: reporting abuse overrides confidentiality

A

True

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13
Q

How much information should be reported with abuse?

A

Only as much as necessary

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14
Q

What are the four major ways of restraint?

A
  • Physical
  • Mechanical
  • Chemical
  • Psychological
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15
Q

What is the definition of delirium?

A

Acute disconnection with reality

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16
Q

What are the best ways to reduce the incidence of falls? (4)

A
  • Review meds
  • Correct sight and hearing
  • Safe footwear
  • Institutional changes
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17
Q

What are the personal steps that you can take to reduce the incidence of falls?

A
  • Establish personal plan
  • Involved old ppl in their care
  • Restrict movement PRN
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18
Q

What are the two qualifications that must be obtained to enforce restraints?

A

Must be:

  • proportional to risk
  • Planned, discussed, documented
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19
Q

What are the ssx of neglect/abuse (besides the obvious)?

A
  • Withdrawn or sad affect
  • Unprompted remarks about caregiver
  • Recent weight loss/ change in hygiene
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20
Q

Physicians are mandatory reporters of abuse through what government body?

A

Department of human services offices

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21
Q

What level of government determines who is and is not a minor?

A

State

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22
Q

True or false: if you’re tried as an adult and convicted, then you’re emancipated

A

True

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23
Q

Who grants emancipation?

A

Judge

24
Q

True or false: being pregnant or married makes you emancipated

A

false-marriage yes, prego no

25
Q

What should you do for emancipated minors receiving healthcare?

A

Encourage minors to receive medical care they might not otherwise receive

26
Q

What is title X?

A

Act designed to prioritize the needs of low income families or uninsured people, and planned parenthood, by allotting government monies to that purpose

27
Q

Is abortion provided for with title X?

A

No

28
Q

What are the title X services? (4)

A
  • Family planning
  • Breast and pelvic exams
  • STD screens
  • Prego dx/plan
29
Q

True or false: title X services are made available to all adolescents, regardless of age

A

True

30
Q

True or false: Title X services are contingent on parental consent

A

False– are NOT contingent

31
Q

True or false: a minor of any age can consent to title X services

A

True

32
Q

Does title X trump state laws if there is a conflict?

A

Yes

33
Q

What is the one exception to reporting to parents under title X?

A

Positive HIV test (but a negative test is still confidential)

34
Q

Do healthcare providers need consent to provide contraceptives?

A

No, but need written consent from minor

35
Q

True or false: Iowa law authorizes a minor to provide consent for medical services relate to the prevention, diagnosis, or treatment of an STD

A

True

36
Q

Do you need parental consent for treating STDs?

A

No

37
Q

True or false: the law does require that a minor be informed prior to testing that if the HIV test result is positive, the minor’s legal guardian shall be informed

A

True

38
Q

What controls are there to prevent notification of parents from insurance billing?

A

None

39
Q

Does substance abuse have to be reported to parents?

A

Nah

40
Q

Does treatment for rape victims need consent?

A

No

41
Q

Does education count as medical care? Does this mean that parents must be informed?

A

No, and no

42
Q

Does abortion need parental consent? How many parents are needed?

A

Yes– need at least 48 hours after written consent has been obtained from both parents, unless one cannot be reasonably be located

43
Q

Can you provide abortions without parental consent in case of emergency?

A

Yes

44
Q

What are the criteria to become emancipated? (3)

A
  • Absent from parental home with consent from parents
  • Self supporting
  • Assumed a new relationship inconsistent with being a part of the family
45
Q

True or false: it is illegal to provide free care to patients in an office setting

A

True

46
Q

True or false: parents or guardians must consent to emergency services

A

True–but if they are not present, then do not need it

47
Q

At what age are kids allowed to donate blood with and without parental permission?

A

17 no permission needed

16 need permission

48
Q

Can parents disclose their child’s health information under HIPAA (assuming the kid’s a minor)?

A

Yes

49
Q

True or false: a parent may waive their right to their child’s medical record

A

True

50
Q

A parent, under certain circumstances, can access their child’s health record once waived. What is the one exception to this?

A

Substance abuse

51
Q

What is the rule that is followed if divorced parents disagree on the treatment for their child?

A

Child’s best interest prevails

52
Q

True or false: adoptive parents are treated the same under Iowa state law, assuming the proper paperwork is filled out

A

True

53
Q

Can foster parents consent to routine and ordinary medical and dental care of their child?

A

Yes

54
Q

Who are authorized caregivers?

A

Adults, who are not the patient’s parents, and does not live with the minor, and do not have consent abilities

55
Q

What are cases where public interest supersedes patient confidentiality?

A
  • If a threat to public

- Involvement of abuse/neglect

Ethics II (16 decks)

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