Walden - Ethical/Advance Practice Flashcards
Obligation to help patient, to remove harm, to prevent harm, promote good, “do no harm”
Beneficence
Ex. Educating patient about new prescription, how to take, encourage to stop smoking, calling surgeon to get prescription stronger
Beneficence e.g.
Obligation to avoid harm, protect a patient from harm, prescribing a medication that is not contraindicated to patient.
Non-malificence
Obligation to act in way that’s useful to or benefits the majority, outcome is what matters with utilitarism, use resource to benefit the most
Utilitariasm
Ex WIC is only for women and babies because it would cost society more if these patients were hurt by inadequate food intake
Utilitariasm e.g.
Quality of being fair without acting with a lack of bias, fair suitable distribution of resources, ex homeless man admitted to ED without insurance, treated the same as a man with insurance
Justice
Quality or state of being worthy of ethical and respectful treatment respect for human dignity is important aspect of medical ethics, persons religious, personal, cultural beliefs are considered dignified treatment.
Dignity
Ex. Using hospital gowns to cover patient front and back, Foley catheters should not be visible to visitors not to embarrass patient.
Dignity e.g.
Obligation to maintain trust in relationship- keeping promise, dedication and loyalty to patient.
Fidelity
Ex. NP should try her best to develop trust with patient
Fidelity e.g.
Obligation to protect patient’s identity, personal information, test results, medical records, conversations, and other health information is right is protected by HIPPA
Confidentiality
Obligation to ensure mentally competent patients have right to make their own health decisions and express treatment preferences
Autonomy
NP are responsible for their own actions and choices and do not blame others for their mistakes
Accountability
Ex. Patient diagnosed with pleurisy but when goes to ED is diagnosed with MI, no error is held accountable for her decision
Accountability e.g.
Obligation to present information honestly and trustfully, in order for patient to make informed decision, do not withhold “bad news”
Veracity
Ex. Patients mammogram results are in, but son does not want patient to know, no must tell patient
Veracity e.g.
One person interferes or overrules the autonomy of another
Paternalism
Person who acts as intermediary between patient and organization,
ombudsman investigates and mediates complaint form both sides and attempts to
reach fair conclusion
Ombudsman
Person assigned by court to act in best interest of the child/frail
vulnerable patient.
Guardian ad litem
Organization that does processing of claims and administrative paperwork for another company
TPA
Pays for inpatient services, (Hospice)
Medicare A
Pays for outpatient services (ambulance emergency only)
Medicare B
Pays for both
Medicare C
Is for medications drug benefit
Medicare D
