Week 8: Distributive Justice and Resource Allocation Flashcards
Define Justice
Treating people fairly, equitably and appropriately
Define Distributive Justice
allocation of resources) *often scarce
- Fair distribution → having values that’ll guide the process; weigh out risk/benefits, burdens, & costs
Define Social Justice
- a concern for the equitable distribution of benefits and burdens in society
- with the view that broad social change is necessary to address the determinants of health and reduce inequalities of health
What are the different principles of resource distribution?
Option 1: An equal share
Option 2: According to need
Option 3: According to individual effort/contribution
Option 4: According to merit
Option 5: According to free-market exchanges
What is the framework for resource allocation?
- Transparent – everyone knows what the rules are
- Relevant – the rules are appropriate to the situation
- Reviewable – people can appeal a decision made using the process
- Written – put down in policy so they are enforceable
Define Macro Allocation
Distribution of resources TO institutions or communities (government decides how much money to allocate to hospital/schools)
Define Meso Allocation
Distribution of resources WITHIN the institution or community (hospital deciding how many nurses to work in each ward)
Define Micro Allocation
Distribution of resources to an individual (nurse decides which PT to see first)
What is the CRNM Duty to Provide Care?
When providing nursing care with limited human resources, the duty to provide care includes the nurse’s responsibility to…
- adjust priorities
- meet client care needs through teamwork and collaboration
- communicate with their employer
What are the two types of deceased donation?
- NDD – neurological determination of death (Brain Death)
- DCD – donation after cardio-circulatory death
What is the Human Tissue Gift Act?
*notify Transplant Manitoba – Gift of Life
▪A designated facility must notify the required human tissue gift agency (tissue bank) when:
a) A pt. at the facility dies;
b) A doctor at the facility says the death of a pt. at the facility is imminent & inevitable;
c) The facility receives a dead body
What is the Organ Donation Routine Notification?
- Provincial policy enforcing legislation (HTGA) for organ donation purposes.
- Requires referral of all patients who meet specific clinical triggers to Transplant Manitoba - Gift of Life.
- Routine notification adherence is the responsibility of physicians and nurses
What are the steps with the NDD pathway?
- Declared by 2 attending physicians but remains on life support
- Consent from family to discuss donation
- Organ suitability assessment
- Allocation
- Ongoing Donor Management – will receive tx to benefit the recipients
- Retrieval surgery – circulation continues in OR until X clamp
What are the steps in the DCD pathway?
- EOL conversation with ICU team + change to ACP C plan for WLST
- Consent from family to discuss donation
- Organ suitability assessment
- Allocation
- Ongoing Donor management – will not receive tx to benefit recipient + death needs to occur within 2hrs to be taken to the OR
6.Retrieval surgery – If donor passes within the 2hr window and circulation has ceased prior to the OR
What is the procedure with determining NDD?
- Declared by two attending physicians
- Cold ischemic time starts at time of cross clamp and ice is placed in the cavity [circulation stopped at this point due to cross clamp, pt no longer ventilated]
- Cold ischemic time starts at time of cross clamp and ice is placed in the cavity [circulation stopped at this point due to cross clamp, pt no longer ventilated]
