Advocacy

Front 1

_______________involves giving patients the information they need to make decisions and then supporting those decisions. It implies that caregivers try to understand and clearly state a patient's point of view to other health care providers. Within the health care system a multidisciplinary team delivers patient care. All members advocate for the patient. You are an important and unique part of that team. You get to know your patients through your assessments, while administering difficult or uncomfortable procedures, while teaching new skills, and preparing for discharge or home care. These activities allow you to witness important aspects of a patient's ability to cope, learn, and heal. Your ability to document, articulate, and contribute forms a key aspect of ___________________

Back 1

advocacy
patient advocacy

Front 2

the primary function of advocacy are to:

Back 2

inform and support

Front 3

responsibility, accountability, competency, and:

Back 3

advocacy

Front 4

Nurses and other providers agree to be advocates for their patients. Practice of advocacy calls for the nurse to:

Back 4

1. Seek out graduate education as soon as possible

2. Work to understand the law as it applies to the patient's clinical condition

3. Assess the patient's point of view and prepare to articulate this point of view

4. Document all clinical changes in the medical record in a timely and legible way

Front 5

involves giving patients the information they need to make decisions and then supporting those decisions.

Back 5

advocacy

Front 6

It implies that caregivers try to ________________and _________________a patient's _______________to other health care providers.

Back 6

understand
clearly state
point of view

Front 7

within multidisciplinary system, all members ________________for the patient

Back 7

advocate

Front 8

You get to know your patients through your ________________, while administering difficult or uncomfortable __________________, while _______________new skills, and preparing for discharge or home care

Back 8

assessments
procedures
teaching

Front 9

These activities allow you to witness important aspects of a patient's ability to:

Back 9

cope, learn, and heal

Front 10

Your ability to ________________, ______________ and ______________ forms a key aspect of patient advocacy."

Back 10

document
articulate
contribute

Front 11

a patient's agreement to allow something to happen, such as surgery, based on a full disclosure of the risks, benefits, alternatives, and consequences of refusal
-requires that you ensure the patient has all relevant information required to make a decision, that the patient is capable of understanding the relevant information, and that the patient actually gives consent.

Back 11

informed consent

Front 12

If you or a health care provider performs a procedure on a patient without informed consent, the person who performed the procedure will possibly be liable for:

Back 12

battery

Front 13

You do not need to have written informed consent when performing _______nursing care.

Back 13

most

Front 14

it is important that you ___________ to the patient what you are going to do and ensure that the patient _____________ the care you are going to provide.

Back 14

explain
accepts

Front 15

is needed when a patient is going to have an invasive medical procedure, such as surgery.

Back 15

written informed consent

Front 16

documentation of informed consent includes:

Back 16

patient's signature
witnesses signature
date and time of signing
verification that the patient voluntarily signed the consent, that the patient discussed the risks, benefits, alternatives, and right to refuse the procedure with the health care provider
verification that the patient understands the procedure and has had all questions answered satisfactorily

Front 17

patient discussed:

Back 17

risks
benefits
alternatives
and right to refuse

Front 18

The nurse and the nursing profession's powerful voice at the local, state, and national levels in supporting policies that protect consumers and enhance accountability for quality by promoting safer health care systems. Patient _____________ is a cornerstone of the nursing profession, and patients depend on nurses to ensure that they receive quality care.

Back 18

advocacy

Front 19

nurses have a _______________________to provide appropriate patient and family education and to support the process of _____________________

Back 19

legal and ethical duty
informed consent

Front 20

causing the person to fear that he or she will be touched without consent.

Back 20

assault

Front 21

Nurses engaged in therapeutic procedures may face charges of______________if they touch a patient without consent

Back 21

battery

Front 22

For any patient to make meaningful choices about a particular procedure or treatment, the provider must convey certain material information. Under the doctrine of__________________, the physician or advanced practice nurse has a duty to disclose information so that the patient can make intelligent decisions.

Back 22

informed consent

Front 23

the duty of obtaining informed consent is mandated by _________________ (in the case of Medicare and Medicaid patients) and ___________and is grounded as well in _________________

Back 23

federal statute
state law
common law

Front 24

in the case of routine as well as specialized care, the primary provider must disclose the following:

Back 24

• Nature of the therapy or procedure

• Expected benefits and outcomes of the therapy or procedure

• Potential risks of the therapy or procedure

• Alternative therapies to the intended procedure and their risks and benefits

• Risks of not having the procedure

Front 25

the _______________rest with the provider and ____________be delegated to the RN

Back 25

duty to disclose
cannot

Front 26

When the nurse has reason to believe that the patient has not given informed consent for a procedure, the provider should be immediately notified. In no case should the nurse proceed with initiating any part of the therapy that he or she is responsible for implementing.

Back 26

-

Front 27

a variety of negligence claims arise out of the informed consent process

Back 27

-

Front 28

______________ may be necessary for consent

Back 28

interpreter

Front 29

when a hearing-impaired patient is asked to give informed consent, the hospital has a duty to ensure that communication is effective by providing an interpreter fluent in American Sign Language (ASL).

Back 29

-

Front 30

The unique legal requirements related to informed consent in minors is a complex issue. All 50 states and the District of Columbia explicitly allow a minor to consent to testing and treatments for sexually transmitted diseases, except HIV testing and treatment. All other statutes regarding informed consent in adolescents vary widely from state to state (Tillett, 2005). As noted earlier, when dealing with minors, the nurse must use agency resources including social workers, managers, administrators, and risk managers when facilitating an appropriate informed consent process between the provider and adolescent or older child.

Back 30

-

Front 31

if patent refuses treatment the nurse must notify the provider

Back 31

-

Front 32

review cards for patient's bill of rights, as well as definitions for chapter 4 and 5

Back 32

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