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17 Cards in this Set
- Front
- Back
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What is required for "informed consent" to be made?
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1. Discuss pertinent information
2. Patient agrees w/ the plan of care 3. Freedom from coercion |
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Exceptions to informed consent?
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1. Pt lacks ability to make decisions
2. Implied consent in an emergency 3. Therapeutic Privilege 4. Waiver |
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What is Therapeutic Privilege?
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Withholding info when disclosure would severely harm the patient or undermine their ability to make a decision
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when is "consent for minors" not applicable?
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If they're married or otherwise emancipated
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What defines having Decision Making Capacity?
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1. Pt makes and communicates choice
2. Pt is informed 3. Decision remains stable over time 4. Decision is consistent w/ pt's values and goals 5. Decision is not from delusions or hallucinations |
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Types of Advance Directives?
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Oral: little iffy b/c of different interpretations
Written: more concrete |
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types of written advance directives?
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Living Will (DNR's and whatnot)
Durable Power of Attorney (designates a decision maker) |
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Exceptions to Confidentiality?
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1. Potential harm to others
2. Likelihood to harm self is great 3. No alternative means to warn or protect those at risk 4. we can take steps to prevent harm |
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What kind of steps can doc's take to prevent harm?
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1. w/ ID's we can contact public officials and identify people at risk
2. Abuse: child or elder 3. Impaired drivers 4. Suicidal/homocidal pts. (detain pts) |
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What is the Tarasoff Decision?
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Law requiring doc's to directly inform and protect potential victims from harm
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What is required for a Malpractice Suit to be legit?
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the 4 D's
1. the physician had a Duty 2. the physician breached that duty (Dereliction) 3. Patient suffered harm (Damage) 4. the breach of duty caused the harm (Direct) |
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What is the appropriate repsonse?
Family members ask for info about pts px? |
avoid discussing w/o pt's permission
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What is the appropriate repsonse?
17 year old girl wants an abortion? |
Depends on the state if the parents must be notified and/or give consent
Parental consent is NOT required for emergencies, STD Rx, medical care for preg, or drug addiction help |
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What is the appropriate repsonse?
patient wants physician-assisted suicide |
Not legal in most states.
We can provide appropriate analgesics that coincidentally shorten the pt's life |
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What is the appropriate repsonse?
Pt wants an unnecessary procedure? |
Talk about it, but don't do it
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What is the appropriate repsonse?
A child wants to know more about his illness? |
Talk to the parents. They decide what info to relay
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What is the appropriate repsonse?
Teenager wants condoms |
We can provide counsel and contraceptives w/o parent's knowledge/consent
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