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14 Cards in this Set
- Front
- Back
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This is the process of communication between a patient and a physician that results in the patients authorization of agreement to undergo a specific medical intervention
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Informed consent
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What does a physician need to disclose and discuss in order to obtain proper informed consent?
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Diagnosis if known
Nature and purpose of the proposed treatment or procedure Risks and benefits Alternatives and their risks and benefits The risks and benefits of not receiving treatments or undergoing a procedure |
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What are some of the main barriers to effective informed consent?
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Lack of clinician time
Confusion about whether consent is needed Patient Language and cultural barriers Poor quality of forms and educational materials Patient inablity to comprehend and physician inability to detect lack of comprehension |
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What is it called when a physician carries out a procedure without the patient's consent?
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Battery
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What is it called if the patient suffers a consequence from a procedure that was not discussed with the patient?
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Negligence
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What is involed in a DNR order?
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provide information for patient on End of life/pallative care
Talk about complications and Involve the family DNR does not mean "do not treat" |
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What is a POST?
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Physician Order for Scope of Treatment
may be completed by any provider but must be signed by a qualified MD or DO compliments but does not replace advanced directives Should be completed if death is expected within a year |
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What is the basis for a POST?
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encourages the discussion with patient and family or surrogate decision maker of key end of life care issues
Improve implementation of advanced care planning |
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What is needed for the completion of a POST?
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Patient with decision making capacity OR:
Activation of Medical Power of Attorney Appointment of Health Care Surrogate Discusion by physician or designee |
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Which document can be overridden by a treating physician AD or POST?
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AD
POST always has to be respected |
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What are the 7 sections of a POST?
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Section A: Resuscitation
Section B: Comfort interventions Section C: Antibiotic use Section D: Medically administed fluids and nutrition Section E: Who was post discussed with and basis for orders Section F: Preference, AD, guardian, person preparing form and date Section G: Review of POST; should be dated with the reviewer name and outcomes |
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What legal protection does a POST provide for a physician?
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Protection from civil and criminal liability for good faith compliance with and reliance upon POST
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When do DNR orders apply?
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Only if the patient is pulseless and apneic
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What is the purpose of the DNR act/ "Orange Cards"?
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protect the right of patients to self determination relating to Cardiopulmonary resuscitation
provide for out of hospital DNR orders Give direction to emergency medical services |
