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113 Cards in this Set
- Front
- Back
Ethics is a system of principles a society develops to decisions about what is ++++ and wrong
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right
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Contradicting ____ principles is known as an ethical dilemna
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ethical
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Health care professionals are guided by principles outlined in occupation specific codes of ------
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ethics
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Values are the beliefs and ideals that provide the foundation for making decsions and ++++ behavior
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guiding
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Laws are a means of enforcing +++++ principles. Ethics provide the general ____ upon which ethics are based.
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ethical
principles |
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8 guiding principles: preserve life, Do good, Respect autonomy, uphold justice, Be ___, Be discreet, Keep promises, and Do no harm
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honest
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preserve life: provide all pts, including the terminally ill with attention and become aware of your state laws re organ ____
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donations
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Do good good communication skills, treat with respect and courtesy, pos role ===, Learn about stages of dying and grief, promote healthy living
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model
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Respect Autonomy Make sure of pt consent, Become familiar of state laws and policies re advance +++++, Respect the values and beliefs of various cultures
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directives
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Uphold Justice Treating all pts equally regarding to soc or econ background, Know the rules for handling all categories of controlled substances, Learn state laws and policies re ++++ abuse, Follow all saftey rules and OSHA guidelines
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substance
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Be honest Admit mistakes and correct them. Refuse to participate in fraud. Document accurately and code. Give an honest day's _____
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work
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Be discreet Never {{{{{{{{ pt info without signed consent, don't discuss pts with anyone not involved with their care, discuss about pts in private, Privacy
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release
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Keep promises. Be sure contracts completed. Be careful about what you say to pts. They may only hear ____ news.
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good
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Do not harm Excellent customer service. Scope of practice. Safety rules and precautions. Facility protocols. Consult appropriate people. Keep skills up to date. Keep certifications/licenses up to date. Stay _____
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informed
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organ donation should always be discussed with family ++++
Sometimes on drivers license |
members
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Stem cells replace other cells and hold promise of replacing damaged ++++
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cells
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use of fetal tissue and stem cells disliked by abortion ++++++
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opponents
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Stem cells from adults and human skin an ))))))))
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alternative
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Rationing can result from insurance, Medicare limits or scarcity of ++++++
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resources
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AMA decision making criteria vs rationing- 1. likelihood of benefit to _____
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patient
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AMA decision making criteria vs rationing- 2. Impact of the tx in improving the quality of the patient's +++++
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life
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AMA decision making criteria vs rationing-3. The duration of _____
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benefits
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AMA decision making criteria vs rationing-4. The urgency of the ____ condition
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patient's
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AMA decision making criteria vs rationing- 5. In some cases, the amt of resources +++++
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required
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Working best pt interest: listening carefully to what ++++ say.
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pt
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Working best pt interest: 2. Making effort to understand ethnic and cultural _____
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background
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Working best pt interest:3. Carefully assessing ____ needs
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patient
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Working best pt interest:4. being aware of their ethical ++++
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beliefs
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Working best pt interest:Explain what you are ____
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doing
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Working best pt interest:6. Providing appropriate instruction or ++++
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teaching
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Working best pt interest:7. Allowing the patient to feel comfortable enuf to ask +++++
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questions
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Working best pt interest:8. Answering all pt questions or finding the _____ as necessary
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answers
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Working best pt interest:6. Providing appropriate instruction or ++++
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teaching
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Autonomy is self-+++++ of the patient, based upon age, and physical and mental capabilities
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determination
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Working best pt interest:7. Allowing the patient to feel comfortable enuf to ask +++++
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questions
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When the tx is explained, including possible consequences, the patient's permission is known as informed ______
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consent
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Working best pt interest:8. Answering all pt questions or finding the _____ as necessary
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answers
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Working best pt interest:6. Providing appropriate instruction or ++++
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teaching
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Autonomy is self-+++++ of the patient, based upon age, and physical and mental capabilities
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determination
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When the tx is explained, including possible consequences, the patient's permission is known as informed ______
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consent
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Working best pt interest:7. Allowing the patient to feel comfortable enuf to ask +++++
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questions
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Working best pt interest:8. Answering all pt questions or finding the _____ as necessary
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answers
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Autonomy is self-+++++ of the patient, based upon age, and physical and mental capabilities
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determination
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When the tx is explained, including possible consequences, the patient's permission is known as informed ______
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consent
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Touching a pt or performing a procedure without his or her permission can result in a charge of +++++Exception is emergency care when patient is unable to give consent
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battery
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If a pt feels threatened by unwanted procedure even if it is not performed, can result in a charge of ++++++
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assault
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Excessive persuasion is also a form of +++++
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assault
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2 types of informed consent: implied and _____
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express
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Express consent is given in +++++ and required for many procedures including those that are invasive.
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writing
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Invasive procedures involve punctures, incisions, or insertion of instruments or foreign materials into the ++++
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body
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Implied consent is indicated by the patient's actions showing up for a medical ____
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appt
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Express consent is given in +++++ and required for invasive procedures
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wiriting
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Implied consent is indicated by the patient's actions showing up for a medical ____
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appt
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Informed consent, whether express or _____advises about the procedure or tx plan, possible risks, expected results, alternative procedures, and conseq
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implied
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conditions under which consent given: must understand, understand english, translated form or interpretator and not ++++ impaired
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hearing
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Express consent is given in +++++ and required for invasive procedures
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wiriting
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consent- must understand it is voluntary and not signing under +++++
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pressure
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Informed consent, whether express or _____advises about the procedure or tx plan, possible risks, expected results, alternative procedures, and conseq
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implied
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conditions under which consent given: must understand, understand english, translated form or interpretator and not ++++ impaired
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hearing
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consent- must understand it is voluntary and not signing under +++++
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pressure
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Consent forms can be signed by legally ____ adults, not impaired mentally or by medication.
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competent
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Consent forms can be signed by legally ____ adults, not impaired mentally or by medication.
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competent
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Consent forms can be signed by legally ____ adults, not impaired mentally or by medication.
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competent
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Adult defined as 18 or over and emancipated _____, who are under 18 but fiancially independent, married, or in the military.
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minors
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Adult defined as 18 or over and emancipated _____, who are under 18 but fiancially independent, married, or in the military.
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minors
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Adult defined as 18 or over and emancipated _____, who are under 18 but fiancially independent, married, or in the military.
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minors
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Non-emancipated minors may require +++++ consent form
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parental
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Non-emancipated minors may require +++++ consent form
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parental
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Non-emancipated minors may require +++++ consent form
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parental
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Consent forms can be signed by legally ____ adults, not impaired mentally or by medication.
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competent
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Adult defined as 18 or over and emancipated _____, who are under 18 but fiancially independent, married, or in the military.
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minors
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Non-emancipated minors may require +++++ consent form
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parental
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Some states allow non-emancipated minors as young as ____ to make their own health decisions
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14
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Some states do not require parental permission for +++++ to receive birth control info, abortion, or drug counseling
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minors
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A charge of false _____ can be made if pt held against own will unless mentally incompetent or of danger themselves.
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imprisonment
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Patient may be asked to sign a statement that they are discontinuing care against ++++ advice to protect the facility and professional staff from libability and blame
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medical
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Advance Directives- written +++++ that outline individuals desires regarding care should they become unable as a result of illness or injury.
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instruction
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Advance Directives-2 types1. designation of health ____ surrogates or representatives 2 living will/health care instructions
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care
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Not necessary for the health care surrogate to be +++++
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related
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Living Will Health Care Instructions outlines extent and type of health care including specifc +++++
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directives
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Direcitives apply to certain types of resescitation including cardiac mechanical, and _____ tube
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feeding
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DNR request means CPR not administered even if patient stops ++++++Exception is in if not in healthcare facility and DNR cannot be located
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breathing
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The Patient Self-Determination Act federal law that requires Advance Directive +++++
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policies
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Patients not legally required to make advance _____, but must be informed of their right to make them.
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directives
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DNT or do +++ treat orders can create dilemnas.
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not
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If no advance directives, and hospital and family disagree, ____ can make final decision
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courts
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Other ethical -managment of intractable pain in +++++
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elderly
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Other ethical Nursing ____ care legilation
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home
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Other ethical- Recognizing and reporting physical and emotional and financial abuse of ++++
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elderly
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Other ethical- management of geriatric when further ____ no longer feasible
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tx
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Ethical related to cost: limits on lengths of ++++ stays.
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hospital
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Ethical related to cost: a prescribed amount of time that the provider can spend with ++++
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pt
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Ethical related to cost:substitution of less ____ medication or limitations on medication
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expensive
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Ethical related to cost: limitation on number of therapy +++++ reimbursed
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sessions
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Ethical related to cost: restriction on the number and type of diagnostic ++++ given for same symptoms
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tests
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Ethical prob due to cost: denial of experiemental ++++ that may benefit pt
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tx
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Ethical prob due to cost: Fewer diagnostic tests and less overall care given to )))))who do not have insurance and can't pay
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pts
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Federal Child Abuse Prevention and Treatment Act req ++++ of physical, sexual, and mental abuse of child
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reporting
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Signs of Possible Child Abuse: bruises and welts, burns, lacerations, abrasion, skeletal ______and head injuries.
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injuries
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Signs of Possible Child Abuse:
repeated injuries at a higher rate than ___for child same age. |
normal
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Signs of Possible Child Abuse:
different explanations for the cause of an injury given by child and +++++ |
parent
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Signs of Possible Child Abuse: Unsually compliant, fearful or aggressive behaivor of +++++
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child
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Report abuse to ______, if not possible call yourself
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supervisor
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1-2 _____ elders abused by spouse, family or caregivers.
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million
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Elder abuse can take the form of : neglect, taking financial resources without the permission or understanding of the elder, physical +++++, mental and emotional abuse, abandonment
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mistreatment
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Adult Protective Services, Area Agency on aging, county dept on soc service all report elder ++++ to.
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abuse
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OSHA employers must protect the safety of +++++ from contagious diseases. Waste management, employee protection, and training.
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employees
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Controlled Substances Act, federal law enforced by DEA, Five schedules for drugs with +++++ properties
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addictive
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CAPTA child abuse prevention and ++++ act
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treatment
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Fraud is a form of dishonesty involving _____ or trickery.
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cheating
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Types of fraud submitting health insurance claims for work not done, charging diff rates for insured and ++++, selling tx, drugs, devices not proven effective, lying about credentials,
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uninsured
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Right to privacy concerning medical affairs called ____
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confidentiality
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HIPPA national standards to protect patient privacy and personal _____ info
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health
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