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