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18 Cards in this Set
- Front
- Back
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Informed Choice is a Core Value |
Midwives believe in maintaining client autonomy |
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Client |
someone seeks you out for your servives active, engaged, healthy clients |
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patients |
sick and passive person needing care |
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consent |
you were given an ulitimatum implies passivity "ok you can do that to me" |
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Choice |
active and engaging reviewing choices |
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Informed Choice |
educate- client must understand what they are makinga decision about so they can make an appropriate choice |
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Shared decision making |
a process by which the client and relavent people in her life and the midwife, sit down and discuss choices, and together arrive at a shared decision |
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Informed consent |
appropriate in an emergency situation appropriate for neonatal resecutation |
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Informed choice |
not a clear clinical indication in any direction- vit. k |
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Shared decision making |
when a complication arises through a clinical assessment-- get to the laboring woman's house and baby is breech, VBAC, twins/multiples, size doesnt matchdates so you may reccomend and U/S things that may move her out of your care or stretch your normal care- clinical judgement |
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Informed choice |
is a process- so the client can make a decision herself it is a record keeping tool- keeps things organized could be a document or a conversation that is charted
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Advantage of document |
gives the client something to refer can include additional resources |
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Ethically Valid Informed Choice |
1. Knowing- all the info they need to make a solid choice, in native language 2. Competent- not competent- minor, unconsious,speak a diff. language, substance abuse, mental disorders, extreme pain 3. Voluntary- subtle factors- rushed, cost, fears, family |
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Blanket consent |
you consent to "appropriate care"- so routine care may be given to you that you many not want - can be appropraite say during surgery they are not informed consents As a client, you have the right to modify a consent document |
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Informed Choice Components |
-description/defenition including standard of care -benefits/risks of procedure- including success rates:cite your sources -alternitives inclduing the risks/benefits -Risk of non-treatment -issues around recoop- physical/emotional -clear who is the provider doing the procedure |
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informed choice components |
-the use of removed tissues- i.e. PKU, pap smear, placenta-client may request to have them destroyed |
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tips |
-appropraite reading level -structure- font, headings, size -not just yes or now check boxes - I have recieved info, had the oppurtunity to ask questions, i understand the risks and the benefits -question answer format -clear title -cochran database |
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Categories of Interventions |
-dont need a informed choice document when standard for general population- BP, blood draw -may have a conversation in leu of a full on document- BRAND, BRAIN- client is still a part of the decision- huge thing to make sure the woman remains in control- will affect how she feels about her experience and how she walks into motherhood |
