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21 Cards in this Set
- Front
- Back
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For what 4 medical interventions must informed consent be obtained?
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-Procedures
-Treatment -Testing -Research |
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What are the ethical principal bases of Informed Consent?
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-Patient Autonomy
-Fiduciary duty |
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Why is it important to reveal and tell the truth to patients?
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So they can make decisions for how to live their life
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What 5 criteria must have been met for a physician to have obtained true INFORMED CONSENT?
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1. Adequate disclosure of information
2. Patient has decisional capacity 3. Patient comprehended the info 4. Voluntariness (noncoercion) 5. Patient consents |
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Acronym for informed consent criteria?
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ADCVC
-adequete info -decisional capacity -comprehension -voluntariness -consent |
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What INFORMATION has to be included in informed consent?
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1. Disease process
2. Prognosis 3. Risks/benefits of treatment 4. Risks/benefits of alternatives 5. Effect of not treating |
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What are the 2 disclosure standards for what info should be included, as recognized by courts?
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1. Professional community standard
2. Reasonable patient standard |
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What is the Professional Community Standard?
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The info that would be included by a capable, reasonable physician in the same field.
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What is the Reasonable patient standard?
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What a reasonable patient would consider noteworthy information for making the decision to consent.
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What are some less definitive things to include in Informed Consent information?
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-All viable alternatives
-Experience with the procedure |
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What are the 4 exceptions to informed consent?
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1. Emergency priviledge
2. Therapeutic priviledge 3. Patient is Nondecisional 4. Waiver of rights |
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When is emergency priviledge applicable to not needing to obtain informed consent?
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-Coma
-Nondecisional -No other legal guardian or proxy is available for decisions -There is serious risk of bodily injury -Time is of the essence -A reasonable person would consent |
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When is Therapeutic priviledge granted?
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When the full disclosure of information required for obtaining consent would have an adverse effect on the patient's health.
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Do patients have the right to refuse medical treatment?
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You betcha
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What are the 3 grounds for refusing medical treatment?
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-Law of battery
-Informed consent/refusal -Liberty interest of 14th Amendment |
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What is the exemplary case for patients having the right to refuse life-sustaining medical treatment? What was the treatment refused?
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Cruzan - her family refused life supporting feeding tube when she was in a PVS due to car accident.
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What is the case in which the doctor didn't inform the patient of consequences of refusal?
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Truman vs thomas - the patient died from cervical cancer bc the doctor didnt' tell her the consequence of not having a papsmear
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What is required for obtaining informed consent for minors?
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-Get it from the parents
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What are 2 conditions in which informed consent should be obtained from the minor directly?
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-Emancipated
-Mature minors |
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What are 3 procedures for which informed consent does not have to be obtained from parents, even though the minor is truly minor?
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-STD testing
-Alcohol/other drug abuse issues -Psychological care |
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Is it even required for the patient to sign a form that they've given informed consent?
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no!
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