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16 Cards in this Set

  • Front
  • Back


Acting in the patient's best interest and do good


Do no harm

The physician's role with regards to autonomy and paternalism? (3)

1. Inform and educate

2. Discuss options

3. Guide the decision




Act in good faith

A breach of confidentiality occurs if

medical information is reviewed by someone without a medical need to review that information

Examples of breach of confidence

1. Discussing patient's condition in a public area, even if not identified by name

2. Leaving written information or electronic information available to others in private areas has the potential to break confidence

3. Spouses do not necessarily, by stature, have a right o each other's medical information: ask the patient!

What law describes the privacy mandates that governs who can receive protected health information?

The Health Insurance Portability and Accountability Act (HIPAA) of 1996; privacy rules were added in 2003, and security rules were added in 2004

Name of rule that makes it OK to break confidence if there is a direct threat to a specific individual?

The Tarasoff "duty to warn" rule

Disclosure involves

providing information to the patient and family about procedures and treatments to be rendered

At the outset when discussing elective treatments and procedures, the discussion should include

to whom the patient wants information given

For procedures and surgery that carry significant morbidity and possible mortality, disclose should include (5)

1. Patient's current medical state and how the proposed procedure will affect the prognosis

2. Discussion of the risks

3. Benefits

4. Other options

5. Uncertainties that exist

Passive euthanasia

Treatments are withheld, but no active treatments are performed with the intent of promoting the patient's death

Active euthanasia

The physician directly participates in the patient's death

Double effect

An action is ethical if it is intended to provide relief to the patient

Living will

An advanced directive, a document that states the patient's wishes at the end of life and can describe treatments and interventions that the patient finds acceptable