HLT 306V- Advanced Patient Care

Advanced Patient Care Informed consent Correct Answer: written assent of a patient to recieve a treatment using adequete information. Autonomy Correct Answer: the patients are to be treated as individuals and informed about procedures to facilitate appropriate dicisions Simple consent Correct Answer: Consent is the assent required of a patient for any procedure Intentional torts Correct Answer: Intentional torts are wrongs resulting from acts done with the intention of causing harm to another Assult Correct Answer: Assult is a deliberate act wherein one person threatens to harm another without consent and the victim feels the attacker has the ability to carry out the threat, Battery Correct Answer: Battery is touching the victim has not given consent False imprisionment Correct Answer: unlawful confinement of a person within a fixed area Unintentional torts Correct Answer: Wrongs resulting from actions that were not intended to do harm Four ways to deliver information Correct Answer: 1. Patient preference rule 2. Professional custom rule 3. Prudent person rule 4. Sunjective substantial disclosure rule Patient preference rule Correct Answer: professional tells the patient what they want to know Professional Custom Rule Correct Answer: Patient gets information normally given to patients in similar situations Prudent Person Rule Correct Answer: Need to know basis in order to make a decision regarding treatment so they may make an informed consent Subjective Substantial Disclosure Rule Correct Answer: Encourages the physician to disseminate all information important to the patient. Combination of rules Correct Answer: Provides information without overburdening the patient Advance directives Correct Answer: choice made in advance to inform others of the ways in which the patient wishes to be treated while incompetent Informed consent must have Correct Answer: diagnosis, treatment, prognosis, risks, alternatives, costs, rules, duration of incapacitation, names of persons performing the procedure Values Correct Answer: Qualities or standards desirable or worthy of esteem in themselves and are expressed in behaviors, language and standards of conduct Bioethics in 20th century Correct Answer: W.D. Ross: Professional behaviors John Rawls: Theory of Justice Kohlberg: Stages of moral development Consequentialsm or Teleology Correct Answer: Decisions are based on the consequences or outcomes of a given act. Immediate harm balanced with future benefits Deontology Correct Answer: based on individual motives and morals. Examines the significance of actions themselves. personal rules of right and wrong Virtue Ethics Correct Answer: Practical wisdom and moral character. Uses teleology and deontology and is a more holistic approach Engineering model Correct Answer: views patient as a condition or procedure Paternal or priestly model Correct Answer: Provider knows best Collegical model Correct Answer: Mutual cooperation between provider and patient Contractual model Correct Answer: Business relationship in which both provider and patient have obligations, responsibilities and rights Covenantal model Correct Answer: Agreement between provider and patient grounded in traditional values. DOWD model in problem solving Correct Answer: Assessment of problem, Isolation of issues, Analysis of the data, Development of a plan of action, Institution of a plan, Analysis of outcome Administrative law Correct Answer: Licensing and regulation. Can include suspending and revoking of license Criminal law Correct Answer: Wrongs against State. Can include fines, restitution, community service or incarceration Civil law Correct Answer: Wrongs committed by one party harming another. Can include monetary damages to compensate for loss and to punish Statutory law Correct Answer: All laws enacted by federal, state, county and city governments Judicial Decisions Correct Answer: previous cases that either interpret statutes or adopt and adapt common law principles Risk management Correct Answer: Identifying analyzing and evaluating risks and selecting the most advantageous method for treating them. Goal: to maintain high quality patient care yet conserve the facilities financial resources Quality Assurance Correct Answer: Assesses quality of patient care that uses hospital committees to oversee the quality of various hospital functions Lawsuits involving medical imaging sciences are usually what kind? Correct Answer: Civil law, tort division Standard of Care Correct Answer: Degree of skill or care practiced by a resonable professional practicing in the same field. Negligence Correct Answer: Unintentional tort involving duty, breach or duty, injury and causation Resonable care Correct Answer: Degree of care a resonable person similarly situated would use Medical negligence Correct Answer: breach of the health care provider's duty to follow the applicable standard of care which results in harm to the patient Res Ipsa Loquitur Correct Answer: "The thing speaks for itself" When a particular injury could not have happened in the absence of negligence Place of communication Correct Answer: The environment of the expectation of truth Role of communication Correct Answer: The relationship between the communicators, which may have an impact on the expectation of truth. Nature of truth Correct Answer: In questions regarding private matters. (sex, finaces, personal information. Obligatory secrets Correct Answer: Harm may result if it is revealed. there are three types 1. Natural 2. Promised 3. Professional (maintained to protect the patient, society and profession) Exceptions to confidentiality Correct Answer: Wounds, abuse, communicable disease, accidents, birth defects, addictions, family's need to know, public needs to know, & third party payers No consent needed for HIPPA disclosures are: Correct Answer: treatment, payment, healthcare operations, appointment reminders, treatment alternitives, health related bebefits, fundraising, facility directory, clergy, research and those involved in care. BUT permission may be revoked anytime IN WRITING Statutory duty to report Correct Answer: Legal obligation to report VD, TB, Wounds from violence, poisioning, industrial accident, abortions, drug abuse, abuse of children, elderly and people with disabilities Defamation Correct Answer: making of a flase statement to a third party which is harmful to anothers reputation. Slander Correct Answer: Oral defimation