Summary Advanced Patient Care

Advanced Patient Care Informed consent Correct Answer: written assent of a patient to receive a treatment using adequate information. Autonomy Correct Answer: the patients are to be treated as individuals and informed about procedures to facilitate appropriate decisions 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 Assault Correct Answer: Assault 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 imprisonment 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. Subjective 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 Consequentialism 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 Collegial 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