egan's fundamenal of respiratory care chapter 5
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marilyngrah on July 21, 2010
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57 terms
Terms | Definitions |
|---|---|
 Ethical dilemmas occur | when there are two equally desirable or equally undesirable choices.may also involve situations that are either legal or illegal. |
| Ethical dilemmas in respiratory care often involve | the scope of practice, confidentiality, working within levels of professional respontiality, professional development issues,staffing patterns, and /or recordkeeping. |
| What are professional codes of ethics ? | guidelines established to identify idal behavioral parameters by members of a professional troup. deals with behavior over which threr is little diagreement. |
| What are the two basic ethical theories: | formalism and consequentialism |
| What are the most common used | decission-making model is the mixed approach. The mixed combines more formalism consequentialism and modern decision-making theroy |
| What does the plublic law deals with? | the relationships of private parties and the government. |
| What is the civil deals with? | the recognition and enforcement of the rights and duties of private individuals and organization. |
| What is professional malpractice ? | Is negligence in which a professional has failed to provide the care expected,resulting in harm to someone. examples beyound the practitioner's skill level, failure to perform a dutyas asigned, or failure to perform the duty correctly. |
| What does a professional licensee provides? | a framework under which a licensee carries out his or her duties.Also acts to definewho can perform spedified duties, it is expected that the duties, it is expected that the duties will be performed in a professional manner to provide safety. carry out their duties with an eye toward defending themselves in the case of legal action |
| ... | patients today are better educated and hold higher expectations from health care practitioners. Many patients are assuming responsibility for their own health care, placing the health care, placing the health care practitioner into the role of consultant. |
| when should patient information be discussed | only in the private and with persons who have a legitmate reason and need to know. |
| what are the letters RCP indicate | they suggest three import characteristics for the RT to follow when confronted with ethical dilemmas Respect, Compassion, Professionalism |
| What ethical information should be gathered before making a ethical dedision? | 1. Identigy the problem or issue.2. individuals involved 3. ethical princiole or principles that apply 4. who should make the decision 5. role of the proctitioner. 6. consider long-term and short-term consequences 7. make a decision even if not to act.8. follow the decision to observe its consequences |
| what does the civil or private laws protects? | privates citizen and organization from others who might seek to take unfair and unlawful advantage to them. |
| What does the public or criminal laws have | the two major divisions of 1. public law (which are criminal law) 2. administrative law |
| What does the criminal law deals with? | acts or offenses against the welfare or safety of the public. punishment are fines, imprisonment, or both |
| What does the administrative laws deals with? | is the second major branch of public law; for government agencies.Health care facilities are inundated by a host of administrative and agency rules that affects almost every aspect of operation. |
| What is negligence? | failure to perform one's duties competently; commission or omission. standard duty on individual not to cause risk or harm to others. |
| What are the three malpractice classification? | 1. criminal malpractice: assault and bettery or euthanasia handual in criminal court. 2. cival malpractice, below a reasonable standard 3. eithical malpractice: violations of professional ethics and censure or disciplinary actions by licensure boards. |
| autonomy | this princple acknowledges patients personal liberty and their right to decide theeir own course of treatment. |
| informed consent | this principle the of deceit to get a PATIENT TO REVERSE THE DECISION TO REFUSE TREATMENT IS CONSIDERED UNETHICAL |
| VERACITY | binds the health care provider and the patient to tell the truth |
| what is the problem with veracity center around issies with benevolent decepion? | withholding the truth from the patient for his or her own good;in most cases, telling the truth is the best policy |
| nonmaleficence | obligate health care providers to avoid harm when possible; the problem occur when the treatment has serious side effects or a double effect |
| beneficence | raises the do-no-harm requirement to a higher level; health care workers to contribute well-being of their patients. have led to advanced directives. |
| confidentiality | repect the paatients right to privacy;health care workers are permitted to share the patient's medical history with others |
| justice | fair distribution of care; a balance must be made between expenses and the ability to pay for them |
| role duty | to have a duty to understand the limits of their role and to practice with fidelity. RT must not perform duties outside their defined role. |
| formalism | viewpoint that relies on rules and principle;an act is justifiable if it upholds the rules or principles that apply. |
| consequentialism | act is judged to be right or wrong based on its consequence; which aims to promote the greatest general good. |
| intuitionism | an ethical viewpoint that there are certain self-evident truths, usually based on moral maxims. treat others fairy |
| tort | civil wrong against an individual or propery for which the court provides a remedy;act that violates another's interest |
| negligent tort | is failure to perform one's duties competently as a health care provider. |
| What are the four Ds" of Negligence? | 1. owes a duty to the patient. 2. was derelict with that duty. 3. breach of duty was the direct cause of damages.4. damage or harm came to the patient. |
| What are the two general defenses against intentional torts? | 1. there was no intent to do harm. 2. the patient gave consent to the action,knowing the risks involved. |
| avoiding lawsuits | be aware of and conform to all legal aspects of licensure and the standards of care |
| HIPAA | act (1996) to establish standards for privacy of individually identifiable health information; the basic goal of the act was strike a balance between protecting individuals health information and not impeding the exchange of information needed to provide quality health care. |
| virtue ethiics | benifits then rule or consequence |
| rule utilitarianism | rule for greatest good of a person |
| living will | health care preferences in writing |
| informal consent | consent to treat patient |
| double effect | key first intent good then harmful; unintended |
| distributive justice | proper allotment of benefits |
| compensatory justice | recovery for damage by action of others |
| breach of contract | failure to carry out terms |
| benevolent deception | truth is withheld for patient own good |
| automony | right to decide their own course of treatment |
| advanced directive | if not able to make decision about medical treatment in the future |
| plaintiff | brings a complaint |
| defendants | wrong doing to others |
| tort | is a civil wrong |
| res ipsa loquitur | speaks for itself rule of evidence of negligence |
| assault | wrong doing considered intentional |
| battery | placing another person in fear of bodyly harm |
| libel | written deformation of character |
| slander | verbal defamation of character |
| defending | carrying out their duties with and eye toward defending themselves in the case of legal action |
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