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ethics ch.4/5 power point (test 10/27)

Terms in this set (31)

Document established by AHA to ensure that patients understand the expectations, rights, and responsibilities regarding their health.
patient care partnership
patient care partnership
Document established by AHA to ensure that patients understand the expectations, rights, and responsibilities regarding their health.
Provide information patients want to know
Patient preference rule
Provide information normally given to patients
Professional custom rule
Provide information patients need in order to give consent or refuse treatment
Prudent person rule
Encourages physician to provide all information important to the individual patient
Subjective substantial disclosure rule
Provide information to patients without overburdening the patient
Combination of rules
To be totally informed, patient needs to:
-Be educated in many areas from anatomy to image procedures

-Understand your responsibility in the process of obtaining informed consent

-Make every effort to help patients to be knowledgeable of examination, even complicated ones

-Until patients become responsible for providing and obtaining information concerning procedures, a truly informed, educated consent ensures autonomy may never totally be realized.
examples of incompetence:
Temporarily compromised by prescription or OTC drugs
Brain damage
Unconscious or in a coma
Developmental disabilities
Dementia
Alzheimer's disease
7 steps to help professionals maintain respect for autonomy:
- Is the patient legally competent?
- If competent, has the patient expressed preferences for the procedure?
- Does the patient understand the benefits and risk before giving consent?
- If the patient needs a surrogate, is the surrogate using appropriate standards for decision-making?
- Has the patient expressed prior preferences (advanced directives)?
- If the patient is unable or unwilling to cooperate with the procedure, is there a reason?
- After considering the previous points, is the patient's right to choose being respected both ethically and legally?
what is an advance directives?
A predetermined (usually written) choice made to inform others of the patient's wishes for treatment if and during the time that they may be considered incompetent.


provides protection for the patient
A tort action is filed to
recover damages for personal injury or property damage occurring from negligent conduct or intentional misconduct.

-intentional
-unintentional
action of damaging the good reputation of someone; slander or libel
defamation
examples of intentional torts:
assault
battery
false imprisonment
defamation
examples of unintentional torts
Negligence
Lack of informed consent
Breach of patient confidentiality
conformity with fact or reality.
truthfulness
is the obligation to tell the truth and not to lie or deceive others
veracity
is a falsehood told to another who has a reasonable expectation of the truth
lie
right to truth: 2 commands
-do not lie
-You must communicate with those who have a right to know the truth
Student asks instructor where they stand in comparison to another student on grades


example of:
role of communication
Student asks question about pathology within earshot of patient


example of:
place of communication
professional asks student about personal issues; finances, sexual preferences, etc.


example of:
nature of truth involved
is a knowledge that a person has in which they are obligation to conceal
secret
A secret that by its nature would be harmful if revealed
natural secret
A secret the receiver has promised to conceal
promised secret
A secret maintained to protect the patient, society, and profession
professional secret
When professional secrets are revealed, both the patient and the imaging profession are harmed.
Damage to the reputation of the imaging profession harms the community, which depends on a limited number of professionals for imaging services.

what type of secret?
professional
Imaging professionals who cannot be trusted to keep secrets about patients or co-workers not only breach confidentiality, but also lose trust as employees or friends.
If the risk of keeping the secret outweighs the harm to the patient or friend, the imaging professional must make a decision.


example of what type of secret?
promised secret
An imaging professional may know that a patient has AIDS but has the obligation to keep the knowledge confidential. If revealed the person could have difficulty gaining employment and might be persecuted socially.


example of what type of secret
natural secret
HIPAA
health insurance portability and accountability act
The duty to warn third parties is
the obligation to disclose information to warn third parties of a risk of violence or contagious disease or some other risk.

-aids/ child abuse
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