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rest of professional practice

Terms in this set (73)

The proper or a possible place for the trial of a lawsuit
venue
o A wrong, other than a breach of contract, committed against a person or property for which a court provides a remedy, generally in the form of monetary damages.
tort law
What type of tort does medical negligence & malpractice fall under?
Negligence
· Pure comparative fault (1996) - appropriates percentages of fault to all parties contributing to plaintiff's damages and 100% could be awarded & expanded definitions of malpractice
Louisiana Tort Reform
o Failure to administer medications
o Failure to follow up on a critical lab test (measurement)
o Failure to obtain consent
o Failure to monitor a patient
omission of an act
o Administering the wrong medication
o Administering the wrong drug dosage
o Mislabeling a drug (report)
o Performing wrong-sided surgery
o Falsifying measurements
commission of an act
o Commission or omission of an act that a reasonably prudent person would or would not do under given circumstances.
negligence
o· Execution of an unlawful or improper act (ex. Performing a procedure without having the appropriate credentials would be considered what?)
malfeasance
· Improper performance of an act
o (Wrong-sided surgery)
misfeance
· Failure to act when there is a duty to act
· Failure to prescribe antibiotics when indicated
· Failure to respond to emergency call
· Failure to respond to ventilator alarms
· Failure to notify the physician of a bad blood gas value or echo value
nonfeasance
What three laws protect individuals with disabilities?
ADA, Section 504, IDEA
requires covered employers to provide reasonable accommodations to employees with disabilities, and imposes accessibility requirements on public accommodations.
ADA
According to ADA a person with a "disability" is simply one who:
o Has a physical or mental impairment which substantially limits one or more major life activities.
o Has a record of such an impairment
o Is regarded as having such an impairment.
Public transport, housing for people with disabilities is condiered what?
public entity
What places are exempt from having to provide public accomodations?
religious organizations, historical properties, and private clubs
Service animals are considered what?
public accomodations
5 titles addressed by law
1. employment
2. Public entities (federal)
3. Public accommodations (private)
4. telecommunications
5. miscellaneous
· First U.S. federal civil rights protection for people with disabilities. · Covers any program or activity receiving Federal financial assistance (schools, businesses)
Section 504
Goal was to provide children with disabilities the same opportunity for education as those students who do not have disability.
Individuals with Disabilities Education Act, Idea, 1975
How long are individuals covered on IDEA?
21 years
4 parts of IDEA
A: general provision of law
B: assistance for education of all children with disabilities
C: covers infants & toddlers
D: supports programs administered at federal level
Six main elements of IDEA
· 1. Individualized Education Program (IEP), 2. Free & Appropriate Education (FAPE), 3. Least Restrictive Environment (LRE), 4. Appropriate Evaluation, 5. Parent & Teacher Participation and 6. Procedural Safeguards.
LA Act 250, 2015
Deaf childs bill of rights
Why Professional Licensing?
· In order to safeguard the public health, safety, and welfare, to protect the public from incompetent, unscrupulous, and unauthorized persons, and from unprofessional conduct
means that students and faculty from all the disciplines of the health professions will be given opportunities to increase their understanding of---and relationships with---each other through intentionally collaborative learning situations.
Inter-Professional Education (IPE
Model Based on cultural traditions and religiously-determined knowledge, views and practices.
Traditional model
Model based on Scientific values of evidence and authority, but often identifies the "problem" as located within the individual with a disability. FOcuses on impairment not person.
medical model
model where the aurthority lies with highly trained professionals
medical model
model whos framework is based on knowledge from the life experience, values, perspectives, and priorities of people with disabilities.
Disability is seen as part of a continuum of human variation or the result of discriminatory policies, practices, research, and education
social model
WHo is the authority in the social model?
people with disabilities
o Broad knowledge base ranging from medicine to the experience of PWDs.
o Addresses limitations in following just the Medical Model or just the Social Model
integrative model
Example of a medical model
Model of Disability (Functional indepence measure)
Examples of social model
ADA, IDEA
Examples of integrative model
ICF (WHO)
feminine inner self of males
animus
masculine inner self of females
anima
The combination of sex drive, sexual identity, and sex acts as well as all aspects of personality concerned with learned communications and relationship patterns.
sexuality
emotional connectedness between two people
intimacy
Young professionals between the ages of _______are in the developmental stage of desire for a sexual partner:
25-35
Sexism as the hospital family
Physician = the "father"
Nurse and physical therapist (female) = the "mother"
Patient = the "child
· Many patients experience the process of the "sick role" and sexuality in the hospital setting in three phases:
transition phase (health to illness)
accepted illness (assumption of sick role)
convalenscence (dependency)
Effective Communication about Sexuality & Rehabilitation
1. prevent shaming experiences
2. maintain privacy
3. do not make judgments
PLISSIT model
P: Permission
LI: limited information
SS- specific suggestions
IT: intensive therapy
·____% of working age individuals with disabilities are not working
67.2
___ in __ Americans have at least one disability
1 in 5
Barriers to Employment:
· Access to technology/internet
· Interviewing skills/training
· Possible gaps employment history
· Limited experience
· Different learning styles/may notlearn the way companies train.
· May look or talk differently.
how many individuals with disabilities are facility based "non work" getting paid less than minimum wage?
70%
solutions to this employment discrimination
supported employment, customized employment,
An existing job description is modified — containing one or more, but not all, of the tasks from the original job description.
job carving
Two or more people share the tasks and responsibilities of a job based on each other's strengths.
job sharing
Competitive integrated employment, for an individual with a significant disability, that is based on an individualized determination of the strengths, needs, and interests of the individual with a significant disability,"
Customized employment (in rehabilitation act)
combines the Workforce Investment Act, 1998 and Rehabilitation Act, through 2020.
Workforce Innovation and Opportunity Act (WIOA)
· Under WIOA, ___% of public VR funds must now be used for transition services, specifically pre-employment transition services as defined within the act.
15
· Increased VR role in transition from school to work.
WIOA
a coordinated set of activities for a student with a disability designed within an outcome-oriented process that promotes movement from school to post-school activities leading to employment.
Pre-Employment Transition Services(under an Individualized Education Plan (IEP) or a 504-accommodation plan)
· connects Social Security disability beneficiaries to various employment services:
o Employment Networks
o Vocational Rehabilitation
o Protection and Advocacy for Beneficiaries of Social Security
o Work Incentives Planning and Assistance
Ticket to Work (TTW)
SSA reimburses ENs (employmwnt network) if beneficiaries work above a certain level. For this reason, most ENs wont take on a client if he/she wont earn at least $__- per month.
840
WIPA (Work Incentives Planning and Assistance) services are funded by the ____ and authorized by the ___ legislation.
Social Security Administration (SSA); Ticket to Work
created in an effort to encourage employment and to prevent employment-related benefits issues.
WIPA
Sexual health is a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity.
WHO
What does PLISSIT mean?
P- permission
LI- liminited info
SS- specific suggestions
IT-- intensive therapy
5 circles of sexuality
Sexualization
Sensuality
Intimacy
Health
Identity
what areas of the brain light up during sex? less active?
euphoria & reward; less active in frontal lobe
what is the only negative type of effect in arousal?
prolactin
Serotonin has what type of effect?
positivve & negative
male sex response cycle
arousal, plateau, orgasm, resolution (refractory period)
Difference in female & male sexual response cycle?
women do not have refractory periods
What does Basson's nonlinear model acknowledge that affect female's sexual response?
- emotional intimacy
- sexual stimuli
- relationship satisfaction
4 types of intamacy
-physical
- intellectual
-experimental
- emotional
Integrative approach to sexual dysfunction
body, mind, spirit, relationships
T/F: there is a 50% lower mortality for those who orgasm frequently
True
benefits of sex/orgasm
relaxation
monogamy
promotes sleep
pain reduction
improves longevity(2+ a week)
youthful apprearance
What falls under sexualization?
seduction
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