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Clinic IV: Midterm
17 CRDTS, 4 Dental Coding, 5 Philosophy, 19 Informed Consent, 5 Social Issues, 50 Jurisprudence
Terms in this set (29)
is "a risk that a 'reasonable person' would consider in determining whether to proceed with treatment"
The right to informed consent is derived from the right to
pt. acts as if they agree to be examined by the providers
Pt. VERBALLY agrees to a recommended procedure
Pt. signs a statement suthorizing the provider to perform a procedure
In this model the provider adopts paternalism
"harm avoidance model"
This model encourages or justifies decieving pts. in order to motivate them or enhance their compliance
"harm avoidance model"
This model is the more recent concept of Informed Consent
Exceptions in obtaining informed consent
-if pt. is mentally or psychologically compromised
-if pt. is experiencing a server physical illness diminishing his/her judgement
-if pt. is in critical condition & talking w/ surrogate will result in delaying urgently needed tx
If pt. refuses treatment after all treatment is explained, it is called
If pt. refuses tx. the information that needs to be documented is:
-provider's info that was given to pt regarding tx that was being refused
-pts. understanding of risk since refusing tx
-pts. reasoning for refusing
-date + signature of pt., provider and witness
Information given to patient in order to accept informed consent
-diagnosis/description of problem
-nature + predicted course of condition, with & w/o tx
-prognosis of untreated condition & poss. cost of non-treatment
-need for certain procedures
-advantages, disadvantages, cost, risk, long term effects are all explained
-est. time for tx
-who will be providing tx
Written consent must include
signature of PT + WITNESS
Informed consent & using photos must include
-permission for pt. to withdrawl photo & state refusal wont affect tx
-how long photo will be used, where its published, contact for questions, where & how long it will be kept
-that it could end up on internet
-any misconception that could be interpreted thru the photo
CDCs 1991 + 2003 guidelines include
universal (standard) precautions
This is the pts guaranteed information regarding their care trough informed consent... is called
Patient's Bill of Rights (published in 1999)
What act makes it illegal to discriminate?
Affirmative Act- Civil Rights Act (title vii) of 1964
Family and Medical Leave Act, allows leaves of abscence of up to _____ Unpaid weeks after using all of vacation + sick pay
12... (includes adoption, birth, serious illness, of care of family member)
ADA (act) stands for
American Disabilities Act & makes it illegal to discriminate against disabled pts and employees(as long as you can perform the duties of a hygienest)
The Age Discrimination in Employment Act prohibits
discrimination based on age in businesses employing 20 or MORE workers
OSHA was passed in
low-income/indengent individuals and disabled individuals
Under Medicaid, dental services are considered optional services.
T or F
dental screenings are part of the Early and Periodic Screening Diagnosis and Treatment covered by Medicaid for children.
T of F
The goverment assistance program, SCHIP, covers who specificically?
children and pregnant women.
based on sliding fee scale.
different name per state
What is the largest health insurance program in the united states?
Medicare covers what type of individuals?
65 years or older.
permanant organ failure pts.
Medicare does/doesnt cover routine dental services
In March 2010, the Patient Protection and Affordable Care Act was passed and what type of individuals are covered thanks to this?
individuals with pre-existing conditions
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