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Question 1

professional ethics

Answer 1

the systematic study of the nature of professional value concepts

Question 2

what trumps- business or professional ethics?

Answer 2

professional- it’s always about the patient

Question 3

with the change from the traditional model to the collaborative model, the pharmacist moves from a consultant and advisor to

Answer 3

decision maker

Question 4

traditional health care model

Answer 4

physician decides ad coordinates patient’s care with the support of other health care providers

Question 5

collaborative health care model

Answer 5

each member of the team relies upon one another to use their skills to make the best possible decisions on behalf of the patient

Question 6

what is key in the collaborative care model

Answer 6

communication of the decisions to the patient and other members of he health team is critical o the successful coordination of the patient’s care

Question 7

Traditional Professional Decision Making Model steps:

Answer 7

1) define problem (concise statements)
2) gather info
3) identify values that apply or are in conflict (moral rules, ethical principles, and ethical theories
4) identify alternative solutions
5) identify advantages/disadvantages for each alternative
6) select best alternative for patient (consider their best interest)

Question 8

Collaborative Care Decision Making Model (7 steps) acronym

Answer 8

PARAID’N

Question 9

Collaborative Care Decision Making Model (7 steps)- full

Answer 9

P- Pharmacist's competence/confidence
A- Appropriate Information
R- Relationships
A- Appropriateness
I- Informed consent (patient)
D- Documentation
N- Notification (notify prescriber)

Question 10

what stage of the collaborative care decision making model do we apply the hierarchal framework for solving ethical dilemas?

Answer 10

4- appropriateness (when we determine whether or not the treatment plan is in the best interest of the patient)

Question 11

six elements of professional judgement-acronym

Answer 11

SHEELS

Question 12

six elements of professional judgement- full

Answer 12

S- social
H- historical
E- ethical
E- economic
L- legal
S- scientific

Question 13

4 steps in hierarchical framework for solving ethical dilemas

Answer 13

1) Judgements or actions
2) Moral Rules
3) Ethical Principles
4) Ethical Theories

Question 14

Consequential ethical theory

Answer 14

actions are right or wrong according to their consequences

Question 15

nonconsequential ethical theory

Answer 15

characteristics of an action that make it right or wrong are wholly or partially independent of the consequences

Question 16

patient centered care

Answer 16

care that is respectful and responsive to individual patient preferences, needs and values and ensures that PATIENT VALUES GUIDE ALL CLINICAL DECISIONS

Question 17

shared decision making

Answer 17

process by which a health care choice is made by the clinician together with the patient

Question 18

what doesn’t exist in shared decision making and why

Answer 18

paternalism- may exist weakly (when providing a patient with a recommendation and considering values of the patient- this is what i think and why), but you do not make a decision for them

Question 19

elements of collaborative care/teamwork

Answer 19

• mutual trust
• knowledge of others’ competencies and skills
• responsibility and accountability
• effective communication
• cooperation and coordination

Question 20

negligence

Answer 20

conduct that falls below the standard accepted in the community
-consists of an act or omission which constitutes a failure to exercise the due care of a reasonably prudent pharmacist under similar circumstances whereby the person or property of another is injured

Question 21

what is the first principle of negligence

Answer 21

standard of care

Question 22

what is the second principle of negligence

Answer 22

duty of care

Question 23

what does HIPA stand for

Answer 23

health information protection act

Question 24

when did HIPA become a law in SK?

Answer 24

september 1, 2003

Question 25

who does HIPA apply to?

Answer 25

all individuals and corporations (called "trustees") that have custody and control of personal health information

Question 26

under what circumstance is a pharmacist not a trustee for HIPA? What are you still obligated to do?

Answer 26

If you are an employee of a trustee; then your employer is required to ensure you comply with HIPA -however, you are still obligated under your ethical responsibilities to protect the patient's privacy and right of confidentiality

Question 27

Rights for patient under HIPA include

Answer 27

- right to consent of personal health info disclosure - right to revoke consent - right to be informed about use of information - right to be informed about disclosures without consent (except in cases where consent is deemed to exist- within circle of providers) - right to refuse to give HSN in a non healthcare setting - right to access personal info about oneself (unless healthcare practitioner thinks may cause mental or physical harm/ compromise safety of individual) - right to request amendments to records - right to designate another person to make decisions about their personal health info - right to apply to request review of action taken or decision made by trustee

Question 28

HIPA levels of consent

Answer 28

1) expressed consent (patient tells/writes) 2) inferred consent (reasonably assume) 3) deemed consent (automatic within circle of care if appropriate and relevant)