Ethics Flashcards
Order of decision making
Pt w/ capacity Healthcare proxy Living will People familiar w/ pt wishes (substituted judgement) Family
When is an ethics committee important
Pt lost capacity
Advanced directive missing/unclear
Pt/proxy asking for stupid tests/treatments
When to go to court
Never
When to get psych eval
Never
Only time minors can make decisions
Contraception
Prenatal care
Substance abuse treatment
STDs including HIV/AIDs
Answer for minor and abortion
Tell minor to notify parents
Do you need consent to stop therapy in brain death
No
Features of consent
Pt is an adult Each procedure needs its own consent Implied in emergency Person doing procedure must obtain Adverse effects explained Consequences of refusal explained
Can a pregnant woman refuse procedures and treatments for unborn children
Yes
Is telephone consent valid
Yes
Pt is DNR, What can you not do
Cardiopulm resuscitation
All other procedures are OK
When to do physicial assisted suicide
NEVER
When is euthanasia the answer
NEVER
Meds to prevent pain can shorten life as a side effect
Still give as long as role is to lessen pain
Do you still give rx if it won’t help pt
Not obligated
