Informed Consent & Patient-Centred Care Flashcards Preview

Intro to Physio > Informed Consent & Patient-Centred Care > Flashcards

Flashcards in Informed Consent & Patient-Centred Care Deck (27):

Define "assault"

Striking, touching, moving or applying force directly or indirectly to a person without their consent, or if the consent is obtained by fraud; or threatening to do so


What does "applying force" refer to?

Applying heat, light, electrical force, gas, odour or any other substance or thing that will cause injury or personal discomfort


Define "negligence"

Failure to exercise reasonable care and skill


When is a person negligent?

When the risk was foreseeable and significant and a reasonable person would have taken precautions


What 3 elements must be proven to recover compensation for alleged negligence?

1) There was a duty of care to the patient
2) There was a breach of that duty
3) The injury the patient sustained was caused by the breach of duty


What are material risks?

Risks that have particular significance for the patient


Define "informed consent"

When a person has given consent based on an appreciation and understanding of the facts and implications of an action. The person must have the relevant facts and reasoning facilities at the time of consent


What are the components of informed consent?

- Does the patient understand? (Age, mental capacity, language)
- Rights (right to withdraw consent at any time)
- Condition
- Treatment/intervention options
- Costs
- Risks (general, specific/significant, risk of doing nothing, uncertainty)
- Who will be performing the procedure


What are the four elements that result in consent being valid and informed?

1) Patient is competent to give consent
2) Full information of risks, benefits, alternatives and costs has been provided
3) Consent is freely given
4) Consent is specific to the procedure


Why is informed consent important?

Autonomy of the individual is protected by law, ethics & codes of conduct, things can go wrong


What is the most common allegation associated with poor informed consent?

Complication not mentioned


What are the 4 considerations associated with patient-centred care?

1) Body systems
2) Life stage (i.e. age)
3) Diversity (i.e. background, culture, disability)
4) Settings (i.e. hospital, workplace, recreation)


What does the Health Professionals Act 2004 deal with?

People pretending to be health professionals, registration of practitioners, health professionals misbehaviour, reporting misconduct


When is consent waived for a physio?

When the patient is unconscious but breathing (put in recovery position) or when the patient is unconscious and not breathing (commence CPR)


What are the 6 key expectations for patients with CLBP?

- The physio
- Communication
- Individual care
- Decision-making
- Information
- Organisation of care


What are the two key attributes of a good physiotherapist, as perceived by patients?

Competence (know what they're talking about, great depth of knowledge) and personality (friendly, professional, caring)


Why is there a complex combination of factors associated with patient-centred care?

Because patients who describe their physio as nice or competent don't necessarily perceive their treatment as being patient-centred and are not always satisfied


How does communication play a role in individual care?

Listening, understanding, getting to know the patient, allowing the patient to explain their problem and question the physio


How is decision-making linked with communication in patient-centred care?

Patients tend to be happy for the physio to make most decisions as long as they are accompanied by good explanations


How much information should a physio provide to a patient?

As much information as they can confidently provide about the diagnosis and what it means for them, or if there is no specific diagnosis, e.g. it could be one of these 3 options


What are the most important elements of organisation of care?

Access to physio (waiting times, amount of treatment, return access) and clarity over onward referral


What are the 4 elements of "expert" patient-centred care?

- Values & virtues
- Clinical reasoning/empowerment/collaborative problem-solving
- Clinical practice style
- Knowledge


Therapists classified as experts have a patient-centre approach to care, characterised by what?

Collaborative clinical reasoning and promotion of patient empowerment


What are the 3 approaches to goal setting in regards to engaging a patient?

Therapist controlled, therapist led, patient-centred


What are the clinical implications of patient-centred care?

- Identifying and addressing psychological factors
- Facilitating the decision-making process
- Establishing a conducive learning environment
- Facilitating self-management
- Enhancing communication


What are 3 psychological models physios can use to enhance their skills in facilitating self-management?

- Self efficacy component of social cognitive theory
- Transtheoretical model
- Motivational interviewing


What is the transtheoretical model?

Precontemplation - Contemplation - Preparation - Action - Maintenance