Medical ethics 2 Flashcards
informed consent
-The PA should provide information that is understandable to competent patients or patient surrogates including:
-Nature of medical condition
-Goal of treatment
-Treatment options
-Possible outcomes
-Risks involved
-“Physician Assistants have a duty to
protect and foster a patient’s free and informed choices
-provide adequate information
-comprehendible to a competent patient or patient surrogate.
-PAs should be committed to the concept of SHARED DECISION MAKING, involves;
-assisting patients in making decisions that account for medical, situational, and personal factors.
surrogate
-When patient’s surrogate is giving consent PAs must make sure that decisions are consistent with;
* patient’s best interests
* patient’s personal preferences.
-If the PA believes the surrogate’s decisions do not reflect patient’s wishes or best interests, PA should work to resolve this conflict.
* Risk Management
* Attending Physician, Senior PA
* Second opinion
confidentiality
-PA’s must maintain confidentiality, respect patient’s privacy and help prevent
discrimination based on medical conditions.
-if patients know their privacy is
protected, they are more likely to seek medical care and discuss issues candidly
Health insurance portability accountability act (HIPPA)
-Information in the patient’s medical record = Private Health Information (PHI)
-should be kept confidential.
-only released with written permission of the
patient or patient’s legally authorized representative.
-Patients have the right to know information contained in their medical record.
-Laws provide patients access to their records.
-Facilitate patient access to the information
HIPAA rights to patients
-right to privacy
-right to confidential use of their health information for their treatment, billing process, and other health care operations (such as quality improvement)
-right to access and amend their health information upon request
-right to provide specific authorization for use of their health information other than for treatment, billing and other health care operations
-right to have their name withheld from out pts directories
-right to request that information is not given out concerning their care to specific individuals including the right to opt out of our pt directory (name not listed as being present in our facility other than for treatment, billing, and other health care operations)
-right to request individuals are not told of their presence in our facilities
pts privacy and confidentiality
-Private laws give patients the right
to consent authorizing use and
disclosure of Private Health
Information (PHI).
-Exceptional cases may force
providers to share PHI without
consent or prior notification.
* To meet certain requirements of the
statutory laws in emergencies.
* To meet requirements of certain regulatory
bodies.
* To meet requirements of authorized
healthcare bodies permitted to investigate
disease control patterns and possibilities of
infection outbreaks.
disclosure
-pas should disclose information concerning errors made while caring for pts
-physician and PA should disclose error to pt if it is significant to pts well being
care of family members, friends, and co-workers
-Treating oneself, co-workers, friends, family members or your students may be unethical or create conflict of interest.
* Judgment may be less
objective
* High quality of care may not be possible if not in medical setting
* Lack of accurate or any documentation of medical records
keep accurate documentation of medical records
-for quality and continuity of pt care
-protection of practitioner
-reduces malpractice exposure
reproductive decision making
-Patients have the right to reproductive health care services ie; fertility treatments,
contraception, sterilization and abortion.
* PA’s have the obligation to provide unbiased clinical information on reproductive issues.
* If PA’s personal values conflict with providing information or services, PA does not have to become involved with that aspect of patient care.
* PA must refer patient to another qualified
provider
