Medical ethics Flashcards

Question

How do you respond to complaints?

Answer 1

Constructively and honestly Co-operate with any complaints procedure Must not prejudice patients care because of complaints When appropriate offer an apology Identify each reason and respond to them. Explain valid concerns from happening again

Answer 2

``` Local compaint Discipilanry action from eemployer Civil claim Medical council Criminal prosecution ```

Answer 3

Predisposing factors of rudeness, inattentiveness, micomunication Precipitating events - adverse outcome, iatrogenic injury, incorrect care, system erroes Often poor communication

Answer 4

``` Meet patient/family Try to see their perspective Explain Be courteous, objective and professional Apologise when appropriate ```

Answer 5

Being female Personal behaviour Medictation, exercise. work life balance Asking for help Cognitive (belief, self reflection, mindfulness) Professional values

Answer 6

Knowledge, skills and performance Safety and quality Communication, partnership and teamwork Maintianing trust

Answer 7

Any information relating to an identified or indetifiable naural person - directly or indirectly I.e name, ID number, or physical genetic mental etc idenity of the person

Answer 8

``` Age Disability Gender reassignment Marriage and civil partnership Pregnancy/maternity Race Relgion or belief Sex Sexual orientation ```

Answer 9

``` Join a defence union Be aware of and follow GMC's advice "good medical practice" Be aware of local complaints procedure Put patients first - act in their best interest Do not be judgmental Don't be afraid to get a second opinion Clinical audit Peer review Act responsibly Don't break the law ```

Answer 10

In a formal procedure have 3 days to acknowledge complaint Determine what the response requires Give full response in 20 days unless impossible (must let patient know and why) Must let them know they can contact others if still unsatisfied If remain unsatsfied sugest mediation DOCUMENTATION very important

Answer 11

Have a period of 5 days for complaints officer to decide if imformal complant might be better Must tell complainer and hair their agreement Documentation still imporant Also prudent to respond within 3 days of recieving complaint

Answer 12

Any complaint is dealt with effciently and properly investigated To know the outcome of any investigation Take their complaint to Ombudsman if unsatisfied with way NHS deals with complaint Claim for judicial review if directly affected by unlawful act/decision Right to compensation if harmed by negligent treatment

Answer 13

If they doctor does not think it indicated then no, although they can get a second opinion Can refuse but cannot demand specific treatments

Answer 14

``` When they are incapable of: Acting Making decisions Communicating decisions Understanding decisions Or retaining memory of decisions ```

Answer 15

Vulnerable adults Mentally compromised Children

Answer 16

Single or repeated act or lack of appropriate actions occuring within any relationship where expetation of trust Causing harm to vulnerable person

Answer 17

18+ in need of community care by reason mental or other diability age or illness Unable to care for self

Answer 18

``` Increasing age Lack of mental capacity Physically dependant on others Low self esteem Previous history of abuse Negative experiences disclosing abuse Social isolation Lack of access to health and social services or high quality information ```

Answer 19

``` Physical Sexual Pyschological Financial or material eg theft, fraud pressure in wills etc Neglect/act of omission Discrimatory abuse Domestic Oganisational ```

Answer 20

``` Empowerment Protection (support) Prevention Proprtionality Partnership Accountability ```

Answer 21

Adult unable to safeguard own well-being, property, rights or other interest At risk of harm And because they are affected by disability, mental disorder, illness or physical/mental infirmity are more vulneral to being harmed

Answer 22

The local service responsible for safeguarding | England and wales have local safeguarding investigation team

Answer 23

Discuss with a senior Document concerns Report to relevant authority

Answer 24

Lack of trust and relationship difficulties Feeling worthless Trouble regulating emotions

Answer 25

Emotional child abuse Child neglect Physical Sexual abuse

Answer 26

Constant belitting, shaming and humiliating child "no good" "worthless" "mistake" Frequent yelling, threatening or bulying Ignoring or rejecting child as punishment Limit physical contact with child

Answer 27

Failing to provide for a child's basic needs

Answer 28

Physical harm | May be deliverate, but not always

Answer 29

Abuse has unpredictability - never knowing what will set parent off Abuse - lashing out in anger and control, not trying to teach child Abuse - uses fear to control behaviour

Answer 30

Has layers of guilt and shame Does not always involve body contact Exposure to sexual situations or material Most often at hands of someone they trust

Answer 31

Excessively withdrawn, fearful or ancious about doing something wrong Shows extrmes in behaviour - compliance, demanting, passive or aggressive Seemingly unnatached to parent/caregiver Acts inapproriately adult like or infantile (takijng care of other children vs tantrums etc)

Answer 32

Frequent injuries Watchful/alter as if something is about to happen Injuies have patterns Child shies away from touch/sudden movements. Afraid to go home Wears inapproriate clothing like long sleeves on hot days to ocver up

Answer 33

Clothes illfitting or filthy Hygiene constantly bad (unbathed, matted/unwashed hair noticable body oder) Untreated illness/injury Frequently late or missing from school

Answer 34

Untreated mental illness Domestic violence Substance abuse Lack of parenting skillsStress and lack of support

Answer 35

Keep good, full contemporaneous records Dsicuss concerns with colleagues Discuss concerns with GP Take advice from defece organisation Report case to social services if GP doesn't Follow up actions by colleagues, doctors and social services

Answer 36

In the case of a serious disease that a patient has come in to contact with If you believe that a peron is at risk of infection and likely to result in serious harm AND patient has not told them nor be persuaded to do so

Medical ethics Flashcards

(60 cards)