Flashcards in MTB - Ethics Deck (23):
T/F: an adult with the capacity to understand his/her medical problems can refuse any therapy or test
- respecting autonomy is more important than trying to do the right thing for a patient but always try to discuss things first with the patient
trying to do the right thing
capacity vs. competence
capacity is determined by physicians
competence is determined by judges/courts
when do you get a psych consult to help determine capacity?
when patient's capacity to understand is not clear
- NOT for when patient is clearly competent or if patient is in a coma
when does a minor have the "capacity" to understand their medical problems
not until age 18
Living independently and self supporting, married or in the military
- exception: abortion --> 36 states have parental notification laws
T/F: Parents can refuse lifesaving therapy for minors.
Even in case of Jehovah's witness - they can refuse blood for themselves but not their child. This is child abuse.
T/F: Pregnant women can refuse life-saving therapy even when the life the fetus is at risk.
exception to the "privacy" rule
1. Patient has a transmissable disease ex. TB, HIV, gonorrhea, syphilis
2. Patient w/ psychiatric illness who may be planning to harm others
T/F: An adult with capacity can withhold or withdraw any form of therapy.
Health care proxy
document describing the care the person desires as well as the appointment of an agent to be the decision maker should the patient lose the capacity to make decisions
what does DNR include?
refusal of endotracheal intubation and CPR
when does the ethics committee get involved in end of life care?
The patient is not an adult capacity.
No clearly stated wishes on part of the patient (no proxy or will)
When else is the ethics committee the answer?
When the caregivers are split or in disagreement about the nature of care
physician assisted suicide
providing the patient w/ means to end their life --> always wrong answer
physician directly administers the means of ending patients life -- always wrong answer
T/F: The physician is obligated to provide treatments he feels are not beneficial if the patient insists.
there is no obligation on part of the physician to provide care that will not work
Do you need the consent of the father for abortion?
T/F. if you are a health care worker with HIV, you have to disclose your status
No obligation for HIV-positive workers to disclose their status.
T/F: the physician has an obligation to accept a patient.
False --> the need of a person does not compel the physician to accept that person as a patient.
T/F: Sexual relationships between physician and patient are never acceptable.
True in the case of psychiatry.
False in other physicians - but they must first end doctor-patient relationship.