MTB - Ethics Flashcards Preview

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Flashcards in MTB - Ethics Deck (23):
1

T/F: an adult with the capacity to understand his/her medical problems can refuse any therapy or test

TRUE
- 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

2

beneficience

trying to do the right thing

3

capacity vs. competence

capacity is determined by physicians
competence is determined by judges/courts

4

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

5

when does a minor have the "capacity" to understand their medical problems

not until age 18

6

Emancipated minors

Living independently and self supporting, married or in the military

7

Partial emancipation

sex
reproductive health
substance abuse
- exception: abortion --> 36 states have parental notification laws

8

T/F: Parents can refuse lifesaving therapy for minors.

False.
Even in case of Jehovah's witness - they can refuse blood for themselves but not their child. This is child abuse.

9

T/F: Pregnant women can refuse life-saving therapy even when the life the fetus is at risk.

True.

10

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

11

T/F: An adult with capacity can withhold or withdraw any form of therapy.

True.

12

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

13

what does DNR include?

refusal of endotracheal intubation and CPR

14

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)

15

When else is the ethics committee the answer?

When the caregivers are split or in disagreement about the nature of care

16

physician assisted suicide

providing the patient w/ means to end their life --> always wrong answer

17

euthanasia

physician directly administers the means of ending patients life -- always wrong answer

18

T/F: The physician is obligated to provide treatments he feels are not beneficial if the patient insists.

False.
there is no obligation on part of the physician to provide care that will not work

19

Do you need the consent of the father for abortion?

NO.

20

T/F. if you are a health care worker with HIV, you have to disclose your status

False.
No obligation for HIV-positive workers to disclose their status.

21

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.

22

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.

23

Can elder abuse be reported even against the will of the patient?

yes - depends on the patient state (i.e. if frail and vulnerable)