Week 9 Flashcards

(31 cards)

1
Q

Define ethics?

A

Ethics is the analysis of rational processes to decide a course of action where conflicting options exist

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2
Q

What are values?

A

Values come from an individuals beliefs and attitudes that influence actions and decisions.

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3
Q

List the principles of moral reasoning.

A
  • autonomy
  • non-maleficence
  • beneficence
  • justice
  • veracity and fidelity
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4
Q

What is autonomy?

A

The capacity of a rational individual to make an informed, in-coerced decision.

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5
Q

What is beneficence?

A

The act of doing good.

-to act on the benefit of others

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6
Q

What is non-maleficence?

A

To do no harm

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7
Q

Define justice?

A

A fair, equitable and appropriate treatment in light of what is due or owed to an individual.

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8
Q

List the types of consent

A
  • implied
  • spoken
  • written
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9
Q

What are the requirements of consent?

A
  • valid consent
  • freely and voluntarily given
  • person has legal capacity to give consent
  • person in informed of procedure
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10
Q

What is patient advocacy?

A

A person chosen by an individual to make medical decisions on behalf of that person n the situation where the individual becomes incompetent.

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11
Q

What is medical futility?

A

A rationale for why treatment, including life saving or sustaining treatment is not considered to be in the patients best interest.

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12
Q

What is conscientious objection?

A

A refusal to participate in any procedure that would violate their reasoned moral conscious.

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13
Q

How is brain death determined?

A

Determined by:

  • unresponsive coma
  • absence of brainstem reflexes
  • absence of respiratory centre function

Must be certified by two medical practitioners

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14
Q

What is eschar?

A

When the skin has been severely burned. It has a leathery appearance consistent with the coagulated dead skin of a full thickness burn.

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15
Q

What is an escharotomy?

A

When the burned skin is incised down to the subcutaneous fat with a scalpel. They should be deep enough for obvious separation of the wound edges to occur.

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16
Q

Define Mortality?

A

What is considered right or wrong

17
Q

Why is framework required?

A

It is required to analyse and synthesise information t make sound ethical and moral decisions

18
Q

What are the principles that make up moral reasoning?

A
  • autonomy
  • beneficence
  • veracity and fidelity
  • non-maleficence
  • justice
19
Q

What are the 3 types of consent?

A
  • implied
  • verbal
  • written
20
Q

What must an individual be able to do to be competent to give consent?

A
  • they must be able to comprehend and retain information
  • weigh up the information
  • make a decision based on that ability
21
Q

What may impair a person’s capacity to consent?

A
  • be over the age of 18 (legal age)
  • impaired judgement
  • have mental health issues
  • be intellectually disabled
  • legal capacity
22
Q

Define pt advocacy

A

When a person is chosen by an individual to make medical decisions on their behalf in the situation where the individual becomes incompetent

23
Q

What is medical futility?

A

It is a rational for why treatment which can include lifesaving. Or sustaining treatment is not considered to be in the pt’s best interest and is therefore ceased

24
Q

What does DNR stand for

A

Do Not Resuscitate - pts decision to withhold CPR

25
Define conscientious objection
A refusal to participate in any procedure that would violate their reasoned moral conscious
26
How is brain death determined?
- must be certified by 2 medical practitioners - unresponsive coma - the absence of brainstem function - absence of respiratory centre function
27
List some of the symptoms of brain death
- immobility - apnoea - absent skin perfusion - absent circulation (arterial pulse is absent for min 2 minutes)
28
What is the purpose of a surgical scrub?
To remove as many microorganisms as possible
29
When is a surgical scrub completed?
Prior to any procedure that will be conducted in the operating theatre
30
How long is each scrub completed?
1st scrub of the day = 5 minutes | All other = 3 minutes
31
what is involved in the recovery room hand over?
- be aware of potential complications - All equipment at bedside ready for obs/procedures - verbal handover from Operating theatre staff - ABCDE assessment - talk to pt - inspect tubes and drains - determine stability of. Pt - Obs/fluid balance - check med chart = allergies??? - -documentation