Ch 2

Created by

Rachel B

Cards (96)

emotional intelligence 
ability to perceive, evaluate, understand, and control emotions in ourselves and others. "think before you speak"
T/F The foundation of laws is ethics 
true
What are legal concepts?
the sum of rules and regulations by which society is governed
patient autonomy  
the right of patients to make decisions for themselves, without interference from others
Informed consent
physicians ensure the pt is 1 informed and educated about their condition, 2 understands and approves their own treatment, 3 participates in their own care
competency 
minimal mental, cognitive, or behavioral ability to assume responsibility
limits of autonomy
harm, offense, paternalism, legal moralism, and necessity
beneficence 
to do good even when it might be inconvenient (pt walking instead of using a wheelchair to be quicker)
nonmaleficence 
do no harm
justice 
fairness and equity are maintained among individuals (ACA 2010)
Confidentiality  
knowledge that any pt info revealed to the healthcare provider will be held in confidence (HIPAA)
confidentiality can be overriden when
the life or safety of the patient is endangered
role fidelity  
faithfulness to your role
veracity 
truthfulness
teleology  
aka consequentialism, the ends justify the means
egoism and utilitarianism (Bentham and Mill) perform the acts that produce the best ratio of good to bad
deontology 
aka non-consequentialism, Kant
formal rules of right and wrong for reasoning and problem-solving
reason-->universal principles--> universal ethics
we must always treat others as ends and not as means only
virtue ethics  
integrating intellect, practical reasoning, and individual good
problem: it focuses on the individual doing the acts vs focusing on the acts themselves
ethical models 
-analytical (engineering) model
-priestly model
-contractual model
-covenant model
analytical (engineering) model 
scientist that deal with facts, eliminating the human aspects of patients
priestly model 
provides caregiver with Godlike paternalist attitude
contractual model 
business relationship between provider and pt (informed consent)
covenant model 
understanding between the patient and healthcare provider that is based on values and goals
Which 2 ethical models fit our role as RT(T)s?
contractual and covenant
Dr. Elisabeth Kubler-Ross stages of grief
shock
denial
anger
bargaining
depression
testing
acceptance
advanced directives
living will, DNR, durable power of attorney
What does hospice provide?
medical care and support to terminally ill patients and their families
How does hospice help the dying patient?
allows them to live a full life an doffer hope, comfort, and a suitable setting for a peaceful, dignified death
What services does hospice provide?
daily access to nursing and home health staff, counseling, spiritual support, palliative care
criminal law: 
misdemeanor, felonies, etc
civil law 
noncriminal activities
tort law  
wrongful act committed against a person or their property AKA personal injury law (unintentional or intentional)
civil law  
assault, battery, false imprisonment, libel, slander, invasion of privacy. negligence (malpractice)
malpractice 
act of negligence after a contract to provide reasonable care
how to prevent malpractice
competence, compliance, charting, communication, confidentiality, courtesy, carefulness
risk management  
process of avoiding or controlling risk of financial loss to staff and the hosptial
incident reports 
any event not consistent with routine care of a particular patient (falls, etc)
patient liability insurance covers
physician staff members and employees of hospitals
role of a radiation therapist in risk management
follow policies and procedures
be aware of safety issues (wet floor)
report hazardous conditions
educate the public
medical records 
chronologically document the care and treatment rendered to the patient
medical records includes
information sheet, contacts, family physicians, H&P, patho reports, lab reports, imaging reports, surgical procedures, photographs, medications