Battery

this is the act of offensive touching done without the consent of the person being touched, however benign the motive or effects of the touching

Disclosure

guarantees the legal right of a person to be informed of what will happen to him or her

Fiduciary relationship

a person in whom another person has placed a special trust or confidence is required to watch out for the best of interests of the other party

Capacity

medical concept that implies that a patient has the ability to understand and weigh medical information to make helath decisions 

Competence

legal term; all patients are presumed competent until I legally judged otherwise

Never Competent

newborns, small children and people who have been seriously mentally impaired all of their lives

Once-competent

·      organic brain damage later in life, adult psychoses, etc.

the general idea is to allow each person while still competent to make his or her wishes known regarding decisions that will be made at the time when he or she becomes legally incompetent, especially in illnesses that will end in death

-if keeping confidence will harm the patient

-patient is incompetent or incapacitated and a 3rd party needs to be informed to be a surrogate decision making for the patient

-their parties are at risk for harm (AIDS)

-a serious risk to others (terrorist)

STD surveillance monitors and analyzes data on STDs

-accurate identification of contacts who may be infected or at risk for infection

-assist physicians and clincis in evaluating

the concept that decisions are made based on an underlying assumption of mutal respect and joint interest

explaining alternatives and helping patients weigh the impact of each one.

used when a health professional listens to a patient's verbal and nonverbal communication

- attention to cues in the conversation

consent to take action; giving permission; mutual understanding; being on the same page

-tess you the risks, procedures, liability, team members/staff, rights, responsibilities

to monitor the quality of informed consent in research

they oversee projects and are involved in experiments to make sure that you get everyone's permission and decide what you need to ask them and tell them about risks

focuses attention on long-term management of a condition in contrast to one that is either quickly addressed or is at the end of life

-it does not denote that the person will eventually die or the condition, although some do

ex) cystic fibrosis, muscular distrophy

lack of physical activity

poor nutrition

tobacco use

excessive alcohol consumption

an act is right if it helps to bring about the best balance of benefits over burdens, or the best utility or consequences overall

-goal to fit the action so the outcome brings the most good or least harm overall

-maintain vigilant attention to clinical interventions appropriate for the person's condition

-taking enough time to communicate with the patient to get a feel for the person's values, beliefs, habits, etc

-listen carefully to what the person has to say

- recognize that a patients perception of quality of life is fluid near the end of life

-understand that the final phase of a condition brings with it a myriad of emotions

denial

anger

bargaining

depression

acceptance

many technologies that assist in basic life functions such as breathing, eating and maintenance of vital organs that otherwise will shut down

(CPR, nutrition, hydration, mechanical ventilation)

documents are designed to enable a patient to specify the types of treatment they would want to have and not have

- living wills

-enable a patient to specify a surrogate or proxy decision maker

character trait or virtue of sypathetic understanding recognized as virtue

-the willingness to carry out your professional responsibilities toward the patient (moral duty)

-the readiness to go beyond the call of duty

focuses the entire staff and institutional structure toward maintaining the patient in as comfortable, pain-free, and humane an environment as possible

-provide support and care

-usually less than 6 months to live

the act of going beyond the call of duty

-morally praiseworthy

a model of teaching older adults

-teaching interventions designed to compensate for physical, sensory, and cognitive deficits

- the ethical notion of heroic procedures

"doing all that is possible"

designates the use of a life trial time period

-to ascertiain the true benefits and burdens of an intervention

-ranges from 1-3 weeks

"the causes of the causes"

they are the social, economical and environmental conditions that influence the health of individuals and populations

(conditions of daily life and distribution of money, power and resources)

the inclusive right to access to healthcare, cultural rights, factors that help us lead a healthy life

-safe food and water, adequate nutrition, gender equality, healthy working and environment, health related education

diagnosis

procedures

risks, benefits, and complications

acknowledgements/understanding

health care as a right

health care as a response to a basic need

health care as a commodity