PSYPACT- Practicing Over State Lines May 2024.pptx
Ethico-legal Guidelines and Considerations in HA.pptx
1.
2. OBJECTIVES
•IDENTIFY AN APPROPRIATE PERSON TO PROVIDE INFORMED CONSENT FOR THE CLIENT
(E.G., CLIENT, PARENT, LEGAL GUARDIAN)
•PROVIDE WRITTEN MATERIALS IN THE CLIENT'S SPOKEN LANGUAGE, WHEN POSSIBLE
•DESCRIBE COMPONENTS OF INFORMED CONSENT
•PARTICIPATE IN OBTAINING INFORMED CONSENT
•VERIFY THAT THE CLIENT COMPREHENDS AND CONSENTS TO CARE AND PROCEDURES
3. WHAT IS INFORMED CONSENT?
•DEFINED AS THE PATIENT'S CHOICE TO HAVE A TREATMENT OR PROCEDURE WHICH IS
BASED ON THEIR FULL UNDERSTANDING OF THE TREATMENT OR PROCEDURE, ITS
BENEFITS, ITS RISKS, AND ANY ALTERNATIVES TO THE PARTICULAR TREATMENT OR
PROCEDURE
•ALL CLIENTS HAVE THE LEGAL RIGHT TO AUTONOMY AND SELF-DETERMINATION TO
ACCEPT OR REJECT ALL TREATMENTS AND INTERVENTIONS.
4. APPROPRIATE PERSONS TO PROVIDE
INFORMED CONSENT
• INFORMED CONSENT CAN ONLY BE OBTAINED FROM AN ADULT PATIENT WHO IS MENTALLY COMPETENT TO
DO SO EXCEPT UNDER SOME CIRCUMSTANCES AND SITUATIONS
• FOR ANY REASON INCLUDING THE LACK OF MAJORITY, MENTAL INCOMPETENCE, AND UNCONSCIOUSNESS,
CANNOT BE OBTAINED, OTHER PEOPLE CAN PROVIDE LEGAL CONSENT FOR THE PATIENT.
• THESE PEOPLE INCLUDE THE PARENT OR LEGAL GUARDIAN OF A MINOR AND UNEMANCIPATED MINOR
CHILD, A LEGALLY APPOINTED REPRESENTATIVE FOR A DEVELOPMENTALLY DISABLED ADULT, FOR
EXAMPLE, AN EMANCIPATED MINOR, AND THE PERSON WHO HAS BEEN APPOINTED AS THE CLIENT'S
DURABLE POWER OF ATTORNEY FOR HEALTHCARE DECISIONS OR THEIR HEALTH CARE SURROGATE
OR PROXY.
5. COMPONENTS OF INFORMED CONSENT
•THE PROPOSED TREATMENT OR PROCEDURE
•WHO WILL PERFORM THE TREATMENT OR PROCEDURE
•THE PURPOSE OF THE PROPOSED TREATMENT OR PROCEDURE
•THE BENEFITS OF THE PROPOSED TREATMENT OR PROCEDURE
•THE EXPECTED OUTCOMES OF THE PROPOSED TREATMENT OR PROCEDURE
•THE POSSIBLE RISKS ASSOCIATED WITH THE PROPOSED TREATMENT OR PROCEDURE
•THE CLIENT'S RIGHT TO REFUSE A PROPOSED TREATMENT OR PROCEDURE
6. PARTICIPATING IN OBTAINING INFORMED
CONSENT
• NURSE IS RESPONSIBLE AND ACCOUNTABLE FOR THE VERIFICATION OF AND
WITNESSING THAT THE PATIENT OR THE LEGAL REPRESENTATIVE HAS SIGNED THE
CONSENT DOCUMENT IN THEIR PRESENCE AND THAT THE PATIENT, OR THE LEGAL
REPRESENTATIVE, IS OF LEGAL AGE AND COMPETENT TO PROVIDE CONSENT.
•THEY ALSO CONFIRM THAT THE PATIENT HAS SUFFICIENT KNOWLEDGE TO MAKE A
KNOWLEDGEABLE DECISION.
7. PARTICIPATING IN OBTAINING INFORMED
CONSENT
•PHYSICIAN, OR ANOTHER LICENSED INDEPENDENT PRACTITIONER SUCH AS A NURSE
PRACTITIONER OR A PHYSICIAN'S ASSISTANT, PROVIDES THE CLIENT WITH COMPLETE
INFORMATION ABOUT THE TREATMENT OR PROCEDURE, THE POTENTIAL RISKS
INCLUDING PAIN AND COMPLICATIONS, THE BENEFITS OF THE TREATMENT OR
PROCEDURE, WHO WILL PERFORM THE PLANNED TREATMENT OR PROCEDURE, AND ANY
POSSIBLE ALTERNATIVES TO THE TREATMENT OR PROCEDURE INCLUDING THEIR
BENEFITS AND RISKS.
8. PARTICIPATING IN OBTAINING INFORMED
CONSENT
•PATIENT OR THEIR LEGAL REPRESENTATIVE MUST GIVE CONSENT VOLUNTARILY AND
WITHOUT ANY COERCION BY OTHERS.
•THEY MUST ALSO ASK QUESTIONS AND CLARIFY THINGS UNTIL THEY ARE CERTAIN
ABOUT THE PROCEDURE, THE BENEFITS, THE RISKS, AND POSSIBLE ALTERNATIVES.
9. PATIENT’S BILL OF RIGHTS
•A DOCUMENT THAT PROVIDES PATIENTS WITH INFORMATION ON HOW THEY CAN
REASONABLY EXPECT TO BE TREATED DURING THE COURSE OF THEIR HOSPITAL STAY
•THEY SIMPLY PROVIDE GOALS AND EXPECTATIONS FOR PATIENT TREATMENT
10. BILLS OF RIGHTS: FOCUS AREAS
•HIGH-QUALITY HOSPITAL CARE
•PATIENT CAN EXPECT TO BE TREATED WITH RESPECT REGARDLESS OF RACE, SEX,
GENDER, COLOR, RELIGION, AGE, MARITAL STATUS, SEXUAL ORIENTATION,
DISABILITY, OR OTHER STATE OR CONDITION
•PATIENT MAY CHOOSE WHO HE/SHE SPENDS TIME WITH DURING THE COURSE OF
CARE
•PATIENTS ARE TO BE FREE FROM RESTRAINTS AND SECLUSION UNLESS COMPLETELY
MEDICALLY NECESSARY
•APPROPRIATE PAIN MANAGEMENT WILL BE PROVIDED TO THE PATIENT
11. BILLS OF RIGHTS: FOCUS AREAS
• A CLEAN AND SAFE TREATMENT ENVIRONMENT
• INVOLVEMENT IN CARE
• PATIENT’S CONDITION AND PROVIDE INFORMATION ABOUT RELEVANT MEDICAL DECISIONS
• PATIENT’S TREATMENT PLAN
• PROVIDERS WILL WORK TO OBTAIN INFORMATION FROM PATIENTS ABOUT THEIR CONDITION AND
PERSONAL STATE
• UNDERSTAND THE PATIENT’S HEALTH CARE GOALS AND PERSONAL VALUES
• ACCESS TO THEIR MEDICAL RECORDS AT WILL
12. BILLS OF RIGHTS: FOCUS AREAS
•PROTECTION OF PATIENTS’ PRIVACY
•HELP WITH PATIENTS’ BILLING AND INSURANCE CLAIMS
•CHOICE IN HEALTH-CARE TREATMENT
13. PHILIPPINES PATIENT BILL OF RIGHTS
•RIGHT TO APPROPRIATE MEDICAL CARE AND HUMANE TREATMENT
•RIGHT TO INFORMED CONSENT
•RIGHT TO PRIVACY AND CONFIDENTIALITY
•RIGHT TO INFORMATION
•RIGHT TO CHOOSE HEALTH CARE PROVIDER AND FACILITY
•RIGHT TO SELF-DETERMINATION
14. •RIGHT TO RELIGIOUS BELIEF
•RIGHT TO MEDICAL RECORDS
•RIGHT TO LEAVE
•RIGHT TO PARTICIPATION IN MEDICAL RESEARCH
•RIGHT TO CORRESPONDENCE AND TO RECEIVE VISITORS
•RIGHT TO EXPRESS GRIEVANCES
•RIGHT TO BE INFORMED OF HIS RIGHTS AND RESPONSIBILITIES AS A PATIENT