PATIENTS-BILL-OF-RIGHTS in the Philippines
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Confidentiality in Medical Practice.ppt
Usije dhhdhdhdh hdhhdhdhd hxjxjdnn. I icjen djiIu7b 7iih; Buu. UjB Bhshs dbdjjd d djJ. Jdjjdb djJjjsjd d uJbsbsbs Jianababa Jjajajsb Iwidjjsjs Jxkjcjd Iidjdnn jsjjjaj Jiwjjq. jjjnnNjjcjcjc Kikjjf Kjdnnd
PATIENTS BILL OF RIGHTS
The American Hospital Association presents A Patient’s Bill of Rights with the expectation that it will contribute to more effective patient care and be supported by the hospital on behalf of the institution, its medical staff, employees, and patients. The American Hospital Association encourages health care institutions to tailor this bill of rights to their patient community by translating and/or simplifying the language of this bill of rights as may be necessary to ensure that patients and their families understand their rights and responsibilities.
Patients Rights
The document outlines 13 rights that patients have when receiving medical care and treatment. These rights include the right to appropriate and humane medical care, informed consent for any procedures, privacy and confidentiality of medical records, information about diagnosis and treatment, choice of health care providers and facilities, self-determination in treatment decisions, religious beliefs, access to medical records, ability to leave a facility, refusal to participate in research, communication with others, expressing grievances, and being informed of their rights and obligations as a patient. The rights are intended to ensure patients are treated with dignity and respect when receiving health care.
PRESENTATION ON Patients right and responsibilities
The document provides an overview of patient rights, including definitions, purposes, and key areas. It defines a patient as a person receiving medical treatment and outlines some basic patient rights such as privacy, informed consent, and quality care. It discusses the nurse's role in safeguarding patient rights and protecting patients from unethical practices. The presentation aims to help patients feel more confident in the healthcare system and stress the important relationship between patients and providers.
Informed consent, professional negligence and vicarous liability
Informed consent is required for any medical procedure and involves educating the patient on the nature, risks, and benefits of the procedure. Key aspects of informed consent include voluntary agreement from the patient, disclosure of relevant medical information, and the patient's competence to consent. Exceptions may apply in emergencies or for therapeutic reasons. Standards for obtaining informed consent aim to respect patient autonomy while balancing ethical obligations of beneficence.
Ethical, Legal, and Economic Foundations of the Educational Process.pptx
The document outlines 13 rights that patients are entitled to as recipients of medical care. These rights include the right to appropriate and humane treatment, informed consent, privacy and confidentiality, choice of health care providers, self-determination, and refusal of medical treatment due to religious beliefs. The rights also cover access to medical records, leaving healthcare facilities, refusing participation in research, communicating with visitors, expressing grievances, and being informed of patient rights and obligations. Overall, the document establishes important ethical and legal protections for patients in receiving healthcare services.
Medical Ethics and Negilgence
Medical Ethics and Negligence Cases are increasing. Medical Professionals need to know about this important topics to safeguard themselves.
Stages of illness, patient's rights, nursing process
The document describes the five stages of illness:
1) Symptom experience and reaction
2) Assumption of the sick role and seeking validation
3) Medical care contact and confirmation of illness
4) Becoming a dependent patient and compliance with treatment
5) Recovery, rehabilitation, and relinquishing the sick role
It also lists the rights of dying persons and Filipino patients, including the right to treatment with dignity, informed consent, privacy, and continuity of care. Finally, it outlines the nursing process as assessment of data, diagnosis of actual or potential problems, planning interventions, implementation, and evaluation of outcomes.
Recommended
Confidentiality in Medical Practice.ppt
Usije dhhdhdhdh hdhhdhdhd hxjxjdnn. I icjen djiIu7b 7iih; Buu. UjB Bhshs dbdjjd d djJ. Jdjjdb djJjjsjd d uJbsbsbs Jianababa Jjajajsb Iwidjjsjs Jxkjcjd Iidjdnn jsjjjaj Jiwjjq. jjjnnNjjcjcjc Kikjjf Kjdnnd
PATIENTS BILL OF RIGHTS
The American Hospital Association presents A Patient’s Bill of Rights with the expectation that it will contribute to more effective patient care and be supported by the hospital on behalf of the institution, its medical staff, employees, and patients. The American Hospital Association encourages health care institutions to tailor this bill of rights to their patient community by translating and/or simplifying the language of this bill of rights as may be necessary to ensure that patients and their families understand their rights and responsibilities.
Patients Rights
The document outlines 13 rights that patients have when receiving medical care and treatment. These rights include the right to appropriate and humane medical care, informed consent for any procedures, privacy and confidentiality of medical records, information about diagnosis and treatment, choice of health care providers and facilities, self-determination in treatment decisions, religious beliefs, access to medical records, ability to leave a facility, refusal to participate in research, communication with others, expressing grievances, and being informed of their rights and obligations as a patient. The rights are intended to ensure patients are treated with dignity and respect when receiving health care.
PRESENTATION ON Patients right and responsibilities
The document provides an overview of patient rights, including definitions, purposes, and key areas. It defines a patient as a person receiving medical treatment and outlines some basic patient rights such as privacy, informed consent, and quality care. It discusses the nurse's role in safeguarding patient rights and protecting patients from unethical practices. The presentation aims to help patients feel more confident in the healthcare system and stress the important relationship between patients and providers.
Informed consent, professional negligence and vicarous liability
Informed consent is required for any medical procedure and involves educating the patient on the nature, risks, and benefits of the procedure. Key aspects of informed consent include voluntary agreement from the patient, disclosure of relevant medical information, and the patient's competence to consent. Exceptions may apply in emergencies or for therapeutic reasons. Standards for obtaining informed consent aim to respect patient autonomy while balancing ethical obligations of beneficence.
Ethical, Legal, and Economic Foundations of the Educational Process.pptx
The document outlines 13 rights that patients are entitled to as recipients of medical care. These rights include the right to appropriate and humane treatment, informed consent, privacy and confidentiality, choice of health care providers, self-determination, and refusal of medical treatment due to religious beliefs. The rights also cover access to medical records, leaving healthcare facilities, refusing participation in research, communicating with visitors, expressing grievances, and being informed of patient rights and obligations. Overall, the document establishes important ethical and legal protections for patients in receiving healthcare services.
Medical Ethics and Negilgence
Medical Ethics and Negligence Cases are increasing. Medical Professionals need to know about this important topics to safeguard themselves.
Stages of illness, patient's rights, nursing process
The document describes the five stages of illness:
1) Symptom experience and reaction
2) Assumption of the sick role and seeking validation
3) Medical care contact and confirmation of illness
4) Becoming a dependent patient and compliance with treatment
5) Recovery, rehabilitation, and relinquishing the sick role
It also lists the rights of dying persons and Filipino patients, including the right to treatment with dignity, informed consent, privacy, and continuity of care. Finally, it outlines the nursing process as assessment of data, diagnosis of actual or potential problems, planning interventions, implementation, and evaluation of outcomes.
Legal aspect of medical care
The document discusses various legal aspects and responsibilities related to medical care and hospitals in India. It outlines duties of physicians according to medical codes of ethics. Hospitals have legal responsibilities to patients, staff, owners, and the public. The document also summarizes Indian laws governing medical issues including those related to medical negligence, contracts, torts, and community care aspects of doctors' work.
Florida Patient's Bill of Rights
Tom Culmo is a personal injury lawyer who believes that every human being deserves to be treated with respect when entering a hospital or health care facility. The Florida Patient's Bill of Right's is a step in the right direction and everyone should be aware of existence.
guideline-on-informed-consent-jul012.pdf
This document discusses informed consent guidelines in South Africa. It provides the following key points:
1. Informed consent means providing patients with sufficient information to make an informed decision about medical treatment, and ensuring they understand the information and implications.
2. Several guidelines books discuss informed consent in detail, outlining what information must be provided to patients and research participants to obtain valid consent.
3. Consent must be given voluntarily without coercion, and patients have a right to understand the purpose, risks, benefits and alternatives to any medical procedure or research.
APPLICATION OF BIOETHICAL PRINCIPLES TO THE CARE OF THE SICK.pdf
This document discusses key bioethical principles related to patient care, including informed consent, patient autonomy, and patient rights. It defines informed consent as a patient's acceptance of a medical procedure after being informed of risks and benefits. Consent can be given directly by the patient or through a proxy if the patient is unable. Respect for patient autonomy means upholding their right to make their own healthcare decisions. The document also outlines the Filipino Patient's Bill of Rights, which protects a patient's right to privacy, confidentiality, continuity of care, and more. Finally, it presents the Code of Ethics for Filipino Nurses, which emphasizes the nurse's responsibilities to patients, coworkers, society, and the nursing profession.
Litigation
This document discusses litigation in the field of gynaecology. It begins by noting that obstetrics and gynaecology has a reputation as a highly litigious specialty. It then discusses some of the common reasons why doctors are sued, including accountability, the need for explanation, concern over standards of care, and compensation. The document outlines the typical stages of a medical claim and summarizes several important legal cases that have influenced medico-legal rulings. It also discusses factors that commonly lead to claims in gynaecology, such as issues with consent, sterilization procedures, and laparoscopic surgeries.
PATIENT’S BILL OF RIGHTS Philippine setting.pptx
The document outlines a patient's bill of rights which includes the right to appropriate medical care, informed consent for treatments, privacy and confidentiality of medical records, choice of health care providers, and the right to refuse certain medical procedures or treatments that conflict with religious beliefs. It also covers the right to access medical records, leave a facility, refuse participation in research, file complaints, and be informed of patient rights and responsibilities.
Patient confidentiality
Physicians have an ethical and legal duty to maintain patient confidentiality. This duty stems from allowing patients to freely disclose private health information to their doctors so they can receive proper diagnosis and treatment. While access to electronic health records has increased, physicians must still respect patient privacy and only share information with consent. Failing to protect confidentiality can damage trust in the patient-physician relationship and result in legal liability.
Patient confidentiality
Physicians have an ethical and legal duty to maintain patient confidentiality. They must not disclose private medical information without patient consent, except in certain situations like preventing harm. The purpose of confidentiality is to allow open communication between patient and doctor to aid accurate diagnosis and treatment. While information sharing has increased with technology, physicians must still honor patient privacy. A breach of confidentiality occurs when private medical information is disclosed to a third party without consent.
Patient confidentiality
Physicians have an ethical and legal duty to maintain patient confidentiality. This duty stems from allowing patients to freely disclose private health information so physicians can properly diagnose and treat. Exceptions exist for threats of harm. Increased electronic access to health records challenges confidentiality. Proper consent and security practices are needed to balance patient privacy and efficient care.
Patient confidentiality
Physicians have a duty to maintain patient confidentiality that is both an ethical duty and a legal duty. This duty requires physicians to keep medical information private and only disclose it with patient consent, except in certain legal exceptions. However, increased electronic access to health information poses challenges to maintaining confidentiality. Physicians must utilize technology while still respecting patient privacy. Breaches of confidentiality can damage trust and result in legal liability.
Rights of a patient and child from position of international law
The document discusses the rights of patients and children from an international law perspective. It outlines several key rights for both patients and children, including:
- The right to informed consent for medical treatment and participation in research
- The right to privacy and confidentiality of medical information
- The right to receive quality healthcare and treatment without discrimination
- For children specifically, the rights include a legally registered identity, nationality, care by parents when possible, and for their views to be considered in decisions affecting them.
Consent_ Right to refuse_treatment (1)
This document discusses informed consent and refusal of treatment issues. It begins by defining informed consent as a process where a health care provider discloses appropriate information to a competent patient so they can voluntarily accept or refuse treatment. It notes that consent was not historically required, as professionals were expected to determine treatment themselves, but it became important in the 20th century. The document then outlines the legal requirements for informed consent, including adequately informing patients and obtaining consent except in emergencies. It discusses standards for informed consent, including the professional standard of disclosing what colleagues would and the reasonable person standard of disclosing what patients need to make an informed choice. The document analyzes cases involving these standards and issues like ensuring understanding and voluntary consent.
Refusal of care.pptx
Medical interventions can be withdrawn in selective patients with Do Not Resuscitation form signed or in patients with terminal illness based on patients best interest
4. advocacy in nursing
This document discusses patients' rights in healthcare. It begins by defining a patient's bill of rights as a list of guarantees for those receiving medical care, including the right to information, fair treatment, and autonomy over decisions. The document then outlines specific rights in more detail, such as the right to receive respectful and safe care, provide informed consent, privacy and confidentiality, refuse treatment, and make complaints. It discusses patients' rights during medication and treatment. Overall, the document aims to clearly define the rights and protections that should be afforded to all patients.
Bioethics Patient's Rights
The document discusses patients' rights regarding informed consent for medical treatment. It outlines the rights to informed consent, informed decision, and informed choice. It defines key concepts like competence, disclosure, comprehension, and voluntariness that are important for ensuring informed consent. The document also discusses limitations to consent in emergency situations and the rights to privacy, confidentiality, and refusal of treatment. Overall, it establishes that patients have a fundamental right to make voluntary and informed decisions about their own healthcare.
5 The Physician–Patient Relationship Learning Objectives After.docx
5 The Physician–Patient Relationship
Learning Objectives
After completing this chapter, you will be able to:
· 1. Define the key terms.
· 2. Describe the rights a physician has when practicing medicine and when accepting a patient.
· 3. Discuss the nine principles of medical ethics as designated by the American Medical Association (AMA).
· 4. Summarize “A Patient’s Bill of Rights.”
· 5. Understand standard of care and how it is applied to the practice of medicine.
· 6. Discuss three patient self-determination acts.
· 7. Describe the difference between implied consent and informed consent.
Key Terms
Abandonment
Acquired immune deficiency syndrome (AIDS)
Advance directive
Against medical advice (AMA)
Agent
Consent
Do not resuscitate (DNR)
Durable power of attorney
Human immunodeficiency
virus (HIV)
Implied consent
Informed (or expressed)
consent
Incompetent patient
In loco parentis
Living will
Minor
Noncompliant patient
Parens patriae authority
Privileged communication
Prognosis
Proxy
Uniform Anatomical Gift Act
THE CASE OF DAVID Z. AND AMYOTROPHIC LATERAL SCLEROSIS (ALS)
David, who has suffered with ALS for 20 years, is now hospitalized in a private religious hospital on a respirator. He spoke with his physician before he became incapacitated and asked that he be allowed to die if the suffering became too much for him. The physician agreed that, while he would not give David any drugs to assist a suicide, he would discontinue David’s respirator if asked to do so. David has now indicated through a prearranged code of blinking eye movements that he wants the respirator discontinued. David had signed his living will before he became ill, indicating that he did not want extraordinary means keeping him alive.
The nursing staff has alerted the hospital administrator about the impending discontinuation of the respirator. The administrator tells the physician that this is against the hospital’s policy. She states that once a patient is placed on a respirator, the family must seek a court order to have him or her removed from this type of life support. In addition, it is against hospital policy to have any staff members present during such a procedure. After consulting with the family, the physician orders an ambulance to transport the patient back to his home, where the physician discontinues the life support.
· 1. What were the primary concerns of the hospital?
· 2. What was the physician’s primary concern?
· 3. When should the discussion about the patient’s future plans have taken place with the hospital administrator?
Introduction
Few topics are as important as the physician–patient relationship. This relationship impacts the entire healthcare team. All healthcare professionals who interact with the patient must understand their responsibilities to both the patient and the physician. The patient’s right to confidentiality must always be paramount.
The first physicians were “medicine men,” witch doctors, or sorcerers. The physician–pa.
Week#4-To Do List-CCHIntroduction To Consent and Documenta.docx
Week#4-To Do List-CCH
Introduction To Consent and Documentation
Documentation of patient consent to provide care, to disclose (or not disclose) information and other issues provide the necessary proof of compliance.
Objectives
To successfully complete this learning unit, you will be expected to:
Determine situations where consent is required.
Identify each type of written consent.
Determine the qualifications for a compliance officer.
Set internal policies for acquiring patient consent.
Establish a process to handle release of information.
Week 4: Discussion
Answer the following questions
1. Discuss the importance of the idea that everyone should complete an advance directive
2. Discuss the issue of super confidentiality
Week 4: Case Study Assignment
Include a response to the following case study:
Case study on page 75 of your textbook. (This is the first case study in the chapter and is titled "Chapter Case Study." It starts with: “Calls to Blue Cross Blue Shield Michigan’s (BCBSM) Anti-Fraud Hotline led to an . . .")
Your paper must address the following:
Address problem of the case decision
A thorough analysis including resources
Detailed comprehensive realistic recommendation
Supplements with extensive compelling evidence from legitimate sources
Sources cited correctly in the body of the case and reference page
Chapter Case Study
“July 28, 2003: A physician from Minneapolis, MN, agreed to pay $53,400 to resolve his liability under the CMP [Civil Monetary Penalties] provision applicable to violations of a provider’s assignment agreement. By accepting assignment for all covered services, a participating provider agrees that he or she will not collect from Medicare beneficiary more than applicable deductible and coinsurance for covered services.”
“The OIG alleged that the physician created a program whereby the physician’s patients were asked to sign a yearly contract and pay a yearly fee for services that the physician characterized as ‘not covered’ by Medicare. The OIG further alleged that because at least some of the services described in the contract were actually covered and reimbursable by Medicare, each contract presented to the Medicare patients constituted a request for payment other than the coinsurance and applicable deductible for covered services. In violation of these terms of the physician’s assignment agreement. In addition to payment of the settlement amount, the physician agreed not to request similar payments from beneficiaries in the future.” (http://www.oig.hhs.gov)
Essentials of Health Care Compliance
Week Three
Compliance: Patient Consent
Learning Outcomes
Identify the various situations in which consent is required
Determine the components of each type of written consent form
Explain the types of advance directives
Establish internal policies for acquiring patient consent
Design a process to handle release of information
The single biggest probl.
informed consent
The document discusses informed consent in medical ethics. It defines informed consent as a process where a healthcare provider educates a patient about risks, benefits, and alternatives of a procedure so the patient can make a voluntary decision. Valid consent requires the patient be competent, informed of risks/benefits, and consent voluntarily without coercion. Exceptions exist for emergencies or incompetent patients where a surrogate may provide consent.
CONSENT TO MEDICAL TREATMENT.pptx
The document discusses the concept of informed consent in healthcare. It defines consent as voluntary agreement or permission given by a patient to a medical practitioner. Consent must be informed, which means the patient understands the nature and risks of the proposed treatment. Failure to obtain informed consent could result in legal or disciplinary action. The document outlines circumstances where consent is not required, such as medical emergencies, and who can provide consent when a patient is unable to, such as a parent for a minor. It emphasizes consent as an ongoing process of communication between doctor and patient.
Legal aspects of nursing philnursingstudent
This document discusses several key legal aspects of nursing practice including:
- State nurse practice acts that regulate nursing scope and standards.
- Requirement for an active nursing license to legally practice.
- Ethical principles like patient autonomy, beneficence, and informed consent.
- Legal documentation standards for nursing notes and physician orders.
- Liability considerations for nurses and hospitals regarding negligence and mistakes.
- Guidelines for use of patient restraints and requirements for informed consent.
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Legal aspect of medical care
The document discusses various legal aspects and responsibilities related to medical care and hospitals in India. It outlines duties of physicians according to medical codes of ethics. Hospitals have legal responsibilities to patients, staff, owners, and the public. The document also summarizes Indian laws governing medical issues including those related to medical negligence, contracts, torts, and community care aspects of doctors' work.
Florida Patient's Bill of Rights
Tom Culmo is a personal injury lawyer who believes that every human being deserves to be treated with respect when entering a hospital or health care facility. The Florida Patient's Bill of Right's is a step in the right direction and everyone should be aware of existence.
guideline-on-informed-consent-jul012.pdf
This document discusses informed consent guidelines in South Africa. It provides the following key points:
1. Informed consent means providing patients with sufficient information to make an informed decision about medical treatment, and ensuring they understand the information and implications.
2. Several guidelines books discuss informed consent in detail, outlining what information must be provided to patients and research participants to obtain valid consent.
3. Consent must be given voluntarily without coercion, and patients have a right to understand the purpose, risks, benefits and alternatives to any medical procedure or research.
APPLICATION OF BIOETHICAL PRINCIPLES TO THE CARE OF THE SICK.pdf
This document discusses key bioethical principles related to patient care, including informed consent, patient autonomy, and patient rights. It defines informed consent as a patient's acceptance of a medical procedure after being informed of risks and benefits. Consent can be given directly by the patient or through a proxy if the patient is unable. Respect for patient autonomy means upholding their right to make their own healthcare decisions. The document also outlines the Filipino Patient's Bill of Rights, which protects a patient's right to privacy, confidentiality, continuity of care, and more. Finally, it presents the Code of Ethics for Filipino Nurses, which emphasizes the nurse's responsibilities to patients, coworkers, society, and the nursing profession.
Litigation
This document discusses litigation in the field of gynaecology. It begins by noting that obstetrics and gynaecology has a reputation as a highly litigious specialty. It then discusses some of the common reasons why doctors are sued, including accountability, the need for explanation, concern over standards of care, and compensation. The document outlines the typical stages of a medical claim and summarizes several important legal cases that have influenced medico-legal rulings. It also discusses factors that commonly lead to claims in gynaecology, such as issues with consent, sterilization procedures, and laparoscopic surgeries.
PATIENT’S BILL OF RIGHTS Philippine setting.pptx
The document outlines a patient's bill of rights which includes the right to appropriate medical care, informed consent for treatments, privacy and confidentiality of medical records, choice of health care providers, and the right to refuse certain medical procedures or treatments that conflict with religious beliefs. It also covers the right to access medical records, leave a facility, refuse participation in research, file complaints, and be informed of patient rights and responsibilities.
Patient confidentiality
Physicians have an ethical and legal duty to maintain patient confidentiality. This duty stems from allowing patients to freely disclose private health information to their doctors so they can receive proper diagnosis and treatment. While access to electronic health records has increased, physicians must still respect patient privacy and only share information with consent. Failing to protect confidentiality can damage trust in the patient-physician relationship and result in legal liability.
Patient confidentiality
Physicians have an ethical and legal duty to maintain patient confidentiality. They must not disclose private medical information without patient consent, except in certain situations like preventing harm. The purpose of confidentiality is to allow open communication between patient and doctor to aid accurate diagnosis and treatment. While information sharing has increased with technology, physicians must still honor patient privacy. A breach of confidentiality occurs when private medical information is disclosed to a third party without consent.
Patient confidentiality
Physicians have an ethical and legal duty to maintain patient confidentiality. This duty stems from allowing patients to freely disclose private health information so physicians can properly diagnose and treat. Exceptions exist for threats of harm. Increased electronic access to health records challenges confidentiality. Proper consent and security practices are needed to balance patient privacy and efficient care.
Patient confidentiality
Physicians have a duty to maintain patient confidentiality that is both an ethical duty and a legal duty. This duty requires physicians to keep medical information private and only disclose it with patient consent, except in certain legal exceptions. However, increased electronic access to health information poses challenges to maintaining confidentiality. Physicians must utilize technology while still respecting patient privacy. Breaches of confidentiality can damage trust and result in legal liability.
Rights of a patient and child from position of international law
The document discusses the rights of patients and children from an international law perspective. It outlines several key rights for both patients and children, including:
- The right to informed consent for medical treatment and participation in research
- The right to privacy and confidentiality of medical information
- The right to receive quality healthcare and treatment without discrimination
- For children specifically, the rights include a legally registered identity, nationality, care by parents when possible, and for their views to be considered in decisions affecting them.
Consent_ Right to refuse_treatment (1)
This document discusses informed consent and refusal of treatment issues. It begins by defining informed consent as a process where a health care provider discloses appropriate information to a competent patient so they can voluntarily accept or refuse treatment. It notes that consent was not historically required, as professionals were expected to determine treatment themselves, but it became important in the 20th century. The document then outlines the legal requirements for informed consent, including adequately informing patients and obtaining consent except in emergencies. It discusses standards for informed consent, including the professional standard of disclosing what colleagues would and the reasonable person standard of disclosing what patients need to make an informed choice. The document analyzes cases involving these standards and issues like ensuring understanding and voluntary consent.
Refusal of care.pptx
Medical interventions can be withdrawn in selective patients with Do Not Resuscitation form signed or in patients with terminal illness based on patients best interest
4. advocacy in nursing
This document discusses patients' rights in healthcare. It begins by defining a patient's bill of rights as a list of guarantees for those receiving medical care, including the right to information, fair treatment, and autonomy over decisions. The document then outlines specific rights in more detail, such as the right to receive respectful and safe care, provide informed consent, privacy and confidentiality, refuse treatment, and make complaints. It discusses patients' rights during medication and treatment. Overall, the document aims to clearly define the rights and protections that should be afforded to all patients.
Bioethics Patient's Rights
The document discusses patients' rights regarding informed consent for medical treatment. It outlines the rights to informed consent, informed decision, and informed choice. It defines key concepts like competence, disclosure, comprehension, and voluntariness that are important for ensuring informed consent. The document also discusses limitations to consent in emergency situations and the rights to privacy, confidentiality, and refusal of treatment. Overall, it establishes that patients have a fundamental right to make voluntary and informed decisions about their own healthcare.
5 The Physician–Patient Relationship Learning Objectives After.docx
5 The Physician–Patient Relationship
Learning Objectives
After completing this chapter, you will be able to:
· 1. Define the key terms.
· 2. Describe the rights a physician has when practicing medicine and when accepting a patient.
· 3. Discuss the nine principles of medical ethics as designated by the American Medical Association (AMA).
· 4. Summarize “A Patient’s Bill of Rights.”
· 5. Understand standard of care and how it is applied to the practice of medicine.
· 6. Discuss three patient self-determination acts.
· 7. Describe the difference between implied consent and informed consent.
Key Terms
Abandonment
Acquired immune deficiency syndrome (AIDS)
Advance directive
Against medical advice (AMA)
Agent
Consent
Do not resuscitate (DNR)
Durable power of attorney
Human immunodeficiency
virus (HIV)
Implied consent
Informed (or expressed)
consent
Incompetent patient
In loco parentis
Living will
Minor
Noncompliant patient
Parens patriae authority
Privileged communication
Prognosis
Proxy
Uniform Anatomical Gift Act
THE CASE OF DAVID Z. AND AMYOTROPHIC LATERAL SCLEROSIS (ALS)
David, who has suffered with ALS for 20 years, is now hospitalized in a private religious hospital on a respirator. He spoke with his physician before he became incapacitated and asked that he be allowed to die if the suffering became too much for him. The physician agreed that, while he would not give David any drugs to assist a suicide, he would discontinue David’s respirator if asked to do so. David has now indicated through a prearranged code of blinking eye movements that he wants the respirator discontinued. David had signed his living will before he became ill, indicating that he did not want extraordinary means keeping him alive.
The nursing staff has alerted the hospital administrator about the impending discontinuation of the respirator. The administrator tells the physician that this is against the hospital’s policy. She states that once a patient is placed on a respirator, the family must seek a court order to have him or her removed from this type of life support. In addition, it is against hospital policy to have any staff members present during such a procedure. After consulting with the family, the physician orders an ambulance to transport the patient back to his home, where the physician discontinues the life support.
· 1. What were the primary concerns of the hospital?
· 2. What was the physician’s primary concern?
· 3. When should the discussion about the patient’s future plans have taken place with the hospital administrator?
Introduction
Few topics are as important as the physician–patient relationship. This relationship impacts the entire healthcare team. All healthcare professionals who interact with the patient must understand their responsibilities to both the patient and the physician. The patient’s right to confidentiality must always be paramount.
The first physicians were “medicine men,” witch doctors, or sorcerers. The physician–pa.
Week#4-To Do List-CCHIntroduction To Consent and Documenta.docx
Week#4-To Do List-CCH
Introduction To Consent and Documentation
Documentation of patient consent to provide care, to disclose (or not disclose) information and other issues provide the necessary proof of compliance.
Objectives
To successfully complete this learning unit, you will be expected to:
Determine situations where consent is required.
Identify each type of written consent.
Determine the qualifications for a compliance officer.
Set internal policies for acquiring patient consent.
Establish a process to handle release of information.
Week 4: Discussion
Answer the following questions
1. Discuss the importance of the idea that everyone should complete an advance directive
2. Discuss the issue of super confidentiality
Week 4: Case Study Assignment
Include a response to the following case study:
Case study on page 75 of your textbook. (This is the first case study in the chapter and is titled "Chapter Case Study." It starts with: “Calls to Blue Cross Blue Shield Michigan’s (BCBSM) Anti-Fraud Hotline led to an . . .")
Your paper must address the following:
Address problem of the case decision
A thorough analysis including resources
Detailed comprehensive realistic recommendation
Supplements with extensive compelling evidence from legitimate sources
Sources cited correctly in the body of the case and reference page
Chapter Case Study
“July 28, 2003: A physician from Minneapolis, MN, agreed to pay $53,400 to resolve his liability under the CMP [Civil Monetary Penalties] provision applicable to violations of a provider’s assignment agreement. By accepting assignment for all covered services, a participating provider agrees that he or she will not collect from Medicare beneficiary more than applicable deductible and coinsurance for covered services.”
“The OIG alleged that the physician created a program whereby the physician’s patients were asked to sign a yearly contract and pay a yearly fee for services that the physician characterized as ‘not covered’ by Medicare. The OIG further alleged that because at least some of the services described in the contract were actually covered and reimbursable by Medicare, each contract presented to the Medicare patients constituted a request for payment other than the coinsurance and applicable deductible for covered services. In violation of these terms of the physician’s assignment agreement. In addition to payment of the settlement amount, the physician agreed not to request similar payments from beneficiaries in the future.” (http://www.oig.hhs.gov)
Essentials of Health Care Compliance
Week Three
Compliance: Patient Consent
Learning Outcomes
Identify the various situations in which consent is required
Determine the components of each type of written consent form
Explain the types of advance directives
Establish internal policies for acquiring patient consent
Design a process to handle release of information
The single biggest probl.
informed consent
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Electrocardiogram_20240614_173859_0000.pdf
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
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Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
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V1 : Over 4th intercostal
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V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
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Waves of ECG:
P Wave
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Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
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wave and the end of ‘T’ wave.
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and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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PATIENTS-BILL-OF-RIGHTS in the Philippines
- 2. DEFINITION OF TERMS Waive/s – refrain from insisting or using a right or claim Disclosure – an act of making a secret information known Jeopardize – to put someone or something into a situation which there is a danger of loss, harm or failure Summary proceeding – an action conducted without formalities such as “plead” Correspondence – a close similarity, connection or equivalence
- 3. BRIEF HISTORY It was first developed in 1973 and revised in 1992 by the American Hospital Association “The patient’s bill of rights were developed with the expectation that hospital and healthcare institutions in the interest of delivering effective care to patients”
- 4. PATIENT’S BILL OF RIGHTS IN THE PHILIPPINES
- 6. 1. Right to APPROPRIATE MEDICAL CARE and HUMANE TREATMENT - NO discrimination - Respect - Treatment should correspond to her state of health - Give immediate care without any advanced payment - REFFER
- 7. 2. RIGHT TO INFORMED CONSENT
- 8. EXCEPT FOR:
- 10. INFORMED CONSENT SHALL BE OBTAINED FROM: A patient with legal age and sound mind Third party consent: i. Spouse ii. Son or daughter of legal age iii. Either parent iv. Brother or sister of legal age v. Guardian * In case of refusal, through summary proceeding, the physician may issue an order giving a consent
- 13. 4. RIGHT TO INFORMATION 1. Result of the evaluation of the nature and extent of his/her disease 2. Other additional or further contemplated medical treatment or procedures 3. Additional medicines and their indications 4. Payments/bills 5. Instructions before discharge
- 14. IF SHE/HE IS ADMITTED AT A SERVICE FACILITY IF PUBLIC AND SAFETY SO DEMANDS
- 15. 6. RIGHT TO SELF DETERMINATION 1. LIVING WILL -PATIENT CHOOSES WHAT ACTIONS SHOULD BE TAKEN FOR THEIR HEALTH 2. PATIENT CAN REFUSE MEDICAL TREATMENT 3. PATIENT CAN CHOOSE OTHER ALTERNATIVES FOR A MEDICAL PROCEDURE AS MUCH AS POSSIBLE
- 16. This right shall not be imposed to parents upon their children who have not reached the legal age in a life threatening situation
- 17. 8. RIGHT TO MEDICAL RECORDS .. know the summary of his medical condition .. view the contents of his medical records with the attending physician explaining the contents .. may obtain a reproduction of his medical records .. the health care institution shall offer a medical certificate to the patient upon request.
- 18. a) He is informed of the medical consequences of his decision b) He releases those involved in his care for any obligations r/t the consequences of his decision c) His decision will not prejudice public health and His physical condition
- 19. A formal statement developed by the World Medical Association that provides guidance to physicians and medical research participants should follow when conducting research that involves human subjects WITH THE WRITTEN CONSENT OF THE PATIENT, RESEARCHERS OR PHYSICIANS CAN PROCEED WITH THE MEDICAL RESEARCH
- 21. PATIENT EXPRESSES COMPLAINTS AND GRIEVANCES ABOUT THE CARE AND SERVICES RECEIVED AND HEALTH CARE PROVIDERS SHALL ATTENED TO SUCH COMPLAINTS
- 22. RIGHT TO BE INFORMED OF HIS RIGHTS AND OBLIGATIONS INORM THE PATIENT ABOUT THE INSTITUTION’S RULES AND REGULATIONS THAT PATIENT WILL OBEY WHILE IN THE CARE OF SUCH INSTITUTION.