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28 Cards in this Set
- Front
- Back
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In the patient/provider relationship who has the presumed power
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Providers
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In the patient/provider relationship who is vulnerable
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Patient
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What is the heart of the diagnostic and treatment process
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History and physical
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What factors affect the pnt/provider relationship
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1. prejudices
2. previous encounters 3. reactions to your pnt |
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In order to develope a rapport/partnership with a pnt what attributes must you have
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1. empathy
2. focus on ont needs and concern 3. Be open and honest 4. focus on meaning of silence |
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Why do we want to collect psychosocial and biologic info
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1. facilitate compliance
2. tx and promote healthy lifestyle 3. understand what pnt expects of you |
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What are the goals of an interview
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1. Discovery
2. Share 3. Negotiate 4. Counsel 5. Union 6. Support |
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Define Discovery
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info leading to dx and management
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Define Share
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provide info about dx
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What should the provider negotiate with the pnt
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course of action for pnt tx
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What is a joint effort regarding all aspects of care during sickness and health
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union
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What are the six aspects ethics that should be considered with provider/pnt relationship
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1. autonomy
2. beneficence 3. nonmaleficence 4. utilitarianism 5. fairness and justice 6. deontoligical imperatives |
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Define autonomy
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pnt need for self-determination or pnt's right to determine what is best for them
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What influnce does a paternalistic professional have on autonomy
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invades autonomy
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What does of pnt is better able to exercise autonomy
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well informed
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What is the need to do good
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Beneficence
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Wht is to do no harm
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Nonmaleficence
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Define utilitarianism
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appropriate use of resourses that is for the greater good of the community
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What are examples of utilitarianism
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immunizations
prophylaxis meds rationing triage |
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What is the balance between autonomy and competing interests of family and community
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fairness and justice
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Define Deontological imperatives
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duties of provider established by tradition and in cultural contexts
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What type of care is the cure by inducing a pathologic reaction antagonistic to the disease being tx'ed
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allopathy
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What type of care treats the person as a whole and has a primaryly eastern root
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alternative
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What must you consider as it pertains to ethics
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accept pnt perspective
maintain respect and flexibility make sure not resulting from: poor comms, legal confusion, personailty conflict |
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What must you examine about yourself before talking with a pnt
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1. biases
2. value judgement 3. routines 4. tradtion |
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When speeaking through an interpreter what habit must you maintain
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talk to patient and not to the interpretor
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True/false
stranger might be more appropriate as they maybe more objective |
True
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What must your behavior communicate
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empathy and trust
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