Ethics

Doctor and Society

Elder Abuse CAN report without consent of the patient Domestic Violence Can NOT report without consent of patient Impaired Drivers Suggest that the patient finds another method of transportation Not allowed to Confiscate keys Report to police Hospitalize Avoid them to get into the car Execution of Prisoners Never...

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Autonomy

Advanced Directives Order of decision making Patient Proxy/Agent Proxy must be completely clear on what to do, what not to do! Living will Person clearly familiar with his wishes Test should clearly state that a friend knows and can prove he knew the patient wishes Family Spouse Adult children...

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Doctor/Patient Relationship

Patient Not obligated to accept anyone Doctor can end doctor/patient relationship Must give patient enough time to find another doctor Small gifts not tied to a treatment request are ACCEPTABLE Romantic/sexual relationships are never acceptable Industry No gift is acceptable EVER Educational meals are not gifts and are acceptabe

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Confidentiality

Confidentiality CAN be broken if There is danger to others STDs HIV Airborne communicable disease (TB) Court order Confidentiality can NOT be broken for Employers HIV⨁ healthcare workers do NOT need to tell patients or employer Family Friends Government agencies Unless they have a warrant or subpoena from court

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Organ Donation

Payment for organ donation is unacceptable Payment for RENEWABLE organ donation is acceptable Sperm Eggs Consent for organ donation Physician can NOT ask for consent to donate organs Only organ donor network can ask Family can refuse donation even if patient has an organ donor card

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Consent

Consent Only adults can consent Each procedure needs individual consent Consent implied in emergency Person doing the procedure should get consent Telephone consent is valid Pregnant women can refuse treatment for unborn child For consent to be valid Adverse effects must be explained Alternatives must be explained Consequences of...

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