Term
| Strictly speaking, only a court can declare someone __________________ |
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Definition
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Term
| In the clinical setting, we are typically concerned with the issue of whether or not a patient is able to make a particular decision about their treatment (otherwise known as ______________) |
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Definition
| DMC (Decision-Making Capacity) |
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Term
| In relation to DMC, our respect for the patient’s autonomy is often in tension with what other ethical guideline? |
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Definition
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Term
When we are asked the following question, what other question should immediately come to mind?
“Does this patient have capacity?” |
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Definition
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Term
| True or False: A key sign of a lack of decision-capacity is the patient’s disagreement with the clinician’s recommendations. |
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Definition
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Term
| If a patient articulates a choice, our confidence in their decision-making capacity can be increased if they are able to articulate (3 THINGS)_________ for their choice. |
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Definition
UNDERSTANDING
**REASONS/REASONING**
CONSEQUENCES |
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Term
| Which ethical concepts does “to help the patient” represent? |
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Definition
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Term
| Which ethical concepts does “freedom to choose” represent? |
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Definition
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Term
| What logically flows from the idea of informed consent? (opposite) |
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Definition
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Term
| True or False: Patients may refuse ventilation but may not refuse antibiotics. |
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Definition
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Term
| True or False: When a patient refuses recommended treatment, that’s the end of your responsibility. |
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Definition
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Term
| Observation, by medical personnel, of unusual cultural or religious beliefs/practices may lead these personnel to inaccurately assume the patient lacks ______. |
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Definition
| DMC (DECISION MAKING CAPABILITY) |
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Term
| True or False: Adult patients can refuse lifesaving treatment based upon their religious beliefs. |
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Definition
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Term
| Standards used for decision-making by others when the patient lacks that capacity: (LIST 3) |
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Definition
IN ORDER:
1. Advance Directives
2. Substituted Judgments
3. BEST INTERESTS |
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Term
| Of the various standards used for making decisions for incapacitated patients, which type provides the most clear and convincing evidence of their wishes? |
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Definition
ADVANCE DIRECTIVES
(ex. living wills and durable power of attorney) |
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Term
| A____ decision maker is one who has been appointed using an advance directive; this person has been designated by the patient to make decisions on their behalf. |
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Definition
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Term
| We use the standard of ______ _____ in the absence of advance directions. This assumes that someone who knew the patient (and their values) is available for this decision-making. |
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Definition
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Term
| What is the lowest standard of decision-making that we sometimes have to turn to when patients lack decision-making capacity? |
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Definition
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Term
| Which principle of biomedical ethics primarily guides us as we make decisions using this standard? |
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Definition
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Term
| Which type of decision-maker has the strongest claim to make decisions for incapacitated patients? |
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Definition
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Term
| True or False: A proxy decision-maker cannot trump family makers. |
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Definition
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Term
| True or False: The clinician will always need to get unanimous agreement among family members before proceeding. |
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Definition
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Term
| 4 Problems with surrogate decision making |
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Definition
o Emotional barriers
o Conflicts of interest
o Disagreements among potential surrogates
o Decisions inconsistent with the patients preferences or values |
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