Chapter 5 _ Ethical and Legal Implications of Practice-2

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Feb 20, 2024

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Chapter 5 – Ethical and Legal Implications of Practice 1. Summarize the philosophical foundations of ethics. Philosophy, The love of wisdom and the pursuit of knowledge concerning humankind, nature, and reality Ethics, One of the disciplines of philosophy which is primarily concerned with the question of how we should act “Respect the humanity in persons” 2. Explain what constitutes an ethical dilemma and how such dilemmas arise in health care. patient expectations, staffing, and quality of care rationing of care, dealing with conflicts associated with third party–imposed standards of care, and delivery of the appropriate standard of care in the face of cost constraints and corporate influence. Staffing issues continue to be a problem and contribute to many of the ethical and legal concerns 3. Describe how professional codes of ethics apply to ethical decision-making. Essential part of any profession claiming to be self-regulating This code seeks to establish parameters of behavior for members of the profession. Provide the foundation for all ethical behavior Consists of two components: A professional duty and a patient right 4. Explain how traditional ethical principles are useful in resolving ethical dilemmas. With Autonomy, Veracity, Nonmaleficence, Beneficence
5. Describe the information that should be gathered before making an ethical decision. 1-identify the problem or issue 2-identify the individuals involved 3-identify the ethical principle or principles that apply 4-identify who should make the decision 5- identify the role of the practitioner 6-consider the alternative (long term and short term consequences) 7-make the decision (including the decision not to act) 8-follow the decision to observe its consequences 6. Explain how the systems of civil and criminal law differ. Criminal law - deals with acts against welfare and safety of public Civil law—protects citizens from others who might seek to take unfair advantage 7. Describe what constitutes professional malpractice and negligence. Negligence: The practitioner owes a duty to the patient ,The practitioner breaches that duty The breach of duty was the cause of damages, Damage or harm came to the patient Malpractice: Criminal malpractice (e.g., assault and battery), Civil malpractice (e.g., negligence), Ethical malpractice (e.g., violations of professional ethics, possibly resulting in censure) 8. Explain how a respiratory therapist can become liable for wrongful acts Disclosing HIPAA Patient confidentiality
9. List the elements that constitute a practice act. -Scope of professional practice -requirements and qualifications for licensure -exemptions -grounds for administrative action -creation of examination board and process -penalties and sanctions for unauthorized practice 10.Explain how licensing affects legal responsibility and liability. Know what to expect of obtaining licensure and the requirements to remain licensed 11. Describe how changes in health care delivery have shaped the ethical and legal aspects of practice. Rapidly changing relating to how services are funded and how patients and health care workers interact, Managed care affects the ethical decision-making process, Health care practitioners must consider not only the best services to deliver to patients but also the best managed care outcome 12.Summarize the basic elements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Congressional act to establish standards for privacy of individually identifiable health information
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13.Discuss the Patient Protection and Affordable Care Act. 2010 Congress passed the PPACA in an attempt to reform healthcare One thing the statue did was improve whistleblower protections for hospital works 14.Summarize the basic elements of the National Labor Relations Act. It is usually thought as “union” statue, NLRA provides protections to hospital workers whether they are organized into a union or not 15.Discuss elements of the False Claims Act. FCA (false claims act) was buried in the banking section of the united states code , the most powerful part of the statue is the part that permits an employee with knowledge of fraud or false billing to file a lawsuit against the company or organization engaging in fraud 16.Describe the role of advance directives and living wills in health care. Recognizing the right of competent adults to exercise choices concerning their health care