ETHICAL PRINCIPLESTHE LAW AND RADIOGRAPHY

PATIENT CARE PART 1Chapter 6

ETHICAL PRINCIPLES

TERMS USED TO RESOLVE ETHICAL DILEMMAS

• AUTONOMY• BENEFICIENCE• CONFIDENTIALITY• DOUBLE EFFECT• FIDELITY

• JUSTICE• NONMALEFICENC

E• PATERNALISM• SANCTITY OF LIFE• VERACITY• RESPECT FOR

PROPERTY

ETHICAL DILEMMAS

• IDENTIFY PROBLEM• DEVELOP ALTERNATIVE SOLUTION• PICK BEST SOLUTION• DEFEND IT

HIPAAREFER TO HIPAA

POWERPOINT

IT’S A SMALL WORLD AFTER ALL….

THE LAW

CRIMINAL/MISDEMEANERSCIVIL/TORTS

INTENTIONAL TORTS

• FALSE IMPRISONMENT• LIBEL/SLANDER/DEFAMATION OF

CHARACTER• ASSAULT• BATTERY• INVASION OF PRIVACY

UNINTENTIONAL MISCONDUCTS• Negligence

– duty of care– breach of duty– loss or injury– attributed to the breach of duty

Res ispa loquiter

“the thing speaks for itself”

Respondeat Superior

“let the master speak”

CONSENT

• INFORMED• WRITTEN• ASSUMED

CHAPTER 6- PATIENT CARE AND ASSESSMENT• RT’S NEED TO ASSESS• WHY?• HOW?

“I’m thirsty! Can you get me some water?”

“I really have to go to the bathroom!”

Or or

OBTAINING PATIENT HISTORY

OBJECTIVESUBJECTIVE

QUESTIONS THAT COVER THESE AREAS• ONSET/CAUSE• DURATION• SPECIFIC LOCATION• QUALITY OF PAIN• WHAT AGGREVATES IT (OPTIONAL)• WHAT ALLEVIATES IT (OPTIONAL)

THE “IN-PATIENT”

“OUT-PATIENTS”WALKIE-TALKIES

ASSESSING THE IN-PATIENT• CHECK CHART!• ALLERGIES NOTED ON FRONT OF

CHART• “ISOLATION”

“EYE-BALLING THE PATIENT”• SKIN COLOR

– CYANOTIC• SKIN TEMP.

– DIAPHORETIC– FEBRILE, PYREXIA, HYPERTHERMIA– HYPOTHERMIA

• LOC• BREATHING

– SOUND– DEPTH – RATE

MORE TERMS

• EMPHYSEMA• HYPERVENTELATING• ORTHOPNEA• ORTHOSTATIC HYPOTENSION• VITAL SIGNS? WHAT ARE THEY?