Bellwork
Define patient “self-determination.”
1.04 Understand legal and ethical issues 1
Understand legal and
ethical issues of the
healthcare
professional
State Standards
Medical Therapeutics
2) Analyze specific laws and ethical issues that impact professional practice such as confidentiality, informed consent, and patient self-determination. Citing specific textual evidence to support analysis, debate these issues in an oral or written format.
1.04 Understand legal and ethical issues 3
State Standards
Clinical Internship
8) Demonstrate integrity and ethical behavior when
engaging in all worksite activities, including the use of tools and materials, documentation of hours, handling of money, billing of clients, sharing of information, and completion of all personnel-related forms. Identify an actual or potential work site ethical issue and construct an argumentative essay outlining how to the issue should be resolved, including claims and counterclaims with relevant data to support conclusions.
1.04 Understand legal and ethical issues 4
Objectives
Identify expectations of what ethical behavior is in the healthcare setting.
Discuss common ethical dilemmas in healthcare through group discussion and analyzation of case scenarios.
Write an argumentative essay defending your position on an ethical dilemma.
1.04 Understand legal and ethical issues 5
1.04 Understand legal and ethical issues
Healthcare professionals’
ethical obligations
Ethics
Standard of conduct or code of behavior for a person or group of people
Involves: Personal values
Professional standards expected of a healthcare professional
Organizational standards expected of an employee
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1.04 Understand legal and ethical issues
Personal Ethics
Ethical Foundations:
Personal values
Dependable
Honest
Responsible
Trustworthy
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1.04 Understand legal and ethical issues
Professional Ethics
Code of Ethics
Specific for each healthcare career
Two components
1. Principles of Ethics
Standards of exemplary professional behavior for all members of the association
2. Rules of Ethics
Mandatory, direct standards of minimally acceptable professional conduct
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1.04 Understand legal and ethical issues
Organizational Ethics
Moral values that guide the way corporations make decisions
Governed by Legislation/laws
Professional codes
Individual values
Never compromise your ability to perform in the best interest of the organization
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1.04 Understand legal and ethical issues
Healthcare professionals’
ethical obligations
Recognize Illegal and Unethical Behavior
Report any event that has adverse affects on the health, safety or welfare of any person within the healthcare agency
Healthcare professional must
Obey the law
Follow code of ethics for his/her job description
Treat everyone with respect
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1.04 Understand legal and ethical issues
Healthcare professionals’
ethical obligations
Report Illegal and Unethical Behavior Ensures health, safety and welfare of any person
within the healthcare agency
Follow employee handbook for reporting procedures
Consult manager/supervisor
Contact human resources supervisor
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1.04 Understand legal and ethical issues
Importance for the healthcare
professional to understand legal
and ethical issues
1. Know your legal responsibilities;
2. Limitations of practice; and
3. Implications of your actions.
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1.04 Understand legal and ethical issues
Importance for the healthcare
professional to understand legal
and ethical issues
4. Ethical Behavior protects:
a. Healthcare professionals
b. Patients
c. Co-workers
d. Facility
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1.04 Understand legal and ethical issues
Importance for the healthcare
professional to understand legal
and ethical issues
5. Ethical behavior ensures:
a. Quality patient care
b. Positive work relationships
c. Well-managed workplace
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1.04 Understand legal and ethical issues
Legal and ethical
dilemmas encountered
by healthcare
professionals
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1.04 Understand legal and ethical issues
Legal and Ethical Dilemmas
Abortion
Termination of a pregnancy
Spontaneous
Induced
Abortion is legal. What are the ethical issues?
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1.04 Understand legal and ethical issues
Legal and Ethical Dilemmas
End of life
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1.04 Understand legal and ethical issues
Legal and Ethical Dilemmas
Euthanasia(mercy killing)
Voluntary
Involuntary
Assisted
The act of ending the life of an individual in a
painless manner. Individual is usually
suffering from a terminal illness.
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1.04 Understand legal and ethical issues
Legal and Ethical Dilemmas
Advanced Directives
Legal documents that allow the patient to
state the end of life treatments they would
or would not want, in the event that they
become unable to make those decisions.
Grey’s Anatomy… (3 min)
https://www.youtube.com/watch?v=1rmlGJxdpMk
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1.04 Understand legal and ethical issues
Legal and Ethical Dilemmas
Living Will
Patient’s document that states specific
measures to be taken or not taken to
prolong life. Do Not Resuscitate (DNR)
Hydration/Nutrition
Medication
What is self-determination? How does an advanced
directive or a living will support self-determination?
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1.04 Understand legal and ethical issues
Legal and Ethical Issues
Power of Attorney
Document that names the person that will
make healthcare decisions for the patient
that is unable to do so.
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Legal and Ethical Dilemmas
Organ Donation
The removal of healthy tissues from one person for the purpose of transplanting them into another person.
Donor can be living or recently deceased.
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1.04 Understand legal and ethical issues
Legal and Ethical Dilemmas
Research and
Experimental Treatment
Healthcare research seeks to develop treatments for a disease process, or to establish new knowledge for health and wellness maintenance.
AIDS
Stem Cell
Cancer Research
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Individual ProjectWrite an argumentative essay defending your position on one of the ethical dilemmas discussed in class. Construct your essay as follows:
1- Introduction of your dilemma and what side you agree with.
2- Identify three reasons with evidence supporting your stance.
3- Identify the possible argument or counterclaim to your opinion.
4- Conclude or summarize your viewpoint.
1.04 Understand legal and ethical issues 24
Exit Ticket
Go to the class website and click on the Advanced Directives link.
Summarize the article and make sure to give examples of the various forms of advanced directives.
When might an advance directive be considered a legal issue or ethical dilemma?
1.04 Understand legal and ethical issues 25
Bell Work Next Day…
Have you ever heard the phrase: “No good deed goes unpunished”?
What does that mean to you?
Next begin the following activity.
Read the brief article Law and the Public’s Health.
Answer the questions given in the handout.
We will discuss this shortly.
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Agenda
Wrap up of legal/ethical issues.Bell Work
*Classifying Conduct: Legal or Ethical
POP QUIZ!!!
Group Activities
*“You Be the Judge.” Group Activity
*Application of Legal Issues
“Is That Legal?”…Grey’s Anatomy (11 min)
Individual Activity
*What doesn’t belong?
1.04 Understand legal and ethical issues 27