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Pearson's Comprehensive Medical Assisting Administrative and Clinical Competencies Second Edition CHAPTER CHAPTER 3 Medical Law and Ethics Lesson 2: Patient/Physician Relationship Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Lesson Objectives Lesson Objectives Upon completion of this lesson, students should be able to … • Discuss informed consent. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Physician Rights • A physician and patient form a contract when there is a service and fee that is paid • The patient must confide truthfully in the physician in order to receive proper treatment • If the physician does not know all the facts, there could be serious consequences Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Critical Thinking Questions 1. Does a physician have to treat every patient that comes into the office? 2. When might the physician choose not to treat a patient? Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Physician Rights • Physicians have the right to: – Select the patients they wish to treat – State the types of services they will provide – State the hours their offices will be open – Determine where their offices will be located – Expect payment for the treatment given – Take vacations and time off from practices Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Patient Rights • Patients have the right to: – Approve or give consent for all treatment – Expect the standard of care – Expect confidentiality by the physician and employees – Privacy Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Patient Obligations • Patients have an obligation to: – Follow instructions given by the physician – Pay the physician for the services – Truthfully give the physician all information required Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Informed Consent • Involves informing the patient about the possible consequences of both having and not having certain procedures and treatments – The physician must carefully explain that, in some cases, the treatment may even make the patient’s condition worse Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Doctrine of Informed Consent • Explanation of advantages and risks to the treatment • Alternatives available to the patient • Potential outcomes to the treatment • What might occur if there is no treatment • The use of understandable language There are exceptions to the Doctrine of Informed Consent that are unique to each state. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Common Exceptions to Informed Consent • A physician does not have to inform a patient about risks that are commonly known • If the physician feels the disclosure of risks may be detrimental to the patient, then he or she is not responsible for disclosing them • If the patient requests the physician to not disclose the risks, then the physician is not responsible for failing to do so Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Implied Consent • When a patient is seen for a routine examination for medical treatment, there is implied consent that the physician will touch the person during the examination – Battery: touching someone without the person’s consent – In a routine examination, there is no crime, since there is implied consent Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Implied Consent • Also occurs when there is an emergency situation and the patient cannot understand the explanation or sign a consent form – The physician is protected by law when providing emergency care – The physician may not delegate gaining informed consent to another, except in an emergency Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. How Protective is an Informed Consent? • Anyone can sue anyone if they want • However, if…. – the physician has carefully explained the treatment, – the patient acknowledges understanding the explanation and risks involved, and – the patient signs the consent form ….there is some protection. • Still, patients sue physicians when the treatment fails Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Refusal of Treatment • Patients have the right to refuse treatment • Reasons for refusing treatment include: – Religion – Personal beliefs – Personal choice Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Rights of Minors • Minor: Under 18 in most states (though this varies in some states) • Minors are unable to give consent for treatment • Exceptions – – – – Pregnancy Request for birth control information Abortion Testing and treatment for sexually transmitted diseases – Problems with substance abuse – Need for psychiatric care Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Categories of Minors Who Can Give Consent • Mature minors: A young person who possesses a maturity to understand the nature and consequences of the treatment in spite of young age • Emancipated minors that – – – – – live on their own are married are self-supporting are in the armed forces any combination of the above conditions • Rules vary from state to state Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Legal Implications to Consider When Treating a Minor • When does a minor have the right to confidentiality? • Who is financially responsible? • Who is the minor’s legal guardian? For more information on the rights of emancipated minors by state, click here or go to http://www.jlc.org/factsheets/emancipationus Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Think About It! Situation #1 Situation #1 • A teenager is seeking birth control. She has the right to confidentiality. • The girl cannot pay for services. • How does your office get payment? Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Think About It! Situation #2 • A teenager living with her mother needs treatment for an STI. • The patient has a right to confidentiality. • The parents are divorced and the father has financial responsibility for care and treatment. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Patient Self-Determination Act • Documents that provide protection to both the patient and physician Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Requirements of Health Care Institutions • Provide patients a written summary of their health care decision-making rights • Give written policy with respect to recognizing advance directives • Ask and document if patients have an advance directive • Educate staff and community about advance directives • Never discriminate based on whether patients have advance directives Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Living Will • Allows patients to request that life-sustaining treatments and nutritional support not be used to prolong their life • Gives patients the legal right to direct the type of care they wish to receive when death is imminent • Protects physicians and hospitals when they follow the patient’s wishes • Copy of living will should be kept with the patient’s records Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Durable Power of Attorney (DPOA) • Allows an agent or representative to act on behalf of the patient • Can be for health care only or other legal things • Agent may be a spouse, grown child, friend, or an attorney Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Durable Power of Attorney (DPOA) • Used when a patient becomes mentally incapacitated • Document is in effect until the patient cancels it or until the patient is able to make their own decisions again Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Critical Thinking Questions 1. What are the potential implications of not having a DPOA? 2. Are there disadvantages to having a DPOA? Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Uniform Anatomical Gift Act • Allows a person 18 years or older and of sound mind to make a gift of any or all parts of their body for the purposes of organ transplantation or medical research • A physician who is not involved in the transplant will determine the time of death • No money is allowed to change hands for organ donations • Donor carries a card signed by 2 witnesses • The family can make this decision in some cases Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Uniform Anatomical Gift Act • Each day about 19 people die for lack of an organ donation • There about 95,000 individuals waiting on the organ donation list For information on organ transplants click here or visit www.organdonor.gov Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Critical Thinking Question 1. What are the potential controversies to organ donation? Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Questions? Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman • Fleming-McPhillips • Routh • Gohsman • Reagan Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.