End-of-Life Care Ethics and Law
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Questions and Answers

What is one of the rights patients have regarding their treatment?

  • The right to demand any treatment regardless of medical advice
  • The right to be treated only by specific healthcare providers
  • The right to refuse treatment that leads to their death (correct)
  • The right to receive treatment even if deemed futile

Which document serves as a person's decision-maker when they lose capacity?

  • A power of attorney document
  • A hospital consent form
  • A living will
  • An advance health directive (AHD) (correct)

What is required before making a decision to withdraw life-sustaining treatment?

  • Providing a rationale based on emotional arguments
  • Following the wishes of the healthcare team
  • Documenting the decision-making pathway (correct)
  • Obtaining consent from all family members

In which situation is it acceptable to make unilateral decisions regarding life-sustaining treatment?

<p>In emergency situations where consent is not required (B)</p> Signup and view all the answers

What ethical guideline is mentioned regarding the provision of treatment?

<p>There is no obligation to provide treatment that is considered futile (B)</p> Signup and view all the answers

What is emphasized as essential in end-of-life care according to the session's aim?

<p>Empathy (C)</p> Signup and view all the answers

What challenges are highlighted in the context of discussing death and treatment options?

<p>Fear and common barriers (B)</p> Signup and view all the answers

Which aspect is NOT mentioned as a factor that influences healthcare decisions regarding life and death?

<p>Family income level (D)</p> Signup and view all the answers

What is one of the goals related to end-of-life care practices mentioned in the content?

<p>Understand futile treatments (D)</p> Signup and view all the answers

What commitment does the University of Queensland make in its approach to workplace culture?

<p>Enhancing cultural safety (B)</p> Signup and view all the answers

Which of the following is a component of showcasing kindness and compassion in clinical encounters?

<p>Demonstrating empathy (C)</p> Signup and view all the answers

What does UQ acknowledge in relation to the Traditional Owners of the land?

<p>Their historical governance of the land (B)</p> Signup and view all the answers

What is a key understanding to be developed in relation to patient values and healthcare?

<p>Respecting diverse patient values (C)</p> Signup and view all the answers

What is the primary function of an acute resuscitation plan?

<p>To outline treatment in case of a foreseeable acute event. (C)</p> Signup and view all the answers

Who has the authority to make decisions if an adult has an Advanced Health Directive (AHD)?

<p>The appointed attorney as per the AHD. (C)</p> Signup and view all the answers

What happens if there is no Advanced Health Directive or appointed guardian for an adult?

<p>The statutory health attorney can make the decision. (A)</p> Signup and view all the answers

What condition must be met for a consent to withdraw life-sustaining measures to be valid?

<p>The health provider must find it inconsistent with good medical practice. (C)</p> Signup and view all the answers

What is the legal status of common law directives in Queensland?

<p>They are non-binding and issued as directives only. (A)</p> Signup and view all the answers

What is the primary focus in healthcare when it comes to end of life decision-making?

<p>Patient autonomy (B)</p> Signup and view all the answers

In the context of beneficence, what factors should be considered to determine what is in the patient's best interests?

<p>Personal values and cultural beliefs (C)</p> Signup and view all the answers

What could be a consequence of not following a patient's wishes at the end of life?

<p>Psychological distress (B)</p> Signup and view all the answers

What should be evaluated to confirm if a patient has decision-making capacity?

<p>Their ability to understand information and make choices (C)</p> Signup and view all the answers

In situations where a patient's wishes are not known, what is a critical factor in determining their best interests?

<p>Considering known values and preferences of the patient (B)</p> Signup and view all the answers

Which ethical principle considers the act of ensuring that no harm comes to the patient during end of life care?

<p>Non-maleficence (A)</p> Signup and view all the answers

What might be a reason for a patient to prioritize dying with dignity in their end of life care?

<p>Cultural perspectives on death (D)</p> Signup and view all the answers

When making end of life decisions for an incapacitated patient, what should be the primary consideration?

<p>Patient's previously expressed wishes (D)</p> Signup and view all the answers

Which of the following is NOT considered a life sustaining measure?

<p>Blood transfusion (A)</p> Signup and view all the answers

What is required for an Advance Health Directive (AHD) to be legally recognized under guardianship laws?

<p>It must be a written document, signed, and certified. (C)</p> Signup and view all the answers

Which factor is NOT considered when making urgent decisions regarding patient treatment?

<p>If the patient's family is available (B)</p> Signup and view all the answers

What is the main purpose of a Statement of Choices?

<p>To indicate a person's wishes at the end of life. (B)</p> Signup and view all the answers

Who must sign and date the Advance Health Directive in order for it to be valid?

<p>The patient and an eligible witness. (C)</p> Signup and view all the answers

Which of the following statements about Advance Health Directives is true?

<p>They are activated when the individual loses capacity. (C)</p> Signup and view all the answers

Which component is NOT necessary for making an Advance Health Directive?

<p>A verbal agreement from family members. (A)</p> Signup and view all the answers

What happens if a person does not have the capacity to make healthcare decisions?

<p>An Advance Health Directive is activated if available. (B)</p> Signup and view all the answers

Flashcards

Right to Refuse Treatment

Patients have the right to refuse treatment that may lead to their death.

Advance Health Directive (AHD)

A document that outlines a person's wishes for medical treatment if they lose capacity.

Withdrawal of Life-Sustaining Treatment

Documenting decision-making is required before withdrawing life-support.

Emergency Decisions in Healthcare

Unilateral decisions can be made in emergencies without consent.

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Futile Treatment

There is no obligation to provide treatment that offers no benefit.

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Empathy in End-of-Life Care

Empathy is essential in providing compassionate end-of-life care.

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Barriers to Discussing Death

Fear and avoidance are common barriers in discussions about death and treatment options.

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Influences on Healthcare Decisions

Family income level is NOT considered a factor impacting healthcare decisions.

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Goals of End-of-Life Care

One goal is to understand futile treatments and their implications.

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Cultural Safety Commitment

The University of Queensland commits to enhancing cultural safety in its workplace culture.

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Demonstrating Kindness in Care

Showing empathy is essential in clinical encounters to demonstrate kindness.

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Respecting Patient Values

Healthcare should respect diverse patient values and beliefs.

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Acute Resuscitation Plan

Outlines procedures for foreseeable acute events requiring resuscitation.

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Authority of Advanced Health Directive

The appointed attorney under AHD makes decisions if the patient is incapacitated.

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Statutory Health Attorney

Makes decisions when there’s no AHD or guardian in place.

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Consent for Withdrawing Treatment

Consent to withdraw treatment must align with good medical practice.

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Common Law Directives in Queensland

Non-binding directives that offer guidance but are not enforceable.

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Focus of End-of-Life Decision Making

The primary focus should be on patient autonomy in decisions.

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Beneficence Factors in Care

Consider personal values and cultural beliefs to act in the patient’s best interests.

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Consequence of Ignoring Patient's Wishes

Not following a patient's end-of-life wishes can cause psychological distress.

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Evaluating Decision-Making Capacity

Check a patient's ability to understand information and make choices.

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Determining Best Interests when Unknown

Consider known patient values and preferences to decide what's best.

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Non-maleficence Principle

Ensures that no harm comes to the patient in healthcare.

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Dying with Dignity

A patient may prioritize dying with dignity due to cultural perspectives.

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End-of-Life Decisions for Incapacitated Patients

Primary consideration should be the patient’s previously expressed wishes.

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Life-Sustaining Measure

A treatment that is NOT considered life-sustaining is a blood transfusion.

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Legally Recognized AHD Requirements

Must be written, signed, and certified to be valid under guardianship laws.

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Urgent Decisions in Patient Treatment

Family availability is NOT considered when making urgent healthcare decisions.

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Purpose of Statement of Choices

Indicates a person’s wishes regarding end-of-life decisions.

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Advance Health Directive Validity

The patient and an eligible witness must sign and date it for validity.

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True Statements about AHD

Advance Health Directives are activated when the individual loses decision-making capacity.

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Components of AHD

A verbal agreement from family is NOT necessary for an Advance Health Directive.

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Activation of AHD

If a person lacks capacity, an Advance Health Directive is activated if available.

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Study Notes

End-of-Life Care Ethics and Law

  • Autonomy is the right to self-determination. Patients have the right to choose how they want to die.
  • Beneficence means acting in the patient's best interests. This includes their clinical, relational, cultural, economic, and personal values.
  • Non-maleficence considers the harm of not following the patient’s wishes. This may include physical, psychological, or cultural harm.
  • Justice ensures fairness and equality in access to end-of-life options. It also respects patient rights like having their wishes respected and being treated with dignity.
  • The Guardianship and Administration Act 2000 defines life-sustaining measures as interventions meant to sustain or prolong life that replace vital bodily functions. Examples include cardiopulmonary resuscitation, assisted ventilation, and artificial nutrition and hydration.
  • Advance Care Planning allows individuals to express their wishes regarding end-of-life care, especially if they lose capacity.
  • Advance Health Directives (AHDs) are legally recognized documents that guide medical decision-making. They must be written, signed by the individual with capacity or an "eligible signer," witnessed by an "eligible witness," and signed by a doctor.
  • Statement of Choices is not legally binding but can guide discussions regarding end-of-life care.
  • Common Law Directives are not legally binding in Queensland.
  • Acute Resuscitation Plans are medical orders that specify treatment in case of acute events.
  • The Guardianship Act outlines a hierarchy of decision-makers in the absence of an AHD or capacity: appointed guardians, attorneys, statutory health attorney, and health provider.
  • A consent to withhold or withdraw life-sustaining treatment requires reasonable consideration of the "good medical practice" principle.

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Description

Explore the ethical principles and legal frameworks surrounding end-of-life care. This quiz addresses key concepts like autonomy, beneficence, non-maleficence, and justice, along with relevant legal statutes such as the Guardianship and Administration Act 2000. Test your knowledge on how these principles apply in real-world situations.

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