Podcast
Questions and Answers
What must a doctor establish before prescribing medicines from a distance?
What must a doctor establish before prescribing medicines from a distance?
Why should doctors think carefully about prescribing via email or telephone?
Why should doctors think carefully about prescribing via email or telephone?
What should be documented in a patient's notes regarding end-of-life decisions?
What should be documented in a patient's notes regarding end-of-life decisions?
What should doctors consider before complying with requests to prescribe drugs for relatives in another country?
What should doctors consider before complying with requests to prescribe drugs for relatives in another country?
Signup and view all the answers
What is an essential responsibility of doctors when prescribing from a distance?
What is an essential responsibility of doctors when prescribing from a distance?
Signup and view all the answers
Why is it important for doctors to make a clear, accurate, and legible record of all medicines prescribed?
Why is it important for doctors to make a clear, accurate, and legible record of all medicines prescribed?
Signup and view all the answers
What should be done prior to withdrawing or withholding treatment, nutrition, and hydration?
What should be done prior to withdrawing or withholding treatment, nutrition, and hydration?
Signup and view all the answers
Why does palliative care offer relief from pain and distressing symptoms?
Why does palliative care offer relief from pain and distressing symptoms?
Signup and view all the answers
What are the risks associated with prescribing in cases where the patient is unknown to the doctor?
What are the risks associated with prescribing in cases where the patient is unknown to the doctor?
Signup and view all the answers
What is the responsibility of doctors when prescribing unlicensed medicines?
What is the responsibility of doctors when prescribing unlicensed medicines?
Signup and view all the answers
When should oral nutrition and hydration be maintained for patients?
When should oral nutrition and hydration be maintained for patients?
Signup and view all the answers
What is the responsibility of doctors when signing a prescription?
What is the responsibility of doctors when signing a prescription?
Signup and view all the answers
What should doctors consider when prescribing medication?
What should doctors consider when prescribing medication?
Signup and view all the answers
When should doctors prescribe sufficient drugs for discharged patients?
When should doctors prescribe sufficient drugs for discharged patients?
Signup and view all the answers
What is the responsibility of doctors regarding off-label prescriptions?
What is the responsibility of doctors regarding off-label prescriptions?
Signup and view all the answers
When can doctors prescribe lifestyle drugs?
When can doctors prescribe lifestyle drugs?
Signup and view all the answers
What happens to decisions for incapacitated patients?
What happens to decisions for incapacitated patients?
Signup and view all the answers
What happens when doctors prescribe unfamiliar drugs?
What happens when doctors prescribe unfamiliar drugs?
Signup and view all the answers
What is an important aspect of end-of-life care according to the text?
What is an important aspect of end-of-life care according to the text?
Signup and view all the answers
What is emphasized about communication in end-of-life care?
What is emphasized about communication in end-of-life care?
Signup and view all the answers
When should difficult decisions to withhold or withdraw life-prolonging treatment arise?
When should difficult decisions to withhold or withdraw life-prolonging treatment arise?
Signup and view all the answers
What does advance care planning indicate according to the text?
What does advance care planning indicate according to the text?
Signup and view all the answers
What is vital in providing effective end-of-life care?
What is vital in providing effective end-of-life care?
Signup and view all the answers
What should health professionals be sensitive to according to the text?
What should health professionals be sensitive to according to the text?
Signup and view all the answers
What is important in helping people close to dying patients come to terms with the situation?
What is important in helping people close to dying patients come to terms with the situation?
Signup and view all the answers
What should be recognized in end-of-life care according to the text?
What should be recognized in end-of-life care according to the text?
Signup and view all the answers
What must be clearly communicated regarding withholding life-prolonging treatment?
What must be clearly communicated regarding withholding life-prolonging treatment?
Signup and view all the answers
What should patients maintain control over according to the text?
What should patients maintain control over according to the text?
Signup and view all the answers
Prescribing from a distance can seriously compromise the standard of care provided to patients.
Prescribing from a distance can seriously compromise the standard of care provided to patients.
Signup and view all the answers
Doctors are obliged to comply with requests from patients to prescribe drugs for relatives in another country.
Doctors are obliged to comply with requests from patients to prescribe drugs for relatives in another country.
Signup and view all the answers
Palliative care provides support only for the patient, not the family.
Palliative care provides support only for the patient, not the family.
Signup and view all the answers
Doctors should document any decision to withhold or withdraw life-prolonging treatment in the patient's notes.
Doctors should document any decision to withhold or withdraw life-prolonging treatment in the patient's notes.
Signup and view all the answers
Doctors are not required to establish the patient's current medical conditions before prescribing from a distance.
Doctors are not required to establish the patient's current medical conditions before prescribing from a distance.
Signup and view all the answers
Prescribing by email or over the telephone does not pose any serious safety risks.
Prescribing by email or over the telephone does not pose any serious safety risks.
Signup and view all the answers
Doctors must ensure that there is sufficient justification to prescribe the medicines or treatment proposed and discuss other treatment options with the patient where appropriate.
Doctors must ensure that there is sufficient justification to prescribe the medicines or treatment proposed and discuss other treatment options with the patient where appropriate.
Signup and view all the answers
Prior to withdrawing or withholding treatment, nutrition and hydration, a senior clinician should talk to the patient.
Prior to withdrawing or withholding treatment, nutrition and hydration, a senior clinician should talk to the patient.
Signup and view all the answers
True or false: Patients should not be afforded dignity and privacy at the end of life?
True or false: Patients should not be afforded dignity and privacy at the end of life?
Signup and view all the answers
True or false: Advance care planning may not indicate whether treatment should be withheld or withdrawn?
True or false: Advance care planning may not indicate whether treatment should be withheld or withdrawn?
Signup and view all the answers
True or false: Health professionals should not be sensitive to patients' cultural and religious backgrounds in end-of-life care?
True or false: Health professionals should not be sensitive to patients' cultural and religious backgrounds in end-of-life care?
Signup and view all the answers
True or false: Withholding treatment, nutrition, and hydration should not involve difficult decisions for health professionals?
True or false: Withholding treatment, nutrition, and hydration should not involve difficult decisions for health professionals?
Signup and view all the answers
Patients have the right to refuse treatment, and treatment can be provided against their valid refusal.
Patients have the right to refuse treatment, and treatment can be provided against their valid refusal.
Signup and view all the answers
Decisions for incapacitated patients are made based on their best interests or what would benefit them.
Decisions for incapacitated patients are made based on their best interests or what would benefit them.
Signup and view all the answers
Oral nutrition and hydration should be maintained as long as the patient is able to tolerate it, but can be forced on unwilling or refusing patients.
Oral nutrition and hydration should be maintained as long as the patient is able to tolerate it, but can be forced on unwilling or refusing patients.
Signup and view all the answers
Dying patients should be given opportunities to discuss where they want to die and plan aspects of their care.
Dying patients should be given opportunities to discuss where they want to die and plan aspects of their care.
Signup and view all the answers
Advance decisions made by patients to refuse some forms of active treatment can be overruled if they retain mental capacity.
Advance decisions made by patients to refuse some forms of active treatment can be overruled if they retain mental capacity.
Signup and view all the answers
Doctors accept clinical and legal responsibility when they sign a prescription.
Doctors accept clinical and legal responsibility when they sign a prescription.
Signup and view all the answers
Doctors should only prescribe medication if they have sufficient knowledge and experience, and should avoid conflicts of interest.
Doctors should only prescribe medication if they have sufficient knowledge and experience, and should avoid conflicts of interest.
Signup and view all the answers
Doctors can prescribe unlicensed medicines, but take on greater responsibilities when doing so.
Doctors can prescribe unlicensed medicines, but take on greater responsibilities when doing so.
Signup and view all the answers
Legal responsibility for prescribing rests with the doctor who signs the prescription, but responsibilities may be shared between hospital consultants and GPs.
Legal responsibility for prescribing rests with the doctor who signs the prescription, but responsibilities may be shared between hospital consultants and GPs.
Signup and view all the answers
Sufficient drugs should be prescribed and dispensed when a patient is discharged from hospital to last for at least a 7-day period for inpatients and a 14-day period for outpatients.
Sufficient drugs should be prescribed and dispensed when a patient is discharged from hospital to last for at least a 7-day period for inpatients and a 14-day period for outpatients.
Signup and view all the answers
Doctors should not prescribe off-label or prescribe unfamiliar drugs without full agreement between transferring doctors and GPs.
Doctors should not prescribe off-label or prescribe unfamiliar drugs without full agreement between transferring doctors and GPs.
Signup and view all the answers
Doctors have an ethical duty to use the most economic and efficacious treatment available within the NHS and should not prescribe larger doses or issue prescriptions without clinical review.
Doctors have an ethical duty to use the most economic and efficacious treatment available within the NHS and should not prescribe larger doses or issue prescriptions without clinical review.
Signup and view all the answers
Study Notes
-
Patients have the right to refuse treatment, and treatment cannot be provided against their valid refusal.
-
Decisions for incapacitated patients are made based on their best interests or what would benefit them.
-
Oral nutrition and hydration should be maintained as long as the patient is able to tolerate it, but cannot be forced on unwilling or refusing patients.
-
Dying patients should be given opportunities to discuss where they want to die and plan aspects of their care.
-
Advance decisions made by patients to refuse some forms of active treatment can be overruled if they retain mental capacity.
-
Doctors accept clinical and legal responsibility when they sign a prescription.
-
Doctors should only prescribe medication if they have sufficient knowledge and experience, and should avoid conflicts of interest.
-
Doctors can prescribe unlicensed medicines, but take on greater responsibilities when doing so.
-
Legal responsibility for prescribing rests with the doctor who signs the prescription, but responsibilities may be shared between hospital consultants and GPs.
-
Sufficient drugs should be prescribed and dispensed when a patient is discharged from hospital to last for at least a 7-day period for inpatients and a 14-day period for outpatients.
-
Doctors should not prescribe off-label or prescribe unfamiliar drugs without full agreement between transferring doctors and GPs.
-
Doctors have an ethical duty to use the most economic and efficacious treatment available within the NHS and should not prescribe larger doses or issue prescriptions without clinical review.
-
Doctors should not prescribe lifestyle drugs unless clinically appropriate and the benefits outweigh the risks.
-
Patients have the right to refuse treatment, and treatment cannot be provided against their valid refusal.
-
Decisions for incapacitated patients are made based on their best interests or what would benefit them.
-
Oral nutrition and hydration should be maintained as long as the patient is able to tolerate it, but cannot be forced on unwilling or refusing patients.
-
Dying patients should be given opportunities to discuss where they want to die and plan aspects of their care.
-
Advance decisions made by patients to refuse some forms of active treatment can be overruled if they retain mental capacity.
-
Doctors accept clinical and legal responsibility when they sign a prescription.
-
Doctors should only prescribe medication if they have sufficient knowledge and experience, and should avoid conflicts of interest.
-
Doctors can prescribe unlicensed medicines, but take on greater responsibilities when doing so.
-
Legal responsibility for prescribing rests with the doctor who signs the prescription, but responsibilities may be shared between hospital consultants and GPs.
-
Sufficient drugs should be prescribed and dispensed when a patient is discharged from hospital to last for at least a 7-day period for inpatients and a 14-day period for outpatients.
-
Doctors should not prescribe off-label or prescribe unfamiliar drugs without full agreement between transferring doctors and GPs.
-
Doctors have an ethical duty to use the most economic and efficacious treatment available within the NHS and should not prescribe larger doses or issue prescriptions without clinical review.
-
Doctors should not prescribe lifestyle drugs unless clinically appropriate and the benefits outweigh the risks.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Learn about the goals and principles of providing care to patients at the end of life, including maintaining dignity, respecting privacy, honoring cultural and religious backgrounds, and supporting advance planning.