Law, Policy, and Ethics in Healthcare

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Questions and Answers

What contributes to the risk of developing mental illness?

  • Environmental factors and stress (correct)
  • Solely personal lifestyle choices
  • Only genetic predisposition
  • Risk is due to exposure to infectious diseases

What is the significance of the NDST3 gene in relation to schizophrenia?

  • It guarantees a diagnosis of schizophrenia if present
  • It is a dominant gene causing schizophrenia in all populations
  • It completely eliminates the risk of developing schizophrenia
  • It is exclusive to individuals of Ashkenazi Jewish descent (correct)

What characterizes Huntington's Disease testing?

  • It is a presymptomatic genetic test (correct)
  • It is only available after symptoms appear
  • There is no existing gene test for it
  • Testing guarantees accurate predictions of severity

Which factor is NOT used to measure the impact of communicable diseases?

<p>Severity of symptoms (A)</p> Signup and view all the answers

Which of the following is a mode of transmission for communicable diseases?

<p>Airborne particles and contaminated food (B)</p> Signup and view all the answers

Which of the following strategies is NOT included in the public health tools to address communicable diseases?

<p>Regular exercise (D)</p> Signup and view all the answers

What is a critical factor for the eradication of a disease?

<p>Effective post-exposure vaccination (A)</p> Signup and view all the answers

Which of the following is a consequence of misusing antibiotics?

<p>Promotion of antibiotic resistance (A)</p> Signup and view all the answers

What is a characteristic of a disease that can be effectively eradicated?

<p>Disease produces long-term immunity (C)</p> Signup and view all the answers

Which example demonstrates the importance of herd immunity?

<p>Vaccination against measles (C)</p> Signup and view all the answers

What is an example of secondary aging?

<p>Developing health issues due to lifestyle choices (C)</p> Signup and view all the answers

Which statement accurately describes normative age-related changes?

<p>They include biological, psychological, and sociocultural changes. (B)</p> Signup and view all the answers

What is meant by 'tertiary aging'?

<p>The cognitive and physical decline occurring right before death (C)</p> Signup and view all the answers

What is one consequence of aging on immune function?

<p>Delayed development of immunity to diseases (B)</p> Signup and view all the answers

Which of the following best illustrates a nonnormative influence on aging?

<p>An individual experiencing a rare accident (B)</p> Signup and view all the answers

What is the primary role of the Institutional Review Board (IRB)?

<p>To approve and monitor research projects (D)</p> Signup and view all the answers

Which of the following is NOT a non-communicable disease?

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

Which criterion is essential for a disease screening program to be considered effective?

<p>Early detection must improve outcomes (D)</p> Signup and view all the answers

What does sensitivity refer to in the context of disease screening?

<p>The ability to catch all cases of the disease (A)</p> Signup and view all the answers

How can false positives in disease screening affect patients?

<p>They can lead to unnecessary procedures and anxiety (B)</p> Signup and view all the answers

Why is specificity important in screening tests?

<p>It prevents the detection of non-existent diseases (B)</p> Signup and view all the answers

Which of the following is a characteristic of a successful screening strategy?

<p>It has a feasible testing strategy (A)</p> Signup and view all the answers

What type of disease is primarily responsible for high mortality rates in developed countries?

<p>Non-communicable diseases like cancer (B)</p> Signup and view all the answers

What is the primary purpose of an advanced directive?

<p>To provide a living will that outlines healthcare decisions (D)</p> Signup and view all the answers

Which principle emphasizes the need to protect vulnerable populations in research?

<p>Respect for persons (B)</p> Signup and view all the answers

What unethical practice was demonstrated in the Tuskegee study?

<p>Informed consent was not obtained from participants (A)</p> Signup and view all the answers

Which of the following accurately describes the Belmont Report's principle of beneficence?

<p>Maximize benefits while minimizing risks (D)</p> Signup and view all the answers

What role does an Institutional Review Board (IRB) have in research?

<p>To approve research proposals and ensure ethical standards (A)</p> Signup and view all the answers

What does the principle of justice in the Belmont Report address?

<p>The need for fair distribution of research benefits and burdens (A)</p> Signup and view all the answers

Why is the treatment of prisoners in research considered different?

<p>They are classified as a vulnerable group needing special ethics considerations (A)</p> Signup and view all the answers

In the context of advanced health care decisions, what does a health care proxy do?

<p>They are appointed to make health care decisions on behalf of the individual (D)</p> Signup and view all the answers

What percentage of older adults are reported to have arthritis pain?

<p>70% (D)</p> Signup and view all the answers

Which type of arthritis involves the body attacking its own joints?

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

According to statistics, what is the approximate annual percentage of older adults who fall?

<p>30% (C)</p> Signup and view all the answers

What is a common challenge faced by older adults regarding medications?

<p>Increased medication costs (C)</p> Signup and view all the answers

Which population is less likely to have a diagnosis of cancer according to autopsy findings?

<p>Older adults without symptoms (C)</p> Signup and view all the answers

What factor significantly impacts driving abilities in older adults?

<p>Deterioration in vision (B)</p> Signup and view all the answers

What are the Instrumental Activities of Daily Living (IADLs)?

<p>Medication management and financial tasks (D)</p> Signup and view all the answers

What is the primary concern related to prescription labeling for older adults?

<p>Difficulty understanding drug information (A)</p> Signup and view all the answers

Which demographic trend is observed among the elderly population?

<p>Increased racial diversity (C)</p> Signup and view all the answers

What was the average number of medications taken by older adults, highlighting the issue of polypharmacy?

<p>6-7 medications (C)</p> Signup and view all the answers

What is a significant psychological effect often associated with arthritis in older adults?

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

How does tobacco use historically impact health perceptions?

<p>Tobacco was glamorized as a healthy habit. (D)</p> Signup and view all the answers

What factor contributes to the higher life expectancy of women compared to men?

<p>Men's higher mortality rates (A)</p> Signup and view all the answers

Which policy has been implemented to address smoking-related health issues?

<p>Banning tobacco distribution to minors (B)</p> Signup and view all the answers

Flashcards

Advanced Directive

A legal document stating a person's wishes regarding medical treatment in case they become unable to make their own decisions.

Living Will

A part of an advanced directive specifying the type of medical treatment a person wants, or doesn't want, in various situations.

Healthcare Proxy

A legal document that appoints someone to make healthcare decisions for you if you become unable to do so.

Bioethical Principles

A set of ethical principles guiding research involving human subjects.

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Protecting those with diminished autonomy

Protecting individuals with limited decision-making abilities, like fetuses, pregnant women, prisoners, or children.

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Beneficence

A research principle emphasizing the importance of minimizing harm and maximizing benefits for participants.

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Justice

A research principle ensuring fairness in the distribution of benefits and burdens of research.

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IRB (Institutional Review Board)

A committee responsible for reviewing research protocols to ensure they meet ethical standards.

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Empiric Risk

The likelihood of developing a mental illness based on family history.

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Genetic Variation

A specific change in a gene that increases the risk of developing a mental illness.

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Personalized Medicine

Treating a person based on the specific type of disease they have, leading to more effective treatments.

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Transmission of Disease

Passing a disease from one person to another through direct contact, contaminated objects, or the environment.

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Period of Communicability

The duration of time during which an infected individual can spread a disease.

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Institutional Review Board (IRB)

A group of professionals who review and approve research projects involving human subjects, ensuring ethical practices and participant safety.

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Non-communicable Diseases (NCDs)

Diseases that are not contagious and cannot be spread from person to person.

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Disease Screening

The process of identifying individuals who may have a particular disease or condition early on, often through tests or screenings.

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False Positive

A test result that falsely indicates the presence of a disease when the person is actually healthy.

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False Negative

A test result that falsely indicates the absence of a disease when the person actually has it.

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Sensitivity

The ability of a test to correctly identify all individuals who have the disease.

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Specificity

The ability of a test to correctly identify all individuals who do NOT have the disease.

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Cost-Effective Interventions

Interventions or strategies that aim to prevent or treat diseases in a cost-effective manner, considering the balance between costs and health benefits.

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Primary Aging

Changes in the body that happen as a result of aging, like wrinkles and slower reaction time.

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Secondary Aging

Changes in the body due to factors like disease, lifestyle, and environment. These changes are not inevitable.

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Tertiary Aging

A rapid decline in cognitive and physical abilities that occurs shortly before death.

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Normative Age-Related Changes

Changes in the body that are expected to occur with age.

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Normative History-Graded Influences

Changes in the body that are influenced by historical events or cultural trends.

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Isolation and Quarantine

Preventing the spread of a disease by physically separating infected individuals from healthy ones.

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Immunizations

Using vaccines to stimulate the immune system and create immunity against a disease.

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Herd Immunity

The ability of a population to resist a disease due to a high percentage of immune individuals.

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Disease Eradication

A disease that can be completely eliminated from the world.

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What are the conditions for disease eradication?

A disease is considered eradicated when there is no longer any natural transmission of the disease.

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Arthritis in the Elderly

A common health issue for older adults, characterized by joint pain and impairment, stemming from either the body's immune system attacking the joints (autoimmune) or wear and tear on the body's cushioning (osteoarthritis).

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Polypharmacy

A condition where an older person takes multiple medications, often six to seven, simultaneously.

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Medication Label Comprehension

The ability to understand and follow instructions on medication labels, often a challenge for older adults due to various factors like vision and reading ability.

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Medication Absorption in Elders

The time it takes for a medication to enter the bloodstream, significantly slower in older adults, potentially leading to toxicity and side effects if not properly timed.

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Delirium in Elderly

A temporary loss of awareness often caused by medication mistiming in older adults, which can lead to further complications.

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Life Expectancy

The average number of years a person is expected to live, often different for men and women, and varying across ethnic groups.

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Activities of Daily Living (ADLs)

Activities necessary for daily living, including eating, bathing, walking, using the bathroom, and dressing, often challenged by age.

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Government Program for Elderly Care

A program offering financial assistance to family members who provide care for elderly individuals.

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Instrumental Activities of Daily Living (IADLs)

Activities beyond basic daily living that require more complex skills, like managing finances, preparing meals, or using transportation.

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Biomedical Effects of Tobacco

The harmful effects of tobacco on the body, including addiction due to nicotine.

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Regulatory Restrictions on Tobacco

Government efforts to reduce smoking prevalence, such as warning labels, counter-advertising, and bans on smoking in public places.

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Tobacco Industry Knowledge of Harm

Evidence that tobacco companies were aware of nicotine's addictive and harmful properties, despite promoting smoking.

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Secondhand Smoke

The impact of secondhand smoke, which is proven to be carcinogenic, leading to bans in many public areas.

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Ethnicity in the Elderly

The increased prevalence of Asian, Hispanic, and Latina populations within the elderly demographic.

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Life Expectancy Across Ethnicity

Differences in life expectancy across ethnicities, with Asian women tending to live longer than their white counterparts and Black men having the lowest life expectancy.

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Study Notes

Law Policy and Ethics in Healthcare

  • Organizations involved in healthcare delivery include insurance companies, Medicare/Medicaid, hospitals, and professional licensing bodies.
  • Public/private insurance: Hospitals aren't required to accept all private insurance, but must accept Medicare/Medicaid.
  • Licensing: State regulations license healthcare professionals like doctors, nurses, physician assistants, and those in related fields like social workers, manicurists, and massage therapists.

Public Health

  • Public health includes food and drug safety (FDA), environmental protection (EPA), and disease epidemiology.
  • Bioethics study medical and ethical issues like stem cell research, using cells from miscarried or aborted fetuses.
  • US Constitutional principles govern some health-related issues.
  • Police power allows authorities to act to protect individuals and public health by restricting rights when necessary.
  • Interstate commerce regulations help control healthcare.
  • HIPAA policy regulates healthcare data privacy.

Healthy People 2024

  • It's a US government publication focusing on research and funding related to public health issues.
  • The publication prioritizes the most important issues affecting public health.
  • Aims to direct public health activities to align with government priorities.
  • Different philosophies on government's role in health affect policies.
  • Two categories include social justice.

Bioethical Principles

  • Public health leadership created a code of ethics to guide decision-making.
  • Relevant examples of ethical violations include the Tuskegee Syphilis Study and the Guatemala experiments.

Non-Communicable Diseases

  • These diseases aren't contagious.
  • Examples include cardiovascular disease, cancer, and mental health conditions.
  • Screening programs are a key aspect of public health. The key criteria for screening programs include early detection, improved outcomes, feasibility, and acceptability.

Screening Programs

  • Screening identifies individuals with conditions early, potentially improving outcomes.
  • The disease itself causes substantial death or disability.
  • Effective early detection is possible.
  • There is a convenient and effective testing strategy.
  • Screening is acceptable to those being screened.

Cost-Effective Interventions

  • Cost-effective intervention strategies combine benefit, harm, and financial factors, comparing new interventions with existing ones.

Genetic Testing for Disease Prediction

  • Genetic testing is used to predict or diagnose disease risk.
  • Testing is now used for a broad range of conditions.
  • Testing results give insights to personalized disease outcomes.

Communicable Diseases

  • Communicable diseases like those associated with pathogens (infectious agents) like bacteria and viruses used to be a leading cause of death.
  • Communicable disease transmission modes vary from insect vectors and animals to airborne transmission routes, water, food, open wounds, etc.
  • Includes measures for preventing spread, isolation, and quarantine.

Aging Population

  • Difficulty in defining 'old age'.
  • Different categories of aging individuals by age demographics.
  • Programs like Medicare and social security are relevant to aging populations.

Underlying Processes of Aging

  • Biopsychosocial factors affect aging.
  • Cohort effects: how experiences shape unique populations.
  • Time-of-measurement effects affect data collection.
  • Cross-sectional and longitudinal study designs are important methodologies.
  • Biological changes like puberty and menopause.
  • Psychological factors like raising children (a major stressor), social clocks.
  • Sociocultural impacts of aging.
  • Epidemics and pandemics can affect aging.
  • Immune function changes.
  • Common age-related conditions include diseases like diabetes, osteoporosis, arthritis, and cancer.
  • This also includes functional impairments.
  • Susceptibility to infection is elevated in older populations.

The Older Driver

  • Many older people continue driving despite age-related physical changes and potential health issues.
  • Various factors affect a driver's ability (physical capabilities, etc.)
  • Drivers over 70 make up a significant portion of those involved in traffic collisions.

Medications Patterns for Older Adults and Polypharmacy

  • Older adults frequently use numerous medications.
  • Many challenges relate to their use, like adherence, dosage, and side effects.

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