Public Health Principles and Medical Ethics

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Questions and Answers

Which of the following best describes the overall focus of public health?

  • Protecting and improving community health through preventative measures. (correct)
  • Treating individual patients with acute illnesses.
  • Conducting research on the genetic causes of disease.
  • Providing direct medical care to the injured.

In the context of epidemiology, what does 'virulence' refer to?

  • The method a disease uses to transfer from a host to a vector.
  • The number of people who currently have the disease in a location.
  • The rate at which a disease spreads through a population.
  • The degree of pathogenicity or harmfulness of a disease causing agent. (correct)

An EMS provider teaching a class on car seat safety is engaging in what type of activity?

  • Biohazard risk assessment.
  • Tertiary care intervention.
  • Community prevention program. (correct)
  • Clinical trial research.

Which type of law is derived from court decisions and interpretations?

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

Which of the following is NOT a necessary component to demonstrate negligence in a court of law?

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

What type of consent is given when a patient verbally agrees to treatment?

<p>Expressed consent (D)</p> Signup and view all the answers

A provider terminates care without ensuring a transfer of care to another qualified authority or provider, this is known as:

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

What is the primary purpose of the Ryan White Act?

<p>To protect EMS providers exposed to infectious diseases. (D)</p> Signup and view all the answers

Flashcards

Epidemiology

The study of disease patterns in populations, including incidence and prevalence.

Universal Precautions

A standard set of practices used in healthcare to prevent the spread of infections.

Tort Law

A type of law that governs civil wrongs, such as negligence, where one party's actions cause harm to another.

Governmental Immunity

A legal concept where a person or organization is protected from liability for harm caused by their actions while performing official duties.

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Documentation

A legal document that records patient care, treatments, and assessments.

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Assault and Battery

The act of providing care to a patient without their consent, which can lead to legal charges.

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Breach of Duty

A key component of negligence that involves a healthcare provider failing to meet the expected standard of care.

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Abandonment

A situation where a healthcare professional terminates care for a patient without ensuring the patient's ongoing care is taken care of.

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Study Notes

Public Health Principles

  • Public health is the science and practice of protecting and improving community health through preventive medicine, education, and environmental safety.
  • Public health has achieved advancements in vaccinations, motor vehicle and workplace safety, infectious disease control, and tobacco use reduction.
  • Epidemiology studies disease incidence and prevalence in populations. Key terms include epidemic, pandemic, carrier, host, vector, and virulence.
  • Emergency Medical Services (EMS) providers are injury prevention advocates, collaborating with public health to create disaster plans, educate communities, and secure funding.
  • Community prevention programs address infant/child safety, elder falls, work injuries, and medication misuse through education, driving training, and elder care clinics.
  • Legal foundations include constitutional, common, statutory, and regulatory laws, with tort law addressing civil wrongs like negligence.
  • Negligence includes a duty to act, breach of that duty, demonstrable harm, and proximate cause.
  • Defenses against negligence include Good Samaritan laws, governmental immunity, and proper documentation.
  • Consent for EMS care includes informed, expressed, and implied consent, emphasizing full patient disclosure and the right to refuse care.
  • Confidentiality is governed by HIPAA and breaches can lead to legal issues.
  • Abandonment and assault/battery involve terminating care without ensuring continuity and providing treatment without consent.

Focus Areas for Prevention and EMS Practice

  • Communicable diseases are addressed through universal precautions, and the Ryan White Act safeguards EMS providers exposed to infectious agents.
  • Patient safety and autonomy prioritize "do no harm" and respect patient refusal of care.
  • Community education programs reduce morbidity and mortality through initiatives like car seat safety and defensive driving.
  • Accurate and complete documentation protects EMS providers and enhances patient care.

Important Laws and Regulations

  • HIPAA ensures patient confidentiality and data security.
  • The Ryan White Care Act permits testing for communicable diseases following exposure.
  • Disaster laws provide flexibility for government response in emergencies.
  • DNR orders must be valid, signed by the patient and physician to be followed.

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