Medical Law and Ethics

abuse

...any care that results in physical harm, pain, or mental anguish

advance directives

...legal documents that allow individuals to state what medical treatment they want or do not want in the event that they become incapacitated and are unable to express their wishes regarding medical care

agent

...in contract law this person is working under the employer in this role

assault and battery

...threat or attempt to injure or the unlawful touching of another person without consent

civil law

A law that governs relationships between individuals and defines their legal rights.

confidentiality

information about the patient must remain private and can be shared only with other members of the patient's health care team

contract

...an agreement between two or more parties

criminal law

...deals with the wrongs against a persons property example: practicing without a license

defamation

...occurs when false statements either cause a person to be ridiculed or damage there person's reputation

designation of health care surrogate

...to appoint another person to make any decisions regarding health care if the principal should become unable to make decisions

Durable Power of Attorney

...Document that appoints another person to make any decisions regarding health care if the principal should become unable to make decisions

expressed contracts

...stated in distinct and clear language, either orally or in writing ex. surgical permit

false imprisonment

...restraining or restricting an individual's freedom

health care records

...privilege communications that contain information about the care provided to the patient

implied contracts

...obligations that are understood without verbally expressed terms

informed consent

permission granted voluntarily by a person who is of sound mind and aware of all factors involved

invasion of privacy

...includes unnecessarily exposing an individual or revealing personal information about and individual without that person's consent

legal

...based on law

legal disability

...a person who does not have legal capacity to form a contract

libel

...written defamation

living wills

...documents that allow individuals to state what measures should or should not be taken to prolong life when their conditions are terminal

malpractice

providing improper or unprofessional care that results in injury

negligence

...failure to give care that is normally expected of a person in a particular position, resulting in injury to another person

Patient Self Determination Act

...federal law that ensures patients are informed of their rights

Patients' Bill of Rights

...List of patient rights honored by hospitals

patients' rights

...the factors of care that patients can expect to receive

privileged communications

...comprise all information given to health care personnel by a patient

Resident's Bill of Rights

...List of resident rights honored by long term care facilities. Created as a result of the OBRA Act 1987

slander

...spoken defamation

tort

...wrongful act that does not involve a contract

Law

societal rules or regulations that are adviseable or obligatory to observe (mandatory, face civil or criminal liability).

Ethics

moral standards and a code for behavior that govern an individual's interactions with others and within society.

Bioethics

the ethical implications of biomedical technology and its practices; life & death issues; local, organizational, personal, worldwide implications

Morality

what is believed to be right and wrong.

Types of laws affecting health care

Criminal, civil law

Tort

A wrongful act that doesn't involve a contract

Malpractice

The failure if a professional to use the degree of skill and learning commonly expected in that individuals profession

Negligence

Failure to give care that is normally expected of a person in a particular position

Assault

A threat or attempt to injury

Battery

Unlawful touching of another person without consent

Informed consent

Permission granted voluntarily by a person who is of sound mine after the procedure and all risks involved have been explained

Invasion of privacy

Unnecessarily exposing or revealing personal information without the persons consent

False imprisonment

Restraining an individual or restricting an individuals freedom

Examples of abuse

Physical, verbal, psychological, sexual

Defamation

False statements either cause a person to be ridiculed or damage the persons reputation

Slander

When defamation occurs and the information is spoken

Libel

When defamation occurs and the information is written

Contract

An agreement between two or more parties

Part of contracts

Offer, acceptance, consideration

Implied contracts

Obligations that are understood without verbally expressed terms

Expressed contracts

Stated in distinct and clear language either orally or in writing

Legal disability

When someone doesn't have the legal capacity to form a contract.

Privileged communications

All information given to health care personnel by a patient

Patients rights

The factors of care that patients can expect to retrieve

Advance directives

Legal documents that allow individuals to state what medical treatment they want to or do not want in the even they become incapacitated and are unable to express their wishes regarding medical care

Living wills

Documents that allow individuals to state what measures should or should not be taken to prolong life when death is expected

PSDA

Patient self-determination act

Organ Donation and Transplantation

Common Law Position
-Body parts cannot be removed from living person unless it is for therapeutic purposes
-Criminal offence of maiming
-Consent is irrelevant

Elements of Negligence

1.The existence of a duty of care;
2.A breach of the standard of care;
3.Damage suffered which was reasonably foreseeable; and
4.The breach caused, or materially contributed to the damage (causation).

o HIPAA:

Health Insurance Portability and Accountability Act