Midterms

Ethics

Makin an decision for the patient, what if the patient doesn’t like that?

Communication and understanding that you are on the same page, alongside with education of why the doctor is doing what they’re doing

How would you shape a patient perception

effective communication and transparency

What you mean to do or what you’re trying to do

Intent

What people perceive you are doing, how it comes off to the other person

Perception

What are the main difference between intent and perception

you have control over what you intent, but not what the other person perceived

making a decision on behalf of someone else or pre-emptying a decision that they are able to make on their behalf, on the grounds that it is for their own good

Paternalism

Service not rendered

fraud

When going to a chiropractor what is the patient main goal

to get out of pain and dysfunction

As chiropractor, what is your responsibility

Transparency, admitting the standard of care

What is the standard of care

Administer treatment with competency

What percent of the US adult population has had a chiropractic experience

50%

What percent of the US adult population are still under chiropractic care

14%

Failure to do something (leave out/ exclude info) that one has a moral/legal obligation to do

Omission

The act of doing something that has a negative or undesirable outcome

Commision

What are the ethical boundary issues with a 15 year old

Informed consent

Minor confidentiality

Mandatory Reporting

Power Balance

What does a healthcare provider educate patients on (informed consent)

Risk

Benefits

Alternative

Option to not get something

WHat does the option to not do something have to do with the patient’s prognosis

Can get worse

Bloom Taxonomy: Recall of specific information

Knowledge

Bloom Taxonomy: understanding of what was read

Comprehension

Bloom Taxonomy: converting abstract content to concrete situations

Application

Bloom Taxonomy: comparison and contrast of the content to personal experience

Analysis

Bloom Taxonomy: Organization of thoughts, ideas, and information from the context

Synthesis

Bloom Taxonomy: judgement and evaluation of character, action, outcomes, for personal reflection and understanding

Evaluation

Are ethics always static

No, varies on the influence on family, culture, and society

Can you change your wrongs to right

Yes

WHat is the most common type of pressure can influence you to change your wrong to rights

Economic pressure

Juan Enriquez highlights about how societal norms shift over time

practices that were once considered essential or acceptable are now viewed as barbaric

Juan Enriquez encourages when evaluating historical and contemporary morality

A more compassionate lens

There is a certain amount of just fury of what people have done in the past and what people are doing in the present. What does Juan Enriquez say we should do with that fury?

Fury should be tempered with humility and balance

Juan Enriquez says about talking to those with a different political view/ culture?

find a middle ground, people can make opinions that are unpopular and we can listen

Who would you consider a professional

Anyone from society with respected backgrounds

Subordinate their own interest to the needs of the patient

Hold to high ethical and moral standards

Respond to the needs of society within their community

Are honest, caring, respectful, and trustworthy

Are accountable for themselves, and for and to their colleagues

Are competent by committing themselves to scholarship and life long learning

Are held to higher standards in competence, behavior, decision-making, and accountability

Demonstrate a commitment to excellence and advancing their profession

Qualities of a profession

Rule of conduct or action prescribes or formally recognized as binding or enforced by a controlling authority

Law

Standards of behavior developed as a result of one’s concept of right and wrong

Ethics

One’s personal concept of right and wrong, formed through the influence of the family culture and society

Moral values

If you know or should have known, you are responsible for reporting that

responsibility of a colleague committing fraud

Can you administer care without documenting it

Yes

Should you administer care without documenting it

No

If a patient is related to you, either by marriage or some kind of a familial relationship, what are your responsibilities

You are responsible for treating them like any other patient in the office

Do professional responsibilities override your personal relationships

Yes

What is the most frewuent allegation against chiropractic in a negligence care

causing disc injury

99% of strokes are caused by

Intracranial strokes

1% of strokes are caused by

Extracranial stroke

What type of strokes do chiropractor influence

part of the 1%

Who has the responsibility of eleciting history or delivering informed consent

Doctor

How do you elicit history

asking open ended questions

Should you ever tell your patient to discontinue their medication

No

Meaning of moral language and seek to understand what makes something right or wrong

Meta ethics

moral emphasis on consequences of an act rather than the act itself

consequentialism

act in such a way as you would have others act towards you

Deontology

decision based on previous cases

Casuistry

Decision on a case by case basis; unpredictable

Contextualism

The view that moral judgement relative to individual or cultural perspectives, and that there are no universal objective moral truths

relativism

Refers to the belief that we should use what works and alter or discard what doesnt

pragmatism

The philosophical belief that each individual person has moral priority to determine the course of their own life

Liberalism

What percent of patients come in by a referral

98%

What the second most common allegation against chiro

cerebral vascular accident

Is error of commission active or passive

active

is error of omission active or passive

passive

What the bottom of the bloom taxonomy

foundational knowledge

What the top of the bloom taxonomy

synthesis and evaluation