Exam (elaborations)
Casper Lesson 2 Questions and Answers
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Exam of 6 pages for the course Casper at Casper (Casper Lesson 2)
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Casper Lesson 2What are the goals of advanced care planning - answerThe goals of ACP are to ensure that medical care servers the patients goals
to clarify and misunderstandings and conflicts between the patients, the patients family, and the health care providers minimize the decision making that is directly in hands of the patient's spokesperson
What topics are discussed with ACP - answer1. misunderstandings clarified 2. patient discusses preferences for treatment and care in a situation where they cannot
advocate for themselves 3. discuss expectations with family members to enhance understanding of the patients values and desires.
How can I raise the topic of advanced care planning without scaring patients? - answer1. inform the patient that this is one of many health promotion activities 2. raising these questions doesn't mean they will ever be necessary - precautionary measure 3. difficult topic - dont need to come to any conclusions right away
How to advise patient if they don't have a proxy - answerI would provide them with questions and resources so that they can make informed decisions; to write down a detailed list of their wishes and desires and give a copy to all health care providers.
How to advise patients if they believe their family members won't agree with the wishes - answerthe best way to prevent disagreements is to communicate with everyone ahead
of time and to let them know who has been chosen as a spokesperson and what kind of
approach to health care he wants
Why are advance directives important? - answerAdvance directives serve to protect patient autonomy of competent adults where a patient is in a vulnerable state and may not be able to advocate for themselves means for patients to particiapate in their healthcare even if they are currently unable to make informed decisions. what if the family disagrees with a patients living will? - answerthe medical team should meet with the family and patient early on in order to clarify the patients desires and wishes. The team should also try to understand the patients reasoning by asking probing questions and seek to understand if the patients have a different impression of what would be in the patients best interest
limitations of living wills - answer1. cannot cover all circumstances 2. changes in patient preferences over time 3. family members emotions might cloud judgement in a scenario that hasn't been covered in a living will
pros and cons of complementary medicine - answerPRO
Integrative therapies provide an opportunity for physicians to explore all possibilities, not
discredit any treatments, and in theory find the best possibly complementary solution for
patients. as CAM research progresses, effective CAM therapies will likely add great value to modern medicine. CON Physicians are required to do no harm and produce the best outcomes for patients. The reality is that the research on evidence-based CAM practices is limited and this makes it
challenging for physicians to judge the effectiveness of such treatments. CAM therapies can impose upon informed consent because the benefits risks and consequences are unknown
what obligations do clinicians have in relationships with difficult patients? - answer1. to do no harm 2. produce the most beneficial outcomes 3. justice - offering the patient the same medical services and resources that he or she would distribute to another patient with the same circumstances 4. When treating patients with multifaceted health problems, the provider should make an effort to address all the factors contributing to that person's illness including the SDH;
instead of advising the patient to make lifestyle choices
what physician characteristics make the clinician patient relationship difficult - answer1. physicians who dismiss patient's poor lifestyle choices as lazy or noncompliant may have trouble empathizing with patients because they dont fully understand that person's
social circumstances 2. physician prejudices, biases, negativity, and burn out can negatively affect the patient-provider relationship
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