University:
Northwest College
Course:
VN 310 | Mental Health
Academic year:

2022
Views:

170

Pages:

1
Author:

Oerallerxhcq

Four Box-Method Clinical Indications The Principles of Beneficence and Nonmaleficence • What is the patient’s medical problem? History? Diagnosis? Prognosis? • Is the problem acute? Chronic? Critical? Emergent? Reversible? • What are the goals of treatment? • What are the probabilities of success? • What are the plans in case of therapeutic failure? • In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided? Patient Preferences The Principles of Respect for Autonomy • Is the patient mentally capable and legally competent? Is there evidence of incapacity? • If competent, what is the patient stating about preferences for treatment? • Has the patient been informed of benefits and risks, understood this information, and given consent? • If incapacitated, who is the appropriate surrogate? Is the surrogate using appropriate standards for decision making? • Hs the patient expressed prior preferences, e.g., Advanced Directives? • Is the patient unwilling or unable to cooperate with medical treatment? If so, why? • In sum, is the patient’s right to choose being respected to the extent possible in ethics and law? Quality of Life Contextual Features The Prinicples of Beneficence and The Principles of Loyalty and Fairness Nonmaleficence and Respect for Autonomy • Are there family issues that might influence treatment decisions? • What are the prospects, with or without treatment, for a return to normal life? • Are there provider (physicians and • What physical, mental, and social nurses) issues that might influence deficits is the child likely to experience treatment decisions? • Are there financial and economic if treatment succeeds? • Are there biases that might prejudice factors? • Are there religious or cultural factors? the provider’s evaluation of the patient’s quality of life? • Are there limits on confidentiality? • Is the patient’s present or future • Are there problems of allocation of resources? condition such that his or her continued life might be judged undesirable? • How does the law affect treatment decisions? • Is there any plan and rationale to forego treatment? • Is there any conflict of interest on the • Are there plans for comfort and part of the providers or the institution? palliative care?