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Dysphagia
Question | Answer |
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Morals | a person's judgments or decisions regarding specific behaviors/conduct as either good or bad |
Values | judgment of relative worth or importance of something; whatever is deemed proper, desirable, or worthwhile |
Justice | fairness; legal correctness; administration of fairness by impartial adjustment of conflicting aims |
Law | rules of conduct that are derived from cultural or community standards or moral and ethical behavior |
Ethics | the science or philosophy of balancing values; the principles of conduct governing and individual or a group |
Clinical Ethics | the identification, analysis, and resolution of moral problems concerning a particular patient |
Professional Ethics | the standards or rules of professional behavior which are set out by a profession (e.g., ASHA) |
Bioethics | discipline dealing with the ethical implications of biological research and applications, especially in medicine |
Paternalism | the practice of overriding or ignoring a person’s preferences in order to benefit them of enhance their welfare (from caregiver’s perspective) |
Autonomy | the right to self-determination; respect of individuals as self-determining agents |
Beneficence | the obligation to benefit the patient |
Non-Malfeasance | the obligation to do no harm |
Respect | provision of necessary supports/protections to assist individuals with impaired autonomy such that the individual can meet their presently held, or at least previously held values as much as possible |
Standard of Substituted Judgment | whoever makes decisions for the patient must attempt to make decisions that the patient would have made for himself to the degree that those preferences are known |
Standard of Best Interest | guiding principle for surrogate decision makers when the patient’s preferences before the injury are unknown or rendered moot because f the present circumstances (broad application of beneficence) |
Quality of Life | subjective judgment characterizing what makes one’s life worth living |
Surrogate decision-maker | a person who acts on behalf of patients |
Competence | legal term used by the courts to describe a person’s overall ability to manage their affairs, including financial, social and making clinical decisions |
Decision Making Capacity | patient’s ability to make specific decisions regarding his own current or future medical care; can be determined clinically and does not require court involvement; |
Consent | a formal and voluntary agreement obtained from a person who is informed about the potential risks and benefits of an action; |
Assent | an informal agreement obtained from a patient who cannot participate in a fully informed decision and cannot give true informed consent, but can express an opinion about their wishes and goals for their clinical care |
Advance Directives | formal statement of a person’s preferences for treatment of non-treatment decisions, typically about end-of-life decisions; most common forms are living will and durable power of attorney |
Living Will | written request to forego certain treatment in the event of specific circumstances |
Durable Power of Attorney for Health Care (DPAHC): | allows a person to name someone to make decisions on his behalf should he become unable to participate in medical decision making |
Malpractice Basics | duty of care (must prove a “special” relationship between you and patient); standard or care (duty to exercise reasonable degree of skill, knowledge, and care; foreseeable harm (only liable if there was a foreseeable |
Oral Prep Normal | -mastication -form cohesive bolus (requires laryngeal control) -labial seal, buccal tension -BOT up & velum down to prevent premature spillage |
Oral Transit Normal | -A-P stripping of the tongue -tongue ramping -VP port closed -bolus moves towards sensory trigger |
Pharyngeal Stage Normal | -hyolaryngeal elevation, epiglottis inversion, UES opens -sup→inf pharyngeal stripping -BOT retraction to meet pharyngeal wall -TVF & FVF adduction -arytenoids rock in together/medialize & adduct to prevent penetration |
Esophageal Normal | -UES should stay closed -bolus in esophagus -peristalsis moves bolus towards LES -LES opens |