ECM 1/2 (culture compt)

the knowledge and interpersonal skills that allows providers to understand ppl from other cultures

integrating patient story into medical treatment

no physician compromise: back off standard of care (look for second-best alternative)

do NOT compromise on cultural practices that pose harm ( i.e. mother that burns baby)

no patient compromise (meaning listen to patient) on Johovah Witness (respect patient autonomy, they rather die than get blood transfusion to live)

• listen to patients perspective
• explain and share one's own perspective
• acknowledge diff./simil. between two perspectives
• rec. a treatment plan
• negotiate mutually agreed upon plan

when you undertake to provide care 

• yes
• yes
• no

• explain proposed treatment
• risks/benefits
• reasonable alternatives

only in surgery, outpatient consent is implied

• competend adult
• **if female AND pregnant or want birth control you can treat/provide REGARDLESS of age

living will, power of attorney, spouse, adult child, parent

1. signed document allowing patient to indicate their choices in situations when they are not competent

2. signed doucment allowing the patient to name someone to make health care decisions when they cant

• public health reporting
• child abuse
• subpoena/court order

• 1. duty (patient-phys. relationship)
• 2. breach of duty
• 3. proximal causation (breach must have proximally caused injury)
• 4. damages (must be actual injury)

Two years from injury arising from negligent actone year from discovery of foreign objectstatue is tolled under 5 years old (i.e. 2 y/o got messed up...clock starts at 5 y/o and ends at 7 y/o)

to fascilitate and record care

practice, hospital (not patient)

You have to stabilize patients with serious medical condition

yes in assisting emergencies

no