Respect for a patient’s ability to make their own decisions
Autonomy
Obligation to act in the patient’s best interest and prevent harm
Beneficence
Obligation to not harm the patient or cause pain/suffering
Nonmaleficence
Fair and equitable treatment of all individuals
Justice
Elements of informed consent
Capacity, Voluntariness, Disclosure, Recommendation, Understanding, Decision, Authorization
SPIKES for delivering news
Setting - quiet, private, ask for support person
Perspective - layman’s
Invitation - how much to tell
Knowledge - Small chunks, gauge processing
Empathy - normalize emotions
Summary - review and plan moving forward
Order of POA
Legally married spouse
Adult children
Parents