Ethical Considerations in Integrative Medicine

Ethical Considerations in Integrative Medicine CPD

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Page 1 of 20

There are no ethical challenges when integrating different treatment modalities True False

Page 2 of 20

What does informed consent mean?

Choose 3

The patient understands the reasoning for the therapy The patient gives the practitioner carte blanche to do whatever they want The patient understands the risks of the therapy The patient agrees to the risk and reasoning of the therapy Informed consent is not applicable to integrative medicine

Page 3 of 20

Why is it important to educate patients regarding their health in integrative medicine?

Choose 3

Patients have the right to be active participants in their health Patients are pests and should do as they are told Patients are empowered to make informed decisions about their health. The ultimate choice of therapy lies with the patient. Education is vital for them to do that.

Page 4 of 20

Your patient voices their false impression that you are able to cure / effectively treat their terminal disease.

Choose 1

Immediately correct their incorrect impression by telling them that at present, there is no known cure, but you will do your best to minimise pain and maximise quality of life Consult with them on several occasions before correcting their impression Refrain from correcting the patient, because the placebo effect of their belief may be of more benefit to them than knowing the truth Refrain from correcting the patient on the basis of therapeutic privilege, because the harm of knowing the truth may be worse than the harm being ignorant

Page 5 of 20

A patient complains about your pricing, specifically that there was no indication as to price in advance of the consult, and it is significantly in excess of medical aid rates, and they don’t have enough money on them.

Choose 1

Arrange for a payment plan with the patient and immediately put up notices that you run a cash practice contracted out of medical aid rates Refuse to let them out the door without full payment Accept payment in kind Refuse to see the patient again

Page 6 of 20

A patient refuses to sign your indemnity form. What do you do?

Choose 2

Consult with them anyway Refer them to another doctor Refuse to consult with them Amend your terms and conditions so as to suit your patient Agree that the terms and conditions will be signed after your consult if the patient wishes to continue seeing you

Page 7 of 20

Which of the following statements are true regarding ethical considerations in selecting the most suitable integrative therapy for a patient

Choose 2

The more you like the patient, the better the therapy selected Choose the therapies that are the most expensive to make the most profit out of the patient It is important to assess the potential risks and benefits of a therapy on a per-patient basis Have a set protocol that you apply to each and every person Allow patients to discuss their financial situation and incorporate that into the therapies offered

Page 8 of 20

The art of integrative medicine so too dangerous that the principles should only be shared with a select few. True False

Page 9 of 20

The following should be considered and respected with regards to patient choices

Choose 4

Culture Religion Sexual identity Personal beliefs Model of car they drive

Page 10 of 20

Integrative medicine is the sole domain of medical doctors. There is no space for other practitioners. True False

Page 11 of 20

Interdisciplinary teamwork in an integrative medicine practice is fundamental to patient outcomes. True False

Page 12 of 20

Safety and efficacy of complementary therapies are of no consequence. Natural is always safe. True False

Page 13 of 20

The Consumer Protection Act has been used in order to address the following by patients:

Choose 6

Lack of communication Inflated pricing Side effects of treatment Personal conflict with the doctor Perceived lack of value for money Urgency vs time taken to be treated Not liking the color of the walls

Page 14 of 20

Which trade practices do the Consumer Protection Act try to protect consumers from?

Choose 4

Unconscionable Unfair Unreasonable Unjust Reasonable

Page 15 of 20

Which types of conduct does the Consumer Protection Act protect consumers from? Deceptive Misleading Unfair Fraudulent Ethical

Page 16 of 20

You sell Complementary medicines from your practice. A patient complains about a misleading label on one of the products. What do you do?

Choose 1

Refer the patient to the manufacturer Deny any responsibility because you are not responsible for labelling the product Accept the product back for a credit / refund Accept the product back, but only in exchange for another

Page 17 of 20

You’re having your indemnity drafted by an attorney. You receive it drafted in a way which is quite complex and uses technical legal and medical terms. Do you:

Choose 1

Rest assured knowing that the attorney does this for a living and knows best Accept the attorney’s explanation that this drafting is of the same level that he uses for all his clients, and is thus of a professional standard Send it back and insist on a redraft in plain language Change the wording yourself

Page 18 of 20

You find yourself running late with your consultation. What would be the best course of action?

Choose 1

Get through your appointments as quickly as possible Get your secretary to call patients in advance and advise them of the delay Just expect your patients to wait Charge the patient if by the time you are ready to take them, they have already left

Page 19 of 20

Your patient brings you a pamphlet advertising skin lightening drips and asks that you administer the same to them. What do you do?

Choose 1

Phone the advertiser to get their protocol and administer the drip. Google skin lightening drips and administer whatever components you have in your practice. Educate the patient on the risks of skin lightening drips. Tell the patient to go to the advertiser without telling them of any risks.

Page 20 of 20

A patient comes to you regarding treatment of their disease. They are currently on a treatment regime that you do not agree with, yet do not fully understand either. What could you do within ethical reason?

Choose 3

Tell them that anything outside the scope of what you practice is witchcraft and dangerous Tell them to immediately stop the treatment without finding out more Contact the original prescriber to learn more about their reasoning and also learn more about the regime itself. Refuse to see the patient unless they stop seeing the other practitioner. Contact the other practitioner in an effort to come up with a solution for the patient together. Indicate to the patient that you do not fully agree with the regime, yet do not have enough knowledge yet to tell them to stop

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Ethical Considerations in Integrative Medicine

Ethical Considerations in Integrative Medicine CPD

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