BIOETHICS and its Application in Various Health Care Situations Flashcards
Issues, Its Morality and Ethico-Moral Responsibility Of Nurses,
On CONTRACEPTION
Morality and other Problems Related To Destruction Of Life
ON ABORTION
Issues and the Ethico-Moral Responsibility of Nurses
ON ARTIFICIAL REPRODUCTION
SEXUALITY
● Sexual being
● Condition of having sex
● Sexual activity
● Expression as a sexual being
Sex is for procreation
TRADITIONAL VIEW
Sex is like any other act.
LIBERAL VIEW
the process by which living beings transmit their genes and give birth
to a new generation of living beings.
REPRODUCTION
the deliberate use of artificial methods and other techniques to prevent pregnancy as a consequence of sexual intercourse
BIRTH OR FERTILITY CONTROL
ARE CONTRACEPTIONS ANTI-LIFE?
+ Contraceptions are unnatural.
+ Contraceptions are a form of abortion.
+ Contraceptions weaken marriage
+ Contraceptions are against the procreation of human life
Welfare of the patient and respect for the autonomy of the patient.
ETHICO-MORAL RESPONSIBILITY OF
NURSES IN CONTRACEPTION
Make sure the patient gets all the information and advice that they need to be able to choose wisely
ETHICO-MORAL RESPONSIBILITY OF
NURSES IN CONTRACEPTION
the expulsion or removal of a nonviable fetus
ABORTION
When is a fetus considered as a person
STATUS OF THE FETUS
Does the mother have the right to decide if she is to carry the baby to term or not?
STATUS OF THE MOTHER
How is the status of the baby endangering the life of the mother?
Threat to the mother’s life
How is the status of the baby affecting the health of the mother?
Threat to the mother’s health
As a result of rape or incest
Unwanted Pregnancy
Fetal impairment
Threat to the baby
How will the baby affect the family’s
needs? How will society accept this?
Economic and social reasons
The mother desires to abort
On Request
GUIDING PRINCIPLES FOR
HEALTH CARE WORKERS
✓ Provide information
✓ Offer counseling
✓ Provide follow-up care
the creation of new life by other than the natural means available to an organism.
ARTIFICIAL REPRODUCTION
Medical procedure of injecting semen into the vagina or uterus.
[Intrauterine Insemination]
(IUI)
ARTIFICIAL INSEMINATION
ETHICO-MORAL RESPONSIBILITY OF
NURSES IN ARTIFICIAL INSEMINATION
✓ Take informed consent
✓ Assess couple’s emotional status relative to infertility
✓ Counsel and inform side effects of procedure
✓ Describe legal ramifications of the procedure
✓ Assist in the interview of donors to the program
Process of fertilization where an egg is combined with sperm outside the body.
[IVF]
IN-VITRO FERTILIZATION (IVF)
involves the gametes from both spouses; no third party is involved.
HOMOLOGOUS IVF
involves the gametes of a donor (a third party supplies necessary gametes).
HETEROLOGOUS IVF
Practice in which a woman (surrogate mother) bears the child for a couple unable to produce children in the usual way
SURROGATE MOTHERHOOD
the surrogate mother is impregnated through artificial insemination with the sperm of the husband.
TRADITIONAL
the wife’s ova and the husband’s sperm are subjected to in-vitro
fertilization, and the resulting embryo is implanted in the surrogate mother.
GESTATIONAL
Form of surrogate pregnancy in which a gestational carrier is paid to carry a child to maturity in her womb and is usually resorted to by well off infertile couples who can afford the cost involved.
COMPENSATED SURROGACY
Rights of the child
RIGHTS
Practical effect on the mother’s body
MOTHER’S BODY
Poor women may be used
EXPLOITATION
Normal function into commercial
BODY FOR MONEY
More complicated issues
OTHERS
Liberal people respects other people sexual choices
TRUE
the most important responsibility as nurse “Assuring the patient that everything is fine”
FALSE
Last for 3 years in contraceptive
contraceptive implant
Primary concern (best contraceptive if a patient)
respect the patient’s decision and ensure welfare (autonomy)
Medical procedure involved injecting semen to the uterus/ vagina
artificial insemination
Type of insemination is the donor of the sperm is the husband
homologous artificial insemination
Donor of the sperm is not the husband
heterologous artificial insemination
Responsibility of the nurse- couple understand the procedures and giving their consent
informed consent
The ultimate value of reproduction is control over reproduction itself
FALSE
A positive attitude towards sexuality begins
TRUE
Principles of belmont report
✓ respect for person
✓ beneficence
✓ justice