ETHICO-MORAL ASPECTS OF NURSING Flashcards
refers to a standard to examine and understand moral life
Ethics
systematic study of what a person’s conduct and actions should be with regard to self, other humans, and the environment
Ethics
justification of what is right or good
Ethics
studies how people make judgment in regard to right or wrong
Ethics
branch of moral science concerned with the obligations that a member of the profession owes to the public
Professional Ethics
division of ethics that relates to human health
Health care ethics
related to all the principles of right conduct as they apply to the profession
reinforces the nurses’ ideals and motives in order to maximize the effectivity of their service
NURSING ETHICS
Greek word autos (self) & nomos (governance)
AUTONOMY
involves self determination & freedom to choose & implement one’s decision, free from deceit, duress, constraint or coercion
AUTONOMY
allowing patient to refuse treatment
AUTONOMY
disclosure of his ailment, prognosis, mode of treatment
AUTONOMY
maintaining mode of confidentiality
AUTONOMY
may occur when there is potential harm to others such as communicable diseases or acts of violence
Restriction
The person making the decision?
a. must be deemed competent
b. have the individual capacity to make a rational decision
c. must be of legal age
d. the decision should be of his own free will
e. should not be coerced or put under duress
legal exception of the rule of informed consent which allows the caregiver to proceed with the care (emergency, incompetence, waiver or implied consent)
Therapeutic privilege
to maximize efficiency of health care, the patient & health care providers are bound to tell the TRUTH
Veracity
Patient has the responsibility to provide accurate and complete information about his
a. complaints
b. past illness
c. previous hospitalizations
d. Medications being taken
e. Allergies
f. Religious restrictions
Physician should tell the patient & his family his
a. diagnosis
b. plan of care
c. treatment
d. possible risks involved
e. length of treatment
f. Possible expenses
g. Other options they may take if there be any
physicians/health practitioners are requested not to tell the relative the exact nature of the patient’s illness
BENEVOLENT DECEPTION
the relative requests the physician not to tell the patient his true diagnosis
BENEVOLENT DECEPTION
practitioner himself intentionally
BENEVOLENT DECEPTION
Withhold information according to his sound judgment (revelation would do more harm to an emotionally unstable or depressed person)
BENEVOLENT DECEPTION
a young married male who was diagnosed to have AIDS, requested the doctor no to tell his diagnosis to his wife
BENEVOLENT DECEPTION
the children of an aged grandmother suffering from metastatic cancer request the doctor not to tell their mother her diagnosis and instead to proceed with the chemotherapy
BENEVOLENT DECEPTION
acts of kindness and mercy that directly benefit the patient
Beneficence
acts promote the health of the patient, prevent illness or complications, alleviate suffering, and assist towards peaceful death
Beneficence
PATIENT’S BILL OR RIGHTS
- considerate and respectful care
- relevant, current and understandable information concerning diagnosis, treatment,
risks involved, medically reasonable alternative benefits needed to make informed consent - make decisions regarding his plan of care; in case of refusal, he is entitled to other appropriate care and service or be transferred to another hospital
- have advance directive (living will) concerning treatment or designating a surrogate decision maker
- every consideration of his privacy such as in case discussion, consultation & treatment
- Confidentiality of communications and records
- Review his records concerning his medical care and have these explained to him except when restricted by law
- be informed of business relationship among the hospital, educational institution, health care providers that may influence the patient’s treatment and care
- consent or decline to participate in experimental research affecting his care
- Reasonable continuity of care when appropriate and be informed of other care options when hospital care is no longer appropriate
- be informed of hospital policies and practices that relate to patient care
*ALL activities provided to patients must be conducted with deep considerations of their values and dignity.
in some way similar to the principle of beneficence, stated as an admonition in the negative form to remind practitioners to do no harm
Nonmaleficence