FREEDOM OF RELIGION

No law shall be made respecting the establishment of a religion or to prohibit the free exercise there of. The fee exercise and enjoyment of
religious profession and worship without discrimination shall forever be allowed.

Two aspects of freedom of Religion

a. Freedom to Believe - Absolute
b. Freedom to Act Relative (It must be in conformity to the law, morals, customs and traditions)
Render medical services on the ground medical neutrality dont take the background of pt.
Protect life and respect the dignity of man

Trained Worker
Dignity respect Bill of Rights
One who perform lethal injection to the person found guilty
The Patients Bill of Rights (Filipino)

1
2

4
5
6
7

8
9
10
11
12

The patient has the right to considerate and respectful care, irrespective of socioeconomic status
The patient has the right to obtain from his physician complete current information concerning his diagnosis, treatment and prognosis in terms the
patient can reasonably be expected and understand. When it is not medically advisable to give such information to the patient, the information
should be made available to an appropriate person in his behalf. He has the right to know by name and in person, the physician and nurse
responsible in coordinating his care.
The patient has the right to receive from his physician information necessary to give informed consent prior to the start of any procedure and/or
treatment. Except in emergencies, such information for informed consent should include but not necessarily limited to the specific procedure
and/or treatment, the medically significant risks involved, and the probable duration of incapacitation. Where medically significant alternatives
for care or treatment exist, or when the patient requests information concerning medical alternatives, the patient has the right to such information.
The patient has also the right to know the name of the person responsible for the procedures and/or treatment.
The patient has the right to refuse treatment/lifegiving measures, to the extent permitted by law, and to be informed of the medical consequences
of his action.
The patient has the right to every consideration of his privacy concerning his own medical care program. Case discussion, consultation,
examination and treatment are confidential and should be conducted discreetly. Those not directly involved in his care must have the permission
of the patient to be present.
The patient has the right to expect that all communication and records pertaining to his care should be treated confidential.
The patient has the right to expect that within its capacity, a hospital must make reasonable response to the request of patient for services. The
hospital must provide evaluation, service and/or referral as indicated by the urgency of care. When medically permissible a patient may be
transferred to another facility only after he has received complete information concerning the needs and the alternatives to such transfer. The
institution to which the patient is to be transferred must first have accepted the patient for transfer.
The patient has the right to obtain information as to any relationship of the hospital to other health care and educational institutions in so far as his
care is concerned. The patient has the right to obtain information as to the existence of any professional relationship among individuals, by name,
who are treating him.
The patient has the right to be advised if the hospital proposes to engage in or perform human experimentation affecting his care or treatment. The
patient has the right to refuse or participate in such research project.
The patient has the right to expect reasonable continuity of care; he has the right to know in advance what appointment times the physicians are
available and where. The patient has the right to expect that the hospital will provide a mechanism whereby his physicians or a delegate of the
physician of the patients continuing health care requirements following discharge informs him.
The patient has the right to examine and receive an explanation of his bill regardless of source of payment.
The patient has the right to know what hospital rules and regulations apply to his conduct as a patient.
Bill of Rights of Patients
1. Right to informed consent
2. Right to refuse and/or withdrawal from participation or autonomy
3. Right to privacy
4. Right to confidentiality
5. Right to quality care
1. Right to Informed Consent
Conscious all medical practice are not authorized consent
Unconscious all medical practice are authorized as if consent is given to you

Rule in Giving Consent

Patient her/himself
If the Pt. is married the consent of the spouse is not necessary, provided of sound mind and legal age.
2. Right to Make Decisions Or Autonomy
- Right to Self Determination
- Justice Cardozo
A Person who is of a sound mind and of legal age shall have the right to determine what is supposed to be done to his body.

PERSONS TO MAKE DECISIONS IN CONSCIOUS PATIENT

parents

3
4
5

grandparents
paternal
maternal
eldest brother/sister
relatives/guardians
teachers
Telephone overheard by two credible witnesses
Fianc authorize to give consent for conscious if no parents, grandparents, brother/sister, guardians.
Q: How do you respect the dignity of patient?
A: By respecting the bill of rights of patient.
Between the conflict of pt. and doctor, loyalty will always be on the patient.
3. Right to Privacy and Confidentiality
Privacy of Communication
It shall be inviolable except upon the lawful order of the court and when public safety, public health requires it.
*Cannot be violated at all SECRECY ACT LAW
Q: Who owns the medical chart?
A: Hospital
Q: Who owns the communication in the medical chart?
A: Doctor and Patient
*Duty: Keeps in proper place (medical chart rack) with honesty, confidentiality, and integrity
Relative Privacy
Doctor Patient
Midwife Patient

Absolute Privacy
Midwife Spouse
Midwife lawyer (case)
Midwife Priest (religion)

Husband wife = absolute privacy; order from court, no order to divulge/ reveal or right not to tell
Q: What is Privacy?
A: Privacy is any not related to health condition.
Q: What is Confidentiality?
A: Confidentiality is any related to health condition.
Breach Violation of right, e.g. breach of confidentiality