ETHICAL

CONSIDERATION IN
NURSING
PUBLIC HEALTH LAWS
TELELOGY

“ TELOS” OR GOAL OR END.

“THE RIGHT THING TO DO IS THE

GOOD THING TO DO”

 ACT OF UTILITARIANISM
GUIDELINES FOR MAKING ETHICAL
DECISIONS
 1. CONSIDERATION FOR PEOPLE AS HUMAN BEINGS;
 2. CONSIDERATION OF CONSEQUENCES
 3. PROPORTIONATE GOOD TO COME FROM THE CHOICES
 4. PROPRIETY OF ACTUAL NEEDS OVER IDEAL OR POTENTIAL NEEDS;
 5. A DESIRE TO ENLARGE CHOICES AND REDUCE CHANCE; AND
 6. A COURAGEOUS ACCEPTANCE OF THE CONSEQUENCE OF THE
DECISION
DEONTOLOGY

“ DEON” MEANS DUTY

 “APERSON IS MORALLY GOOD AND

ADMIRABLE IF HIS ACTIONS ARE DONE
FROM A SENSE OF DUTY AND REASON”
MORAL PRINCIPLES

 1.THE GOLDEN RULE.

 2. TWO –FOLD EFFECTS
BASIS OF ACTION:
A. ACTION MUST BE MORALLY GOOD
B. THAT THE GOOD EFFECT MUST BE WILLED AND THE
BAD EFFECT MERELY ALLOWED
C. THAT THE GOOD EFFECT MUST NOT COME FROM EVIL
ACTION BUT FROM INITIAL ACTION ITSELF DIRECTLY
D. THAT THE GOOD EFFECT MUST BE GREATER THAN THE
BAD EFFECT
 3. The Principle of Totality
 4. EPIKIA
 5. ONE WHO ACTS THROUGH AN AGENT IS HIMSELF RESPONSIBLE
 6. NO ONE IS OBLIGED TO BETRAY HIMSELF/HERSELF
 7. THE END DOES NOT JUSTIFY THE MEANS
 8. DEFECTS OF NATURE MAY BE CORRECTED
 9. IF ONE IS WILLING TO COOPERATE IN THE ACT, NO INJUSTICE IS
DONE TO HIM/HER
 10. A LITTLE MORE OR LESS DOES NOT CHANGE THE SUBSTANCE OF AN
ACT
 11. THE GREATEST GOOD FOR THE GREATER NUMBER
 12. NO ONE IS HELD TO IMPOSSIBLE
 13. THE MORALITYOF COOPERATION
 14. PRINCIPLE RELATING TO ORIGIN AND DESTRUCTION OF LIFE.
PATIENT RIGHTS

 A PATIENT HAS THE RIGHT TO RESPECTFUL CARE

GIVEN BY COMPETENT WORKERS
 A PATIENT HAS THE RIGHT TO PRIVACY WITH
RESPECT TO HIS/HER MEDICAL CONDITION. A
PATIENTS CARE AND TREATMENT WILL BE
DISCUSSED ONLY WITH THOSE WHO NEED TO
KNOW
 A PATIENT HAS THE RIGHT TO HAVE HIS/HER
MEDICAL RECORDS TREATED AS CONFIDENTIAL
AND READ ONLY BY PEOPLE WITH A NEED TO
KNOW. Information about a patient will be only
released with permission from the patient or as
required by law.
 A patient has the right to request amendments to
and obtain information on disclosure of his or her
health information, in accordance with law and
regulation
 A PATIENT HAS THE RIGHT TO KNOW WHAT FACILITY RULES
AND REGULATIONS APPLY TO HIS/HER CONDUCT AS A
PATIENT
 A PATIENT HAS THE RIGHT TO HAVE EMERGENCY
PROCEDURES DONE WITHOUT UNNECESSARY DELAY
 A PATIENT HAS THE RIGHT TO GOOD QUALITY CARE AND
HIGH PROFESSIONAL STANDARDS THAT ARE CONTINUALLY
MAINTAIED AND REVIEWED
 A PATIENT HAS THE RIGHT TO MAKE INFORMED DECISIONS
REGARDING HIS/HER CARE AND HAS THE RIGHT TO
INCLUDE FAMILY MEMBERS IN THOSE DECISIONS
 A PATIENT HAS THE RIGHT TO INFORMATION FROM HIS
/HER DOCTOR IN ORDER TO MAKE INFORMED DECISIONS
ABOUT HIS/HER CARE. THIS MEANS THAT PATIENTS WILL BE
GIVEN INFORMATION ABOUT THEIR DIAGNOSIS,
PROGNOSIS AND DIFFERENT TREATMENT CHOICES.
 A PATIENT GIVEN THE OPTION TO PARTICIPATE IN
RESEARCH STUDIES HAS THE RIGHT TO COMPLETE
INFORMATION AND MAY REFUSE TO PARTICIPATE IN THE
PROGRAM. ANY REFUSAL TO PARTICIPATE IN A RESEARCH
PROGRAM WILL NOT AFFECT THE PATIENTS ACCESS TO
CARE
 A PATIENT HAS THE RIGHT TO REFUSE ANY DRUGS,
TREATMENT OR PROCEDURES TO THE EXTENT PERMITTED BY
LAW AFTER HEARING THE MEDICAL CONSEQUENCES OF
REFUSING THE DRUG, TREATMENT OR PROCEDURE
 A PATIENT HAS THE RIGHT TO HAVE HELP GETTING
ANOTHER DOCTORS OPINION AT HIS/HER REQUEST AND
EXPENSE
 A PATIENT HAS THE RIGHT TO CARE WITHOUT REGARD TO
RACE, COLOR, RELIGION, DISABILITY, SEX, SEXUAL
ORIENTATION , NATIONAL ORIGIN OR SOURCE OF
PAYMENT
 A PATIENT HAS THE RIGHT TO BE GIVEN INFORMATION IN
A MANNER THAT HE OR SHE CAN UNDERSTAND.
A PATIENT HAS THE RIGHT TO PERSONAL
PRIVACY AND TO RECEIVE CARE IN A SAFE
AND SECURITY SETTING
A PATIENT HAS THE RIGHT TO BE FREE FROM
THE USE OF SECLUSION AN RESTRAINT,
UNLESS MEDICALLY AUTHORIZED BY THE
PHYSICIAN
PUBLIC HEALTH LAWS

R.A. 7305
“MAGNA CARTA FOR HEALTH WORKERS”
OBJECTIVES:
A. TO PROMOTE AND IMPROVE THE SOCIAL AND ECONOMIC
WELL BEING OF HEALTH WORKERS
B. TO DEVELOP THEIR SKILLS AND CAPABILITIES
C. TO ENCOURAGE THOSE QUALIFIED AND WITH ABILITIES TO
REMAIN IN GOVERNMENT SERVICE
R.A 7600

“ROOMING IN AND
BREASTFEEDING ACT
R.A 7432

 SENIOR CITIZENS ACT

 R.A
9994 ( THE EXPANDED SENIOR CITIZEN
ACT

=DEFINES THE PRIVILEGES ALL SENIOR

CITIZENS ARE ENTITLES TO A 20% DISCOUNT
AND EXEMPTED FROM VAT ON APPLICABLE
GOODS AND SERVICES FOR THEIR USE.
PD NO. 856

SANITATION CODE
Factors:

 Water Sanitation
1.

Policies:
A. Approved types of water
facilities
> LEVEL 1 ( POINT SOURCE)
 LEVEL 11 ( COMMUNAL Faucet system or stand
posts)
 Level 111 ( waterworks system or individual
house connections)
Unapproved type of water facility

 ACCESS TO SAFE AND POTABLE

DRINKING WATER
 WATER QUALITY AND MONITORING
SURVEILLANCE
 WATERWORKS/ WATER SYSTEM AND
WELL CONSTRUCTION
RA 6675

 GENERIC ACT

= TO ENSURE ADEQUATE SUPPLY OF

DRUGS WITH GENERIC NAMES AT
LOWEST POSSIBLE COST AND
ENDEAVOR TO MAKE THEM AVAILABLE
FOR FREE TO INDIGENT PATIENTS.
RA 8749

PHILIPPINE CLEAN AIR ACT

RA NO. 7875

NATIONAL HEALTH INSURANCE

RA NO. 7719

NATIONAL BLOOD SERVICE

ACT
RA NO. 11332

LAWS ON NOTIFIABLE DISEASES

RA 9165

REVISED DANGEROUS DRUG ACT

RA 9502

ACT ON CHEAPER MEDICINE

RA NO. 9211

TOBACCO REGULATION ACT OF

2003
PD 603

CHILD AND YOUTH WELFARE CODE

QUESTION 1:

 Ifa 12 years old patient, who is dying

of cancer,wants to stop his
chemotherapy treatment. Can u stop
administering it even though his
parents have consented it?
Question 2:

There are so many ethical

dilemmas related to care of
patients with HIV AND AIDS. Can
you refuse to provide care for
patient with AIDS?
QUESTION 3

CAN PARENTS ETHICALLY

VOLUNTEER ONE OF THEIR
CHILDREN TO BA AN ORGAN OR
TISSUE DONOR FOR HIS SIBLING?
QUESTION 4

YOU JUST HAD A NEEDLE STICK

INJURY; AND YOUR PATIENT
REFUSES TO UNDERGO TESTING
HEP.B AND HIV. WHAT SHOULD
YOU DO?
QUESTION NO.5

ISIT TRUE THAT NURSES HAVE A

LEGAL DUTY TO HELP ANY PERSON
WHO IS IN DANGER?