Jennifer J. Valero, Man-Rn Clinical Instructor: NCM 106 - Health Care Ethics

 NCM 106 – HEALTH CARE ETHICS
JENNIFER J. VALERO, MAN-RN

CLINICAL INSTRUCTOR
"People will forget what you said,
people will forget what you did,
but people will never forget how
you made them feel.“
by: Bonnie Jean Wasmund
 PRINCIPLES OF BIOETHICS
A. PRINCIPLE OF STEWARDSHIP AND ROLE OF NURSES AS
STEWARDS
• The Principle of Stewardship – this principle says that Human
life is coming from a Divine being or with a spiritual basis.
Humans are merely stewards of, with a responsibility to protect
and cultivate spiritual and bodily functions.
E.g. Rejection of appropriate medical care and care for the body
would be violating this principle.
Nurses have an obligation to understand the basic
concepts of bioethics because they are the care-givers,
most seen and trusted by patients and family members.
 When patients and family members are in crisis, they
may not have the emotional fortitude or objectivity to
understand the ramifications surrounding their care.
An expansive definition of stewardship is the responsible
allocation, management and oversight of capital to create long-
term value for clients and beneficiaries, leading to sustainable
benefits for the economy, the environment and society.
 STEWARDSHIP – refers to the expression of one’s
responsibility to take care , nurture and cultivate what has been
entrusted to him/her.
Stewardship – requires us to appreciate the two great gifts
that a wise and loving God has given;
a. Earth – with all its natural resources and,
b. Our own Human nature – with its biological, psychological,
social, and spiritual capacities.
This principle is grounded in the presupposition that God has
absolute Dominion over creation, and that in so far as human
beings are made in God’s image and likeness, we have been
given a limited Dominion over creation and are responsible for
its care.
The concept of health stewardship implies a broader over-
arching responsibility over the functioning of the health system as
a whole and ultimately, over the health of the population. It should
nurture itself at all levels of healthcare so that there is coordinated
involvement of all departments and sectors.
In Health Care Practice:
STEWARDSHIP – refers to the execution of responsibility of the
health care practitioners to look after, provide necessary health
care services, and promote the health and life of those entrusted
to their care.
2.Principle of Totality and its Integrity
e.g. - Ethico-moral responsibility of nurses in surgery
- Sterilization/Mutilation
- Preservation of bodily functional integrity
- Issues on Organ Donation
3.Principles of Ordinary and Extraordinary means
4.Principle of Personalized Sexuality
• Principle of Ordinary & Extraordinary Means
Ordinary means = reasonable hope of benefit/success; not
overly burdensome; does not present an excessive risk and are
financially manageable.
• Proportionate to the state of the patient (“Ethically indicated”)
Extraordinary means = no reasonable hope of benefit
/success; overly burdensome; excessive risk and are not
financially manageable.
• No obligation to use it. (“morally optional”)
 Ordinary means = “all medicines, treatments, and operations,
which offer a reasonable hope of benefit for the patient and
which can be obtained and used without excessive expense,
pain, or other inconvenience”
Extraordinary means = “all medicines, treatments, and
operations, which cannot be obtained or used without
excessive expense, pain, or other inconvenience, or which, if
used, would not offer a reasonable hope of benefit”.
Elements of Ordinary Means
1) Reasonable/proportionate hope of benefit/success
2) Common diligence
3) Proportionate – physical/social/financial
4) Not unreasonably demanding(In summary: what is reasonable)
Elements of Extraordinary Means
1) “Certain impossibility” – physical or a moral
2) Great effort – excessive
3) Pain
4) Exquisite and extraordinarily expensive
5) Severe dread or revulsion (In summary: what is inappropriate!)
Sexuality is a complex aspect of our personality and “self”. It is defined
by sexual thoughts, desires and longings, erotic fantasies, turn-ons and
experiences.
4. PRINCIPLE OF PERSONALIZED SEXUALITY
Is based on the understanding of sexuality as one of the basic traits of
the human person and must be developed in ways consistent with
enhancing human dignity.
 This element of human character often leads to a loss of human dignity
and an inability to pursue the truly fulfilling goals of human life. As the
image of God, man is created for love. Genesis 1-3 teaches that God
created persons as male and female and blessed their sexuality as a
great and good gift.
THE GIFT OF SEXUALITY
- must be used in keeping with its intrinsic, indivisible, specifically
human teleology( the explanation of the purpose they serve rather
than of the cause by which they arise)
- Generally recognized values:
1. Sex is a search for sensual pleasure and satisfaction, releasing
physical and psychic tensions.
2. Sex is a search for the completion of the human person through
an intimate personal union of love expressed by bodily union.
3. Sex is a symbolic ( sacramental) mystery.
 REFERENCES
Edge, R. and Groves, J.R.(2019) Ethics of Health Care: A guide for clinical
practice 4th Edition. Philippines. Cengage Learning Asia Pte Ltd
https://en.wikipedia.org/wiki/Distributive_justice
https://www.scribd.com/document/428790765/Principles-of-Double-Effect-
Common-Good-and-Subsidiarity-Legitimate-Cooperation
https://www.chausa.org/publications/health-progress/article/april-1995/the-
principle-of-cooperation
https://www.snhu.edu/about-us/newsroom/2018/05/ethics-in-nursing
https://www.slideshare.net/CathAlmonte/chapter4-ethical-issues

Jennifer J. Valero, Man-Rn Clinical Instructor: NCM 106 - Health Care Ethics

Uploaded by

Copyright:

Available Formats

Jennifer J. Valero, Man-Rn Clinical Instructor: NCM 106 - Health Care Ethics

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Jennifer J. Valero, Man-Rn Clinical Instructor: NCM 106 - Health Care Ethics

Uploaded by

Copyright:

Available Formats

What are the principles of bioethics discussed in the text?

What is the principle of stewardship and what is the role of nurses according to this principle?

 NCM 106 – HEALTH CARE ETHICS

JENNIFER J. VALERO, MAN-RN

You might also like