Bioethics and Its Application in Various Health Care Situations and The Nurse's Roles and Responsibilities in Ethical Decision Making

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ANGELES UNIVERSITY OF FOUNDATION

College of Nursing

HEALTH ETHICS

Bioethics and Its Application in Various Health Care Situations and the Nurse’s
Roles and Responsibilities in Ethical Decision Making

Learning Activity Sheet: Human Sexuality and Reproduction

Direction: To be able to achieve the learning outcomes for this Learning


Activity Sheet, you have to read the learning material provided to you and
watch the videos to further understand the concepts being presented.

In the Christian perspective and the divine law, there is only male and female created by
God who were instructed to multiply and take dominion over all the earth as written in
Genesis. However, as time went by, man created its own norms and definition of what
sex and gender mean.

In your own perspective, what does it mean to you?


As written in the bible, God only created male and female. Being a Catholic, it is what
the Church have thought me since I was young. However, as a human being we also
have to consider that a lot of changes mainly in the society has take place, one of this is
the creation of norms and definition regarding sex and gender. I believe a lot of factors
has influenced this change such as culture, peer, family, education and religion.
Moreover, the church leaders nowadays emphasize the importance of respect and love
regardless of the gender and sexuality. Lastly, God gave as the chance to make moral
choices, as long a person do what it right and it gives freedom and happiness.

Put an S if the statement refers to SEX, then G if it refers to GENDER

S 1. Refers to physical attributes


S 2. Noting sex organ
M 3. Composing attitudes and behavior of man and woman
M 4. Masculinity and femininity
S 5. Biologically determined
M 6. Learned and perpetuated thru family
M 7. An acquired identity
S 8. Relatively fixed
M 9. May be variable across culture
S 10. Determined by genes and hormones

In your own words, differentiate Gender Identity from Gender expression thru an
example
A person's gender identity may be the same as or different from their birth-assigned
sex. Gender expression is how a person publicly expresses or presents their gender.
This can include behavior and outward appearance such as dress, hair, make-up, body
language and voice. In example for gender identity, you feel inside that you are a
female and in order to express this (gender expression) some stereotypes for female is
that they wear dress and put make up.

Sexuality is the part of you expressed thru sexual activities and relationships. It is
represented thru your feelings behaviors and your sexual identity.

What is sexual identity?


Sexual identity is how you choose to describe or label your sexuality.

How is sexuality expressed? Sexuality cam be express through your sexual feelings,
thoughts, attractions and behaviors towards other people. You can find other people
physically, sexually or emotionally attractive, and all those things are a part of your
sexuality. Sexuality is diverse and personal, and it is an important part of who you are.
Discovering your sexuality can be a very liberating, exciting and positive experience.

WATCH THE VIDEO ON SEXUALITY AND GENDER AND DEFINE THE FFG TERMS:

1. Lesbian- relating to homosexual women or to homosexuality in women.


2. Gay- refers to a homosexual person or the trait of being homosexual.
3. Bisexual- People who are bisexual are romantically and physically attracted to
members of both sexes.
4. Transgender- Both an umbrella term including many gender identities and a
specific gender identity that describes those with a gender identity that’s different
from the sex assigned at birth (male, female, or intersex).
5. Gender Queer- This nonbinary gender identity and term describes someone with
a gender that can’t be categorized as exclusively male or female, or exclusively
masculine or feminine.
6. Transsexual- a person who emotionally and psychologically feels that they
belong to the opposite sex.
7. Transgender Man- trans man is a man who was assigned female at birth.
8. Transgender Woman- trans woman is a woman who was assigned male at birth.
9. Transfeminine- noting or relating to a person who was born male but whose
gender identity is more female than male.
10. Agender- Someone who doesn’t identify with the idea or experience of having a
gender.
11. Cisgender- A term used to describe people who exclusively identify with their sex
or gender assigned at birth.
12. Intersex- A person born with a reproductive or sexual anatomy that doesn’t seem
to fit the typical definitions of female or male. For example, a person might be
born appearing to be female on the outside, but having mostly male-typical
anatomy on the inside.
13. Nonbinary- this is a gender identity and umbrella term for gender identities that
can’t be exclusively categorized as male or female.
14. Genderfluid- A mix of boy and girl. A person who is gender fluid may always feel
like a mix of the two traditional genders, but may feel more man some days, and
more woman other days.
15. Homosexual- People who are homosexual are romantically and physically
attracted to people of the same sex.
16. Heterosexual- People who are heterosexual are romantically and physically
attracted to members of the opposite sex: Heterosexual males are attracted to
females, and heterosexual females are attracted to males. Heterosexuals are
sometimes called "straight."
17. Omnisexual- sexual in many or unlimited ways.
18. Asexual- People who are asexual may not be interested in sex, but they still feel
emotionally close to other people.
19. Male- a man or a boy, male organism is the physiological sex that produces
sperm.
20. Female- belonging or relating to women, or the sex that can give birth.

AFTER HAVING AN OVERVIEW OF SEXUALITY AND GENDER, REFLECT ON


THESE QUESTIONS AFTER WATCHING THE TWO REMAINING VIDEOS.

As a student nurse, why do you think that LGBTQ people have a higher rate of tobacco
use, alcohol use, STD, multiple diseases and even cancer?

As a student nurse, I knew that some vices are used by people for recreational use.
Most says “to escape”, people think that having this vices will help them forget the
issues and problems that they have, even just for a while. In line with this, LGBTQ
population is considered especially vulnerable because of high rates of depression and
social and employment discrimination, all of which are associated with higher
prevalence of tobacco use, alcohol use and different diseases. As for STD and multiple
diseases, having multiple partners and unsafe sex are one of the reasons.

Why do you think some health care providers are not so welcoming in handling LGBTQ
clients?

One that I see as a reason is faith, we all knew that all of us are diverse in terms of what
we believe in, in example Catholics to which the church thought them that there is only
male and female. However, I believe that as healthcare providers, it is part of our job to
value the uniqueness of our patients. I think LGBTQ people do not expect all of us to
accept them, but at least respect and give what is due for them since we have
commonality to them, they are also “human being” who deserves to be loved and be
cared of.

Why is it important for these LGBTQ individuals to get their families and friends’
approval in both finding themselves and their identities?

As mentioned in the video, some people really struggle about their identity, not only
LGBTQ population but also male and female. One solution for this is having people
around you that will listen and help you, I think family and friends are the most suitable
people on those times since they are the one who knows you from the start. Also,
having their approval will be helpful too, because it boost your moral as a person that
even-though the world judge you of your identity, the most important thing is that the
significant people in your life accepts you. They will be your foundation, your core to
continue being just you and being good person.

What do you think are the top two things every LGBTQ individual would wish to feel and
enjoy in his life?

When I hear news and statements from LGBTQ people, they always voice out their
concerns about discrimination and unfair treatment to them. I believe they do not please
people for acceptance but only respect that matters most. Respect for their uniqueness
and and chosen identity. Another is freedom, they felt that they cannot express
themselves freely, because the society limits them. I, as a human being, I pray that
someday these two simple things yet consider important in making them complete will
be given on the right time.

As soon to be registered nurse, how could you be of help to these members of our
society?

As nurses, we have so many roles, we can be their health providers when they are sick,
we can be their educators to which we can help them with the misinformations about
their gender, we can be advocates for them, we can be counselors that will listen, we
can be their friends whom they can share what they feel and of course we can be their
family that will be beside them to understand their situation.

Prepared by:

MARY ANGELICA P. BAGAOISAN, RN, MAN


ROCHELLE GUMABON, RN, MN

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