WEEK 2 MEDICAL SURGICAL

ETHICS
ETHICS VS MORALITY -USED TO DESCRIBE BELIEF ABOUT RIGHT OR
WRONG TO SUGGEST APPROPRIATE GUIDELINES FOR ACTION. ETHICS IS
THE FORMAL BELIEF WHILE MORALITY IS INFORMAL PERSONAL VALUES.
 ETHICS THEORY
 1. TELEOLOGC THEORY- CONSEQUENTIALISM WHICH FOCUS ON ENDS
OR CONSEQUENSES OF ACTION. UTILIARISM IS BASED ON THE
CONCEPTS OF GREATEST GOOD FOR GRAETEST NUMBER
 2. DEONTOLOGIC OMALIST THEORY-WHICH ARGUES THAT ETHICAL
STANDARDS OR PRINCIPLES EXIST INDEPENDENTLY OF THE END OR
CONSEQUENCES
AUTONOMY- SELF RULE
BENEFICENCE VS NONMALEFICENCE
BENEFICENCE-DUTY TO DO GOOD AND THE ACTIVE PROMOTION OF
BENEVOLENT ACT
 NONMALEFICENCE- DUTY TO NOT INFLICT HARM
DOUBLE EFFECTS- IS A PRINCIPLE THAT MAY MORALLY JUSTIFY
SOME ACTIONS THAT PRODUCE BOTH AND EVEL EFFECTS
 4 CRITERIA MUST BE FULFILLED
 1. THE ACTION ITSELF IS GOOD OR MORALLY NEUTRAL
 2. THE AGENT SINCERELY INTENDS THE GOOD AND NOT THE
EVIL EFFECT
 (THE EVEL EFFECT MAY BE FORSEEN BUT IT IS NOT
INTENDED)
 3. THE GOOD EFFECT IS NOT ACHIEVED Y MEANS OF EVIL
EFFECT
 4. THERE IS PROPORTIONATE OR FAVORATE BALANCE OF
GOOD OVER EVIL
DISTRIBUTIVE JUSTICE-BENIFITS FAIRLY
golden rule-confucius do not impose on others what
you do not wish for yourself
principle of totality-would justify the amputation of
limb so that it will not affect entire body
principle of epikeia ethical concept that comes to
rescue of moral that appears to be conflict the letter
of law and the spirit of the law
fidelity- addresses a persons responsibility to be
loyal and truthful in their relationship, includes
pomise fulfilling commitments and trustworthiness
 Nursing Process

ASSESSMENT-SYSTEMATIC COLLECTION OF THE DATA

DIAGNOSIS
• NURSING DIAGNOSIS-ACTUAL OR POTENCIAL HEALTH PROBLEMS
THAT CAN MANAGE INDEPENDENT NURSING INTERVENTIONS
• COLLABORATIVE PROBLEMS-ACCORDING TO CARPENTINO CERTAIN
PHYSIOLOGIC COMPLICATIONS THAT NURSES MONITOR TO DETECTS
ONSETS OR CHANGES IN STATUS OF THE PATIENT (PHYSICIAN
PRESCRIBED INTERVENTION)
PLANNING DEVELOPMENT OF GOALS AND OUTCOMES AS WELL AS PLAN
OF CAREDESIGN TO ASSIST THE PATIENT IN RESOLVING DIAGNOSED
PROBLEMS AND ACHIEVING THE IDENTIFIED GOALS AND DESIRED
OUTCOMES
IMPLEMENTATION ACTUALIZATION OR CARRYING OUT OF THE PLAN OF
CARE THROUGH NURSING INTERVENTIONS
EVALUATION DETERMINATION OF THE PATIENT’S RESPONSES TO THE
NURSING INTERVENTIONS AND THE EXTENTS TO WHICH THE
OUTCOMES HAVE BEEN ACHIEVEDS