Central Philippine Adventist College

Health Ethics in the Nursing

This Take Home Prelim Examination Requirement is

Presented to Mr. Prospero “ Nhoie” G. Gonzaga Jr.

Cindy Mae G. De la Torre

BSN-II

January 16, 2020

 Demographic Data of the Patient

Name: Somog-oy, Rodalyn S.

Age: 26 yrs. old
Sex: Female
Status: Married
Address: Lizares Street, Brgy. 36, Bacolod City
Birth Date: July 31, 1992
Occupation: Employed
Nationality: Filipino
Religion: Inglesia Ni Cristo
Telephone No.: 09122322960
Father’s Name: Romy Soriano
Mother’s (Maiden) Name: Cris Gordor
Spouse’s Name: Salvador Somog-oy
Telephone No.: 09469674118
Room No.: 2S05
Case No.: 1109994
Hospital No.: 438177
Transaction No.: 1108062
Admission: July 7, 2019
Attending Physician: Dr. Flores
 History Of Confinement

History of Present Illness:

 2 days prior to admission, patient had fever. She took paracetamol.
 2 hours prior, patient had chest and hypogastric pain with pain scale of 8
over 10 radiating to lower back.

Provisional Diagnosis:
G2P1 (1001) Pregnancy Uterine 11 5 over 7 wk AOG via (LMP) to consider
threaten incomplete misconcept.

Chief Complaint:
Vaginal Bleeding
 Ethical Considerations

1. Citing the 12 Rights of the Patient, indicate 2 Rights that have been
violated in your duty, relate the violation and explain why is there an
ethical issue in it.

 The ethical issue that I violated is the Right to every consideration of his
privacy concerning his own medical care program.
Because I was getting and copying the data of the patient for our
requirements without their knowing and without their consent. Also I didn’t
visit to their room and introduce myself in order to ask permission in
personal. I didn’t consider that what if other people saw the patient’s data
without my knowing. Creating a trusting environment by respecting patient
privacy encourages the patient to seek care and to be as honest as
possible during the course of a health care visit. So, as nurses, the
primary justification for protecting personal privacy is to protect the
interests of individuals.

 The ethical issue that I violated is the Right to expect that all
circumstances and records pertaining to his case should be treated as
confidential.
Because I shared what I saw and discovered in the patient’s data of my
patient. I want to share my thoughts to them how I handle, give care and
doing procedure without errors to my patient. I want know their reactions
and opinions or suggestions. So that I’m aware and have an idea how to
handle my patient with confidence. I’m not aware that what if there is
someone else was listening our conversation about the patient that can
lead to danger and threatening the patient. If the confidentiality of this
information were not protected, trust in the physician-patient relationship
would be diminished. Patients would be less likely to share sensitive
information, which could negatively impact their care.
2. Cite at least 3 procedures done to your patient that required informed
consent, and explain, why is an informed consent play an important role in
these procedures or interventions.

a. Physical Assessment
 This procedure must have informed consent.
- The patient must know what are you’re doing to him/her. Explain the
purpose and importance of procedure so that the patient can understand what
are you’re doing to his/her appearance and status. The patient also have an
idea that this procedure helps him/her to be aware and prevent from any
incidents and determine the general status of his/her health. It also gives a
chance to talk to them about any ongoing pain or symptoms that they
experiencing or any other health concerns that they might have. The goal of
informed consent is to assure patient autonomy.

b. Interviewing the Patient

 This procedure must have informed consent.
- Explain the purpose of interview and the importance of it. Establish rapport
and gain his/her interest so that you can get an accurate data. The patient
must understand to know the interview can help them provide needs. It also
an advantage to tackle their experiences in their family, friends and their
selves. Respect their privacy and ask open-ended question only so that the
patient can’t feel retired of asking question. Explain to the patient prevention
of risk in their health. Promote the health lifestyle living.

c. Vital Signs
 This procedure must have informed consent.
- Explain why this proceudre is important and the purpose. The patient must
know that monitoring the status help to determine which treatment protocols
to follow, provide critical information needed to make life-saving decisions,
and confirm feedback on treatments performed. The patient must understand
that this procedure is to detecting or monitoring medical problems. So that
they’re aware what are problems in their health and how to prevent it.
3. You were not able to go and duty and care for your patient in the Hospital
last Tuesday. What principle of Ethical Fidelity was applied so that duty
can be cancelled? Discuss your answer well.

 The principle is the Fidelity

- Because the mayor of the Murcia announced that there’s no class to all
levels. The CPAC declared and agreed to the mayor that there’s no class for
the safety of all students. So that no one is involved in the disaster and
accidents. They think our safety and they want us to stay at our home in order
to monitor our status and condition that everything is gonna be fine
eventhough the weather that is very bad. They think what is right for the
students.