Bill of Rights

Ethical principles

Ethical principles are part of a normative theory that supports or defends moral norms and/or
moral judgements; they are not based on one's own beliefs. In public health practice, ethical principles
relate to the broad judgements that serve as the foundation for the numerous specific ethical
prescriptions and assessments of public health actions.

Statement of Ethical Responsibility

Preamble

The Society of Cost Management's major objective is to establish and maintain high professional
and ethical standards. Our members have a great desire to deliver fast, accurate, and relevant
information. This necessitates them maintaining their knowledge of current cost management methods
and using such approaches in the most appropriate manner for their industry, organization, and
circumstance, all while adhering to all applicable regulatory rules.

Integrity

Members must be honest about their intentions and not engage in ways that are illegal or
contrary to accepted practice. They will work tirelessly to improve the profession's recognition and
esteem.

Accountability

Members are expected to perform their work with the utmost discretion. They must follow all
applicable laws and their organization's rules in spirit as well as text. They must behave themselves in a
professional manner in accordance with their organization's requirements.

Practice

Members must take all reasonable precautions to ensure that their work is correct. They must
clearly record all actions performed, as well as the quality of the data and the assumptions that
underpin them.

Conflicts of Interest

Members must avoid competing professional or personal interests and, in the first instance,
declare such interests to their institutions. A conflict of interest can give the impression of impropriety,
which can erode trust in the member, their organization, and the profession.

Competence

Members must make an effort to maintain their abilities up to date.

Relationship between professional ethics and etiquette in the Philippines

Human behavior is governed by two principles called ethics and etiquette. There is, however, a
distinction to be made between ethics and etiquette. Ethics is a collection of moral principles that deals
with the distinction between right and wrong. Etiquette is a social rule that specifies how to act in a
decent and courteous manner in society. The primary distinction between ethics and etiquette is that
ethics is concerned with principles or conscience, whereas etiquette is concerned with conduct.

Patient’s Bill of Rights during hospitalization.

The Patient's Bill of Rights was created to try to reach 3 major goals:

1. To help patients feel more confident in the US health care system; the Bill of Rights:
• Assures that the health care system is fair and it works to meet patients' needs
• Gives patients a way to address any problems they may have
• Encourages patients to take an active role in staying or getting healthy
2. To stress the importance of a strong relationship between patients and their health care
providers

3. To stress the key role patients play in staying healthy by laying out rights and responsibilities for
all patients and health care providers This Bill of Rights also applies to the insurance plans offered to
federal employees. Many other health insurance plans and facilities have also adopted these values.
Even Medicare and Medicaid stand by many of them.

Nurse’s rights in implementing the Patient’s Bill of Rights

 To maximize the contributions nurses make to society, it is necessary to protect the dignity and
autonomy of nurses in the workplace. To that end, the following rights must be afforded:

1. Nurses have the right to practice in a manner that fulfills their obligations to society and to
those who receive nursing care.
2. Nurses have the right to practice in environments that allow them to act in accordance with
professional standards and legally authorized scopes of practice.
3. Nurses have the right to a work environment that supports and facilitates ethical practice, in
accordance with the Code of Ethics for Nurses with Interpretive Statements.
4. Nurses have the right to freely and openly advocate for themselves and their patients, without
fear of retribution.
5. Nurses have the right to fair compensation for their work, consistent with their knowledge,
experience and professional responsibilities.
6. Nurses have the right to a work environment that is safe for themselves and for their patients.
7. Nurses have the right to negotiate the conditions of their employment, either as individuals or
collectively, in all practice settings.

Bill of Rights
 The first 10 amendments to the United States Constitution became known as the Bill of Rights, and
they continue to serve as a symbol and basis for American principles of individual liberty, limited
government, and the rule of law. The Bill of Rights is primarily concerned with legal safeguards for
people accused of crimes.

Rights and Protections Guaranteed in the Bill of Rights

Amendment I-Congress shall make no law respecting an establishment of religion, or prohibiting

the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people
peaceably to assemble, and to petition the Government for a redress of grievances.

Amendment II-A well regulated Militia, being necessary to the security of a free State, the right
of the people to keep and bear Arms, shall not be infringed.

Amendment III-No Soldier shall, in time of peace be quartered in any house, without the
consent of the Owner, nor in time of war, but in a manner to be prescribed by law.

Amendment IV-The right of the people to be secure in their persons, houses, papers, and
effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue,
but upon probable cause, supported by Oath or affirmation, and particularly describing the place to be
searched, and the persons or things to be seized.

Amendment V-No person shall be held to answer for a capital, or otherwise infamous crime,
unless on a presentment or indictment of a Grand Jury, except in cases arising in the land or naval
forces, or in the Militia, when in actual service in time of War or public danger; nor shall any person be
subject for the same offence to be twice put in jeopardy of life or limb; nor shall be compelled in any
criminal case to be a witness against himself, nor be deprived of life, liberty, or property, without due
process of law; nor shall private property be taken for public use, without just compensation.

Amendment VI-In all criminal prosecutions, the accused shall enjoy the right to a speedy and
public trial, by an impartial jury of the State and district wherein the crime shall have been committed,
which district shall have been previously ascertained by law, and to be informed of the nature and cause
of the accusation; to be confronted with the witnesses against him; to have compulsory process for
obtaining witnesses in his favor, and to have the Assistance of Counsel for his defense.

Amendment VII-In suits at common law, where the value in controversy shall exceed twenty
dollars, the right of trial by jury shall be preserved, and no fact tried by a jury, shall be otherwise
reexamined in any Court of the United States, than according to the rules of the common law.

Amendment VIII-Excessive bail shall not be required, nor excessive fines imposed, nor cruel and
unusual punishments inflicted.

Amendment IX-The enumeration in the Constitution, of certain rights, shall not be construed to
deny or disparage others retained by the people.
 Amendment X-The powers not delegated to the United States by the Constitution, nor
prohibited by it to the States, are reserved to the States respectively, or to the people.

“The Operation”

by Anne Sexton

1.

After the sweet promise,

the summer’s mild retreat
from mother’s cancer, the winter months of her death,
I come to this white office, its sterile sheet,
its hard tablet, its stirrups, to hold my breath
while I, who must, allow the glove its oily rape,
to hear the almost mighty doctor over me equate
my ills with hers
and decide to operate.

It grew in her
as simply as a child would grow,
as simply as she housed me once, fat and female.
Always my most gentle house before that embryo
of evil spread in her shelter and she grew frail.
Frail, we say, remembering fear, that face we wear
in the room of the special smells of dying, fear
where the snoring mouth gapes
and is not dear.

There was snow everywhere.

Each day I grueled through
its sloppy peak, its blue-struck days, my boots
slapping into the hospital halls, past the retinue
of nurses at the desk, to murmur in cahoots
with hers outside her door, to enter with the outside
air stuck on my skin, to enter smelling her pride,
her upkeep, and to lie
as all who love have lied.

No reason to be afraid,
my almost mighty doctor reasons.
I nod, thinking that woman’s dying
must come in seasons,
thinking that living is worth buying.
I walk out, scuffing a raw leaf,
kicking the clumps of dead straw
that were this summer’s lawn.
Automatically I get in my car,
knowing the historic thief
is loose in my house
and must be set upon.

2.

Clean of the body’s hair,

I lie smooth from breast to leg.
All that was special, all that was rare
is common here. Fact: death too is in the egg.
Fact: the body is dumb, the body is meat.
And tomorrow the O.R. Only the summer was sweet.

The rooms down the hall are calling

all night long, while the night outside
sucks at the trees. I hear limbs falling
and see yellow eyes flick in the rain. Wide eyed
and still whole I turn in my bin like a shorn lamb.
A nurse’s flashlight blinds me to see who I am.

The walls color in a wash

of daylight until the room takes its objects
into itself again. I smoke furtively and squash
the butt and hide it with my watch and other effects.
The halls bustle with legs. I smile at the nurse
who smiles for the morning shift. Day is worse.

Scheduled late, I cannot drink

or eat, except for yellow pills
and a jigger of water. I wait and think
until she brings two mysterious needles: the skills
she knows she knows, promising, soon you’ll be out.
But nothing is sure. No one. I wait in doubt.

I wait like a kennel of dogs

jumping against their fence. At ten
she returns, laughs and catalogues
my resistance to drugs. On the stretcher, citizen
and boss of my own body still, I glide down the halls
and rise in the iron cage toward science and pitfalls.

The great green people stand

over me; I roll on the table
under a terrible sun, following their command
to curl, head touching knee if I am able.
Next, I am hung up like a saddle and they begin.
Pale as an angel I float out over my own skin.

I soar in hostile air

over the pure women in labor,
over the crowning heads of babies being born.
I plunge down the backstair
calling mother at the dying door,
to rush back to my own skin, tied where it was torn.
Its nerves pull like wires
snapping from the leg to the rib.
Strangers, their faces rolling lilke hoops, require
my arm. I am lifted into my aluminum crib.

3.

Skull flat, here in my harness,

thick with shock, I call mother
to help myself, call toe to frog,
that woolly bat, that tongue of dog;
call God help and all the rest.
The soul that swam the furious water
sinks now in flies and the brain
flops like a docked fish and the eyes
are flat boat decks riding out the pain.

My nurses, those starchy ghosts,

hover over me for my lame hours
and my lame days. The mechanics
of the body pump for their tricks.
I rest on their needles, am dosed
and snoring amid the orange flowers
and the eyes of visitors. I wear,
like some senile woman, a scarlet
candy package ribbon in my hair.

Four days from home I lurk on my

mechanical parapet with two pillows
at my elbows, as soft as praying cushions.
My knees work with the bed that runs
on power. I grumble to forget the lie
I ought to hear, but don't. God knows
I thought I’d die—but here I am,
recalling mother, the sound of her
good morning, the odor of orange and jam.

All’s well, they say. They say I’m better.

I lounge in frills or, picturesque,
I wear bunny pink slippers in the hall.
I read a new book and shuffle past the desk
to mail the author my first fan letter.
Time now to pack this humpty-dumpty
back the frightened way she came
and run along, Anne, and run along now,
my stomach laced like a football
for the game.

Read the poem reflectively and do the following:

1. Analyze the story, symbolism, and feelings conveyed in the poem; discuss and provide specific
examples.

2. Discuss your perception of the quality of healthcare provider patient relationships reflected in the
poem; provide specific examples.