FIDELITY

MA. THERESA T. DEMEGILIO RN

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OBLIGATION OF AN
INDIVIDUAL TO BE
FAITHFUL TO
COMMITMENTS TO
HIM/HERSELF AND ALSO TO
OTHERS
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KEEPING
INFORMATION
CONFIDENTIAL AND
MAINTAINING
PRIVACY AND TRUST
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MAIN SUPPORT FOR
THE CONCEPT OF
ACCOUNTABILITY
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ACKNOWLEDGMENT
AND ASSUMPTION
OF RESPONSIBILITY
FOR ACTIONS
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CONFIDENTIALITY
MA THERESA T DEMEGILIO RN
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REQUIRES THE NON-
DISCLOSURE OF PRIVATE
OR SECRET
INFORMATION WITH
WHICH ONE IS
ENTRUSTED
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The following are subjects of
confidentiality and should not
be revealed to anyone except
for graver cause:
1. PRIVATE SECRETS
2. CONTRACTUAL SECRETS
3. PROFESSIONAL SECRETS
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#'# C&$:
1.PERSONAL DECISION
2.REPORTABLE CAUSE
3.LEGAL CASE
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BREACHES OF CONFIDENTIALITY
COMPUTERIZATION OF MEDICAL
RECORDS
ACCESS TO HOSPITAL PATIENT CHARTS
PATIENTS DISCUSSED BY COLLEAGUES
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MANDATORY DISCLOSURE
COMMUNICABLE DISEASE
CHILD ABUSE AND NEGLECT
VULNERABLE ADULTS
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JUSTICE
MA THERESA T DEMEGILIO RN
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Justice
Every individual must Every individual must
be treated equally be treated equally
This requires nurses This requires nurses
to be nonjudgmental to be nonjudgmental
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Justice
Types: Types:
+ +Distributive justice Distributive justice -- just just
distribution of scarce distribution of scarce
resources resources
+ +Compensatory justice Compensatory justice --
individuals seek individuals seek
compensation compensation (fines) (fines) for the for the
wrong that has been done wrong that has been done
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Justice
+ +Retributive justice Retributive justice -- calls calls
for equal suffering for equal suffering
" "an eye for an eye, a an eye for an eye, a
tooth for a tooth tooth for a tooth
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Theories of Justice
+ +Egalitarian theory Egalitarian theory --
emphasizes equal access to emphasizes equal access to
goods and services goods and services
-- all health care providers all health care providers
must find a way to provide must find a way to provide
universal health care to all universal health care to all
citizens citizens
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Theories of Justice
+ +Utilitarian theory Utilitarian theory --
emphasizes emphasizes
" "reatest ood for the reatest ood for the
reatest number reatest number
-- in times of shortage, health in times of shortage, health
care should be rationed to care should be rationed to
those who will benefit more those who will benefit more
and denied to those who will and denied to those who will
b benefit less enefit less 10:32 AM
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Theories of Justice
+ +Libertarian theory Libertarian theory --
emphasizes on personal emphasizes on personal
rights on how the material rights on how the material
goods and services are to be goods and services are to be
distributed distributed
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Justice
+ +Lifeboat ethics Lifeboat ethics
-- happened in 1842 happened in 1842
involving the American ship involving the American ship
the William Brown w/c the William Brown w/c
struck an iceberg near struck an iceberg near
Newfoundland and began to Newfoundland and began to
sink sink
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Justice
+ +Lifeboat ethics Lifeboat ethics
-- Seaman Holmes were Seaman Holmes were
brought before the court and brought before the court and
was convicted was convicted
&tilitarian approach &tilitarian approach
uty uty- -oriented approach oriented approach
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Justice
Paul Ramsey: Paul Ramsey:
the equal right of every human the equal right of every human
being to live should be the ruling being to live should be the ruling
principle. When not all can be principle. When not all can be
saved and all need not die, this saved and all need not die, this
ruling principle can be applied ruling principle can be applied
best by random choice among best by random choice among
equals. equals.
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Justice
Triage Triage
used in allocating used in allocating
resources practiced in the resources practiced in the
crises or war or disaster crises or war or disaster
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Justice
Triage Triage
*Divided into three groups: *Divided into three groups:
alkin ounded alkin ounded -- often ignored for the often ignored for the
first few minutes &/or sent back to battlefield first few minutes &/or sent back to battlefield
fatally ounded fatally ounded -- given narcotics but not given narcotics but not
treated for their injuries treated for their injuries
seriously ounded seriously ounded -- treated immediately treated immediately
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Justice
example: example:
An undercover policeman and two An undercover policeman and two
drug dealers were involved in a shoot drug dealers were involved in a shoot
out and the three have been fatally out and the three have been fatally
wounded. There were only two open wounded. There were only two open
beds available in the ICU of the nearest beds available in the ICU of the nearest
hospital. hospital.
ow would you decide which of the ow would you decide which of the
three men would receive the ICU beds? three men would receive the ICU beds?
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