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LSC Legal & Ethics

Nursing

QuestionAnswer
Values Concepts, Ideals, and Behaviors, Povide a framework for daily decisions and actions,
Morals Standards of right and wrong, internalized by the process of learning inherent in human socialization, based on religious beliefs, behaviors according to certain traditions
Law Human rules ofconduct that protect society, no social group - no law neccessary, guidelines that can change as society changes, purpose - protect rights, based on fairness & judgement, enforcement become more complicated as group becomes larger
Ethics A system of valued behaviors and beliefs that declare what is right or wrong and what ought to be, can be for individuals, groups, or society
Ethical Code Framework for decision making usually for an identified group, action oriented & usable on a daily basis, guides the conduct of the professional, professional values
Ethical Accountability Each person is responsible for his own actions, Being PROFESSIONAL, be willing to accept the consequeces of one's own decisions
Who are Nurse's are accountable to? Clients, public, profession of nursing, facility administration, physicians, other nurses (peer review)
Ethical dilemma situation in which an ethical decision is required between choices that are equally distasteful, resolution of ethical dilemmas usually makes someone unhappy, often based on conflict of rights, needs to be able to defend one's decision
Rights Just claims or titles or something that is due someone according to claims, legal guarantees or moral principles
Option right the right to live one's life as one chooses within a set of prescribed boundaries, may or may not be able to defend one's decision
Welfare right Legal Right, rights that are based on legal entitlement to some good or benefit, guarunteed under law, violation leads to fine or jail, Bill of Rights is a basic statement
Moral Right (Ethical Right) Claim to some good or benefit based on a moral principle or long term usage, may or may not be enforceable under the law, people confuse moral rights, such as the right to health care, with legal rights
Obligations (duties) demands made on or requirements of individuals, professions, society, or government to fulfill and honor the rights of others
Legal obligations obligations that are enforceable under law, such as for nurses to give afe and adequate care
Moral Obligations Obligations that are based on moral or ethical principles, NOT enforceable under the law, Example: stop and help an MVA victem when the nurse is on a vacation
Autonomy the right of self determination, independence, freedom of decision
Right to Refuse Treatment Allows a competent person the right to refuse any tests, treatments and procedures that he/she so chooses.
Quality of Life factors that contribute to the value of an individual's life according to society, including: LOC, level of Functioning, Freedom from suffering, Ability to interact w/others, Ability to make decisions
Standards of Best Interest Type of decision made about an individual's health care when that individual is unable to make an informed decision for himself based on what the health care providers and family decide is best (beneficence versus Paternalism)
Paternalism Attitude that the health care provider knows what is best for the client and the client should NOT question the tx or care, do not see much in health care today, clients are better educated
Substitute judgment type of decision made about an individual's health care when he/she is unable to make an informed decision, it is the same as if the person made it himself/herself
Advance Directives Decisions made by competent individuals about their future health care, apply if an individual is deemed no longer competent to make own health care decisions, type of substitute self determination
Living Will Written advance directive that ID's tx, procedures, tests and so on, that a person wants or does not want,should they become unable to make such decisions, enforceable under the law, often poorly written and too general
Durable POA for Health Care Person legally designated to make health care decisions or an individual who is no longer able to make those decisions for himself
Distributive justice
Created by: ginabeana
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