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Bioethical Issues

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Organ Transplantation. Donor, Recipient, Society, HC professionals. Sources. living related donors ... Organ Transplantation Recipient. Justice. Uniform ... – PowerPoint PPT presentation

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Title: Bioethical Issues


1
Bioethical Issues
  • L. D. Andrews
  • NURS 2111 Contemporary Nursing

2
Bioethical Issues
  • Safety of genetic research
  • supervirus, superbacteria
  • legality and morality of genetic screening
  • early detection of diseases
  • proper use of genetic information
  • availability to insurance companies

3
Informed Consent
  • beneficence client prepare for future problems
  • nonmaleficence insurance comp. refuses coverage
  • autonomy do not force clients to participate in
    genetic screening
  • confidentiality absolute

4
Right to Self-determination
  • Client has right NOT TO KNOW results of genetic
    testing
  • Client has right TO REFUSE genetic testing

5
Fetal Tissue
  • Human Genome Project
  • identify human genetic code
  • growing fetal tissue in laboratory for research
  • legislation limits fetuses to 6 weeks
  • Fetal Tissue
  • lacks mature genetic materialless host rejection

6
Fetal Tissue
  • Source
  • elective abortions
  • second-trimester fetuses
  • Payment for tissue and organs
  • Permission, who gives it?

7
Nursing Responsibilities
  • Awareness of abortion issues
  • Knowledge of disposal of aborted fetuses
  • Knowledge of developing procedures and techniques
    regarding fetal research
  • Support legal and ethical efforts to control
    abuses

8
Organ Transplantation
  • Donor, Recipient, Society, HC professionals
  • Sources
  • living related donors
  • cadaver donors
  • Children as donors
  • What age may child give permission?
  • May a child refuse?

9
Organ Transplantation Recipient
  • Justice
  • Uniform Anatomical Gift Act
  • list, rank recipients
  • criteria for ranking
  • Nurses Role
  • Asking about organ donation, pg143
  • Avoid nonverbal statements of approval or
    disapproval

10
Distributive Justice
  • Belief about health care
  • life preserved at all costs?
  • conservation of resources?
  • cost control methods
  • who should pay?
  • individual responsibilities

11
Right to Die
  • What constitutes extraordinary measures?
  • Right to Self-determination
  • Advanced Directives-Living Will
  • specifies which extraordinary procedures,
    surgeries, medications, treatments that may or
    may not be used
  • Essential that Clients wishes be followed
  • Nursing Role
  • Assist client and family to plan ahead
  • Clarify terms

12
Euthanasia and Assisted Suicide
  • Passive Euthanasia
  • Active Euthanasia
  • assisted suicide
  • Right to Self-determination
  • ANA
  • opposes assisted suicide
  • violation of Code of Ethics

13
Ethics Involving ChildrenAbuse
  • Legal Requirement to report abuse
  • beneficence and best interests of the child
  • family right to privacy and self-determination
  • Nurses Role of Advocate
  • Use all available services and resources

14
Ethics Involving ChildrenInformed Consent
  • Informed Consent
  • give as much information as possible
  • recognize rights of children
  • Children are Dependents
  • do not have right to self-determination
  • parents must make decision in childs best
    interests
  • At what age can children may decisions?
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