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2
● Restrictions on autonomy may occur when there is a d. Have advance directive such as living will
potential harm to others such as communicable concerning treatment or designating a surrogate
diseases or violence acts. decision maker.
e. Privacy consideration such as in case of discussion,
2. Veracity consultation & treatment.
● To maximize the efficiency of healthcare, the patient f. Confidentiality of treatments & records.
& healthcare providers are bound to tell the truth. g. Review records concerning medical care & have
● Patient has the responsibility to provide accurate & these explained to him except when restricted by law.
complete information about his complaints, past h. be informed of the existence of business relationships
illness, previous hospitalizations, medications, among the hospital, educational institutions, other
allergies, religious restrictions, & other matters health care providers, or payers that may influence
relevant to his health. the patient’s treatment and care.
● Physician should tell the patient & his family his i. consent to or decline to participate in proposed
diagnosis, plan of care, treatment & possible risks research studies or human experimentation affecting
involved, length of treatment, possible expenses, & care and treatment
other options they may take if any. j. reasonable continuity of care when appropriate and to
be informed by physicians and other caregivers of
Benevolent Deception available and realistic patient care options when
● Physician or health practitioner is requested not to tell hospital care is no longer appropriate
the relative the exact nature of the patient’s illness. k. informed of hospital policies and practices that relate
● Relative requests the physician not to tell the patient to patient care, treatment, and responsibilities
his true diagnosis or condition.
● The practitioner himself intentionally withholds 4. Nonmaleficence
information according to his sound judgment when ● The principle of nonmaleficence is similar to
such revelation would do more harm to an beneficence.
emotionally unstable or depressed person. ● The distinction lies in the fact that beneficence is
stated in a positive form while non maleficence is
3. Beneficence stated as an admonition in the negative form to
● Refers to acts of kindness & mercy that directly remind health practitioners to do no harm.
benefit the patient. ● Ex. not assisting in or performing abortion, not
● These Acts promote the healing of patient, prevent performing euthanasia, not willfully subjecting
illness or complications, alleviate suffering & assist patients to experimental drugs whose potential harm
towards peaceful death. may be greater than the expected benefit, not harming
● Nurses must be committed to helping patients and a person’s reputation by revealing confidential
seeking out the best possible healthcare outcomes for information.
them.
5. Justice
PATIENT’S BILL OF RIGHTS ● Refers to the right to demand to be treated justly,
● Helps practitioners provide more effective patient fairly & equally.
care. ● Article xiii of the Philippine constitution guarantees
● The patient has the right to: that the state shall adopt an integrated &
a. receive considerate, respectful and compassionate comprehensive approach to health development & to
health care make essential goods, health & social services
b. Relevant, current & understandable information available to all people at affordable cost.
concerning diagnosis, specific procedures, treatment ● Priority for the needs of the underprivileged, the sick,
prognosis, procedures, treatments, risks involved, the elderly, disabled, women & children.
reasonable alternative benefits needed to make ● Justice in healthcare refers to fairness and equity in
informed consent. the distribution of resources, ensuring that all patients
c. Make decisions regarding his plan of care, in case of and staff are treated fairly, especially when resources
refusal, he is entitled to other appropriate care & are limited.
service or be transferred to another hospital.