Highlighted Lecture day 1 (Chester’s Lecture)
A functional family copes by communication feminist ethics.
Caregivers are usually most organized with complaints
of discomfort
Value = an ideal or concept that gives meaning to an
individuals life
Value system = operates as a personal code of conduct
Attitude = is a feeling of emotion, generally including
positive or negative judgment toward people, objects, or
ideas
Beliefs = refers to special class of intellectual attitudes
based primarily on faith, as opposed to fact
Genogramhealth and illness through generations (3)
Ecomap relationships and interactions with social
networks in a family
Family apgar questionaire emotional attachments to
pt., assesses satisfaction with social support from adaptation,
partnership, growth, affection, resolve
Value = an ideal or concept that gives meaning to an
individuals life
Value system = operates as a personal code of conduct
Attitude = is a feeling of emotion, generally including
positive or negative judgment toward people, objects, or
ideas
Beliefs = refers to special class of intellectual attitudes
based primarily on faith, as opposed to fact
Aesthetics qualities of objects, events and people that
provide satisfaction
Altruism concern for the welfare of others
Equality having the same rights, privileges or status
Freedom capacity to exercise choice
Human dignity inherent worth and uniqueness of an
individual
Truth faithfulness to fact and reality
Justiceupholding of moral and legal principles
Morals PERSONAL standard of right and wrong
Ethics a systematic inquiry into the principles of
right and wrong conduct, of virtue and vie, and of good an
evil as they relate to conduct
Nursing Ethics a system of principles governing the
conduct of the nurse
Ethical dilemmas NO TRUE RIGHT OR WRONG
ANSWER, a puzzling moral problem, requires a choice
between 2 equally unfavorable alternatives, weather or not u
give a med when its against your better judgement
Ethical decision making using an orderly process that
considers ethical principles
Ethical distress knowing the right thing to do but
finding it almost impossible to execute, when the doctor tells
you you have to give the med
Ethical uncertainty feeling troubled by a situation but
not knowing if it is an ethical problem
Utilitarianism - most amount of good for the greatest
amount of people, health care reform, value is determines by
its usefulness, emphasis on the outcome,
Deontology - traditional theory, it is the principle on
which an action is based that is the morally decisive such as
making and keeping a promise
Princiipalism - primary principle of bioethics, respect
for autonomy, non-malfeasance, beneficence, distributive
justice (social justice)
Communitarianism - hx, tradition and concrete moral
thinking should be the basis of moral thinking and action 3
theries of this are…virtue ethics, caring and the ethic of care,
Virtue Ethics - goal; enable persons to flourish as
human beings
Caring and Ethic of care - 2 voices in caring the express
2 distinct concepts of morality and the methods of expression
Feminist Ethics - supports critical thinking and a focus
on gender, power and socioeconomic status, men and woman
are equal
Advocacy is too promote and encourage the pt to have a
voice
Race  shared biological features
Ethnicity shared culture (american)
Enculturation - process of becoming a member of a
cultural group, assimulating into a culture, can create
conflict w/I a family
Migration - people migrate from state to state as well as
across county borders
Immigrants - name given to people who cross national
borders
Cultural Diversity - individuals exposed to multiple
world views
Culture shock - feeling of panic, anger, depression, and
denial and a sense of separation from others
Assimilation - when minority groups living within a
dominant group lose the cultural characteristics that once
made them different
Prescriptive - things the individual should do to have
harmony
Restrictive - things the individual should not to do have
a positive outcome
Things that if done will have significant negative
outcomes
Linear time - straight line that can be divided into parts
with a begning and end. Western health care providers see
time as linear
Circular time - time is a never ending enitiy, space is
linked with issues of territoriality, living, work, with health
care arrangements, touch, sound and smell
Space - encompases the concepts of territoriality,
density, and distance
Territoriality - to own space
Density - the number of people within a given
environmental space
Distance - the way cultures use space to communicate
Intimate Zone  0 - 18 inches
Personal Zone  18 inches to 3 feet
Social Zone  3 feet to 6 feet
Rite - an event that marks change in status from lower
to higher level, bar mitzvah, confirmation, baptism
Ritual - prescribed manner or process closely related to
a cultures ideology, such as high school graduation, wedding,
admission to school
Spiritual healing - healing energy from spiritual
sources
Traditional oriental - complete system of diagnostic and
therapuetic approaches
Naturopathic medicine - supports natural healing
capacity of the individual
Chiropractic - adjustment and manipulation of
musculoskeletal articulations to treat functional disorders
Orthomolecular - rebalance of individual biochemistry