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DOA REMEDIOS T. ROUALDEZ MEDICAL FOUNDATION

COLLEGE OF NURSING
TACLOBAN CITY

RESOURCE UNIT IN BIOETHICS

Course Name: BIOETHICS
Course Code: Nursing 21
Course Description: This course deals with the application of ethico-moral and legal concepts and
principles to issues that affect the practice of nursing. These provide the basis for
appropriate decision making given varied situations, to prepare the learner to render
effective, efficient and safe nursing care. Furthermore, related learning experiences
provide opportunities to concretize commitment to nursing. The critical thinking
process shall
be used in the unit with the objective of developing the intellectual capacity to
conceptualize and contextualize what students know about particular ethico-moral
and legal issues.

Course Credit: 3 units lecture
Contact Hours/Semester: 54 lecture hours
Prerequisite: Logic, Philosophy of Man
Placement: 2nd Year, First Semester
Course Objectives: At the end of the course and given actual and relevant simulated situations/
conditions, the student will be able to:
1. Explain the concepts, theories and principles of bioethics in nursing and health.
2. Apply relevant bioethical principles in nursing and health related situations.
LEARNING OBJECTIVE CONTENT DATE/ TIME INSTRUCTOR
At the end of the teaching-
learning sessions, the students
will be able to:

1. Identify the importance of
studying bioethics.
2. Define ethics, biology,
bioethics, health ethics
and professional ethics.
3. Trace the history of
bioethics .


4. Describe the
characteristics of a person
5. Differentiate act of human
from human acts
6. Define knowledge,
freedom and conscience
7. Enumerate and describe
the different types of
conscience.
8. Relate knowledge,
freedom and conscience
as a characteristic of a
person.
I. Introduction to Bioethics

a. Importance of bioethics
b. Definition of terms
ethics
biology
bioethics
health ethics
professional ethics
c. History of Ethics




II. The Human Person
a. the personhood
b. human acts and acts of human
1. knowledge
2. freedom
3. conscience


June 26
3:00 4:30


June 27
3:00- 4:30








July 3*
3:00 -6:00



Mr. Astilla













MR. ASTILLA


LEARNING OBJECTIVE CONTENT DATE/ TIME INSTRUCTOR
2

At the end of the teaching-
learning sessions, the students
will be able to:

1. Describe the concepts of
Kant, Rawl, St. Thomas
Aquinas and Ross on
ethics.
2. Compare the concepts of
Kant, Rawl, St. Thomas
Aquinas and Ross on
ethics.
3. Explain the different
duties as enumerated by
Ross.

4. appreciate the health care
profession as a vocation
5. describe the stages of a
health care provider-client
relationship








6. describe the qualities of a
good health care provider
to the client , society and
its profession
7. enumerate the
responsibilities of a health
care provider to the client,
society and its profession.


At the end of the teaching-
learning sessions, the students
will be able to:

1. define the different
virtues of the health care
provider
2. define the different vices
of health care provider
3. practice the different
virtues of a health care
provider



III. Types of Ethical Thoughts
a. Kantian
b. Rawls Ethics
c. St. Thomas Aquinas
d. Ross Ethics
Actual/prima-facie duty
duty of fidelity
duty of reparation
duty of gratitude
duty of justice
duty of beneficence
duty of improvement
duty of non maleficence


IV. The Calling of the Health Care
Provider

a. The health Care Profession
b. The client
c. The Health Care Provider
d. Health Care Provider-Client
relationship





V. Qualities and Responsibilities of a
Good Health Care Provider to
the Client, Society and Its Profession







VI. Virtues, Vices and Habit of a Health
Care Provider
a. Virtues of Health Care Provider
1. fidelity
2. honesty
3. integrity
4. humility
5. respect
6. compassion
7. prudence
8. courage
b. vices of health care provider
1. fraud
2. pride
3. greed


July 4
3:00- 4:30
July 10
3:00 4:30



July 11
3:00 4:30






July 17*
3:00 6:00

July 18
3:00 -4:30








July 24
3:00 -4:30
July 25
3:00 -4:30






July 31
3:00 -4:30

Aug 1
3:00 -4:30











MRS. ALFONSO














MR. ASTILLA












MRS. ALFONSO









MRS. ALFONSO




3

LEARNING OBJECTIVE CONTENT DATE/ TIME INSTRUCTOR
At the end of the teaching-learning
sessions, the students will be able to:
1. describe the principle of
stewardship, totality, double
effect, cooperation, and
solidarity
2. enumerate the condition
necessary for double effect
application



3. apply basic ethical principles in
health care setting
4. Describe justice, beneficence
and
a. non-maleficence
b. Apply major bioethical
principles in health
care
c. Enumerate principles
on how equality could
be based



At the end of the teaching-learning
sessions, the students will be able to:
1. enumerate the components of
an informed consent
2. enumerate the rights of a
patient
3. analyze and discuss different
bioethical issues
4. relate the importance of
bioethics to different
bioethical issues


VII. Basic Ethical Principles
a. Stewardship
b. Totality
c. Double effect
d. Cooperation
e. Solidarity







VIII. Major Bioethical Principles
a. respect for person and justice
b. non-maleficence
c. beneficence










MIDTERM EXAMINATION


IX. Application of Bioethical
Principles to the Care of the Sick

a. functions of Informed Consent
b. Rights of a Patient

c. Prevalence of Bioethical Issues

A. The Moral Issue of Abortion

1. Meaning and Types of Abortion
2. The Moral Issue
3. Immediate Hominization
4. Delayed Animation
5. Pre-Implantation /period
6. Cell Division Process
7. Curettage
8. Three General Viewpoints of
Abortion
9. Pro-life Movement
10. Effects of Abortion
11. Pro-choice Movement

B. The Moral Issue of Euthanasia

1. Meaning and Cases of Euthanasia
2. The Problem of Human Dignity
3. Different Views
4. Application of Ethical Theories

Aug 7
3:00 -4:30

Aug 8
3:00 -4:30









Aug 14
3:00 -4:30

Aug 15
3:00 -4:30









Aug 18-23


Aug. 28
3:00 -4:30

Aug 29
3:00 -4:30



Sept 4
3:00 -4:30

Sept 5
3:00 -4:30










Sept 11
3:00 -4:30
Sept 12
3:00 -4:30

MR. ASTILLA













MRS. ALFONSO
















MR. ASTILLA







MRS. ALFONSO














MR. ASTILLA
4

LEARNING OBJECTIVE CONTENT DATE/ TIME INSTRUCTOR


At the end of the teaching-learning
sessions, the students will be able to:

1. analyze and discuss different
bioethical issues
2. relate the importance of
bioethics to different
bioethical issues


C. The Moral Issue of Suicide

1. Meaning and Causes of Suicide
2. The Cons of Suicide
3. The Pros of Suicide
4. Application of Ethical Theories

D. The Moral Issue of Birth
Deformities

1. Meaning and Common Cause of
Birth Deformities
2. Types of Deformities
3. Retrospect
4. Application of Ethical Theories


E. Redefinition and Determination
of Death

1. The Need to Redefine Death
2. Several Definitions of Death
3. In the Medical Context
4. Attitude Towards Death
5. Several Views of Death
6. Application of Ethical Theories

F. The Moral Issue of Patients
Rights

1. Meaning of Patients Rights
2. Types of Patients Rights
3. Four Major Elements of Informed
Consent
4. Limitations of a Patients Rights
5. In the Medical Context
6. The Rights of Patients

G. The Moral Issue of Paternalism
and Truth-Telling

1. Definition and Types of
Paternalism
2. In the Medical Context
3. Justifications for Personal
Paternalism
4. Justifications for State
Paternalism
5. Application of Ethical Theories
6. Truth-telling
7. Justifications for Truth-telling
8. Confidentiality
9. Application of Ethical Theories



Sept 18*
3:00 6:00





Sept 25
3:00 4:30







Sept. 26
3:00-4:30








Oct. 2*
3:00 6:00

MRS. ALFONSO















MR. ASTILLA



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LEARNING OBJECTIVE CONTENT DATE/ TIME INSTRUCTOR


At the end of the teaching-
learning sessions, the students
will be able to:
1. analyze and discuss
different bioethical issues
2. relate the importance of
bioethics to different
bioethical issues



H. The Moral issues of Contraception
and Sterilization

1. Meaning of Contraception
2. Meaning of Sterilization
3. Types of Sterilization
4. Justifications of Contraception
5. Methods of Contraception or Family
Planning
6. Application of Ethical Theories

I. The Moral Issue of Artificial
Insemination

1. Definition and Types of Artificial
Insemination
2. Justification for AIH
3. Justification for AID
4. Application of Ethical Theories

J. The Moral Issue of Human
Experimentation

1. The Nuremberg Code
2. Justifications of Human
Experimentation
3. Medical Therapy and Medical
Research
4. Informed Voluntary Consent
5. Drug Testing and the Use of
Placebos
6. Single-bind and Double-bind Test
Design
7. Justifications of the Use of Placebos
8. Criticisms
9. Researches Involving Children,
Prisoners, the Poor, and Fetuses
10. Application of Ethical Theories

K. The Moral Issue of Genetic
Engineering

1. Genetic Engineering
2. Chromosomes, DNA, and Genes
3. Genetic Testing
4. Prenatal Diagnosis
5. Genetic Screening
6. Genetic Intervention
7. In Vitro Fertilization
8. Embryo Transfer
9. Surrogate Motherhood
10. Sperm and Zygote Banking
11. Sex Selection
12. Sex Change Operations
13. Organic Transplants
14. Cloning
15. Application of Ethical Theories
Oct 3
3:00- 4:30









Oct 9*
3:00 6:00







Oct 16 *
3:00 -6:00
MRS. ALFONSO



















MR. ASTILLA
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LEARNING OBJECTIVE CONTENT DATE/ TIME INSTRUCTOR


At the end of the teaching-
learning sessions, the students
will be able to:
1. analyze and discuss
different bioethical issues
2. relate the importance of
bioethics to different
bioethical issues



L. The Moral Issue of Behavior Control
and Claim to Health Care
1. Lobotomy
2. Types of Psychosurgical Operations
3. Chemotherapy
4. Psychotherapy
5. Electrical Stimulation of the Brain
6. Aversion Therapy
7. Application of Ethical Theories
8. The Individuals Inherent Dignity
9. Medical Individualism
10. Social Commitment
11. Allocation of Scarce Resources
12. Application of Ethical Theories

M. The Morality of Human Sexuality

1. Meaning of Sex to the Individual
2. Mutual Experience of Each Others
Worth
3. An Appeal for Mutual Care
4. Sharing Each Others Being
5. Self-discovery as Persons
6. Making Each be Truly Himself
7. Pain of Unrequited Love
8. Affirmation of Situated Freedom
9. Moral Discipline
10. Ones Inhumanity to Another
11. Commitment and Responsibility
12. Safeguarding the Others Value
13. Responsibility to and for One
Another
14. Humanizing and Dehumanizing
15. Types of Sexual Deviation
16. In the Medical Context
17. Preventive Measures of Sex
Deviation
18. Pornography and Prostitution
19. In the Moral Context
20. Sexual Anomalies and Ailments
21. Sexually Transmitted Diseases
22. Application of Ethical Theories

FINAL EXAMINATION
















Oct 17
3:00 4:30


























Oct 20-25
MR. ASTILLA














MRS. ALFONSO





















NOTE: TOTAL OF 54 hrs ( 3 hours per week except those where * (4.5 hours: 3:00 6:00 PM instead of 3:00 4:30pm)
is indicated to complete the total number of hours [ 54hours] in 18 weeks. )


SCHEDULE: THURSDAYS: 3:00 PM 4:30 PM
FRIDAYS: 3:00 PM 4:30 PM



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REFERENCES:
1. Estoesta, R. D., Javines, R.R. (2009). Bioethics: Contemporary Readings and Issues. 1st Ed. Manila, Philippines:
Educational Publishing House.
2. Timbreza, F. T. (2007). Bioethics and Moral Decisions. Quezon City, Philippines: C & E Publishing. Inc.
3. Megan-Jane Johnstone. Bioethics: A Nursing Perspective. 5th Ed. 2008
4. Kath M Melia. Ethics for Nursing and Healthcare Practice. 2013
5. Raymond S. Edge (Author), John Randall Groves. Ethics of Health Care: A Guide for Clinical Practice. 3rd Ed.

LECTURERS:
LOURADEL U. ALFONSO, MAN, RN JEREMY ASTILLA, MAN, RN




PREPARED BY: APPROVED BY:


LOURADEL U. ALFONSO, MAN, RN DR. SOCORRO S. GASCO, RN, DMHRM
INSTRUCTOR DEAN, COLLEGE OF NURSING