Professional Documents
Culture Documents
By kittiphat
! 9 1 27 ..2553 - .
9 50
- Changes in values depend on stress ability to adaptation of family members - frequent value systems change, which often resulted in conflict
source of conflict : Adolescence dating Feeling of bewilderment , loss and Abandonment in the older generation Impatience and frustration in the younger Etc.
Final product : life style - Needs ( individual ) - hypocrisies : denial value - value belief about things ( family ) - Prejudice : positive or negative - value belief : in relationship with others , insituation ( community ) world view
world view : religious belief ( culture ) meaning of life - past experience ( Human ) - interpretation of experience - assumption , outlook - individuation : influence of environmental systems - Universal Ethical principle
Issues
- Abortion - Premarital contraception - deviant sexual behavior - Adolescent preg. - Venereal disease - Marital problem - Drug addict - Life style - Child abuse
Debbie story
Meaning of illness
- patient health belief may be very different from clinician : model reflect social class , cultural belief , education , occupation , religious , past experience - Elicit by determine the patient concept of etiology , onset of symptom , pathophysiology , course of illness , treatment - Better understanding and coorporation and teamwork.
- the values of one own family have influenced one own veiws .
Where ?
- Ethical dicision are problematic in ER ICU CCU understanding of the various system , of their organized hierarchy and values , communication with those in power will help avoid conflict .
Conflict Between
- Family , patient , Health professional value system
- parental consent may be required for dispensing contraceptive to children who under 14 yearolds. - Indication of disturb family system to give the girl the choice of raising the issue of sexuality.
Ethical guideline
- physician will not impose their value on patients. Guideline -If the integrity of physician , family , patient to be protected , the family bring moral values into their relationship
- if the vulnerbility of the patient to be protected, not necessarily to debate among equal , condideration of alternative and consequence of patient s health .
- In the clarification of moral principle physician role : aiding the patient discover the direction , sharing value with the patient Empathy , understanding , support in patient s dilemma .
- Recognition of the human right , responsibility - Physician : facilitate communication between family member , and outside system the value must be recognized and respected. - Nonjudgemental understanding of family : facilitate to problem solving and independence .