Florence Nightingale's nurse's oath. Florence Nightingale's sister's oath in Russian. Nurse's Oath

Send your good work in the knowledge base is simple. Use the form below

Students, graduate students, young scientists who use the knowledge base in their studies and work will be very grateful to you.

Posted on http://www.allbest.ru/

Ministry of Health of the Irkutsk Region

Regional state budgetary professional educational institution

Fraternal Medical College

Florence Nightingale's legacy

Bratsk, 2016

Introduction

1. Biography of Florence Nightingale

1.1 God's call

1.2 Lady with a lamp

1.3 Awards

2.2 Applied statistics

2.3 Oath

Conclusion

Bibliography

Introduction

History of the profession nurse originates in ancient times and is associated with such inherent human feelings as empathy, care, a feeling of love for one’s neighbor, which at all times forced people to help each other in grief and illness. In the mid-19th century, during the heyday of the British Empire, women were expected to remain at home and care for children. Only the poorest women worked, unable to make ends meet without it. Nursing was considered bad work, because they had to work in terrible conditions and for a pittance pay.

Attitudes towards the work of nurses and women's work in general have changed in many ways thanks to the British Florence Nightingale, the first researcher and founder of modern nursing, who revolutionized public consciousness and views on the role and place of the nurse in protecting public health. The legacy of F. Nightingale does not leave today's generation indifferent.

1. Biography of Florence Nightengale

1.1 God's call

Florence Nightingale was born on May 12, 1820 into a family of wealthy English aristocrats in a villa in Florence (Italy) and was named after the city of her birth. She received an excellent education for a woman of her time: she knew literature very well, mastered five foreign languages, studied mathematics, history, philosophy, and studied painting and music.

One day, while walking in the garden, she, as if in oblivion, heard a voice coming from somewhere: “You have to do something very important. No one can do this but you.” As a person who believes in God, Florence attached great importance to this occasion. She experienced a certain state, which she later defined as “God’s call” and which she remembered for the rest of her life.

Once Florence visited one of the shelters for sick poor people on the outskirts of London, the so-called “workhouse”, and what she saw impressed her for the rest of her life. Heaps of stinking bodies on mattresses of dirty straw, infectious and non-infectious - all together. Drunk nurses sitting uselessly at the patient's bedside. Doctors using patients as test animals for medical practice.

Shocked to the core, Florence soon announced to her parents that she was going to become a nurse in a hospital for the poor. Florence's mother had a heart attack, her father did not speak to her obstinate daughter for two days, but Florence insisted on her own and worked in the hospital for four weeks.

The prim aristocratic society of London recoiled from her. They stopped inviting her to visit and no one else approached her. But Florence was no longer touched by secular conventions. It seemed that she had now found her path in life, and nothing could stop her from following it.

1.2 Lady with a lamp

Florence devoted the following years to developing her own method of caring for the sick. This method was ingeniously simple: maintaining the strictest cleanliness in the wards, regular ventilation of the premises, diet, complete quarantine for contagious people and attentive attention to all complaints of patients. She studied medical books and atlases and visited shelters for the homeless and sick. In 1851, she went to Germany, to the monastery of Protestant nuns in Kaiserswerth, worked in their hospitals, but the nuns were hostile to her recommendations for caring for the sick, did not allow her to change anything, and soon, disappointed, Florence left for France in Paris, where she settled in the community of Catholic sisters named after Vincent de Paul. There she was allowed to implement her ideas of care and, thanks to her reforms, in a month and a half, the mortality rate of patients in the hospital there was halved.

They learned about her success in London and offered the brave lady the honorary post of chief caretaker of the capital's Medical Institution for impoverished noblewomen, under the personal patronage of Her Majesty the British Queen Victoria. In 1854, Florence asked for her close friend Sidney Herbert, who became Secretary of War, sent her to the Crimean War so that she could help set up hospitals. British military hospitals in Turkey were in a deplorable state. Wounded soldiers died by the hundreds a day, deprived of basic care.

In November 1854, she and 38 other volunteer sisters went to the battlefield. There she consistently implemented the principles of sanitation and care for the wounded. As a result, in less than six months, the mortality rate in hospitals decreased from 42 to 2.2%. In 1856, Florence, with her own money, erected a large white marble cross on a high mountain in the Crimea above Balaklava in memory of the soldiers, doctors and nurses who died in Crimean War. The Crimean War made Florence a national heroine. Soldiers returning from the front told legends about her, calling her “the lady with the lamp,” because at night she, with a lamp in her hands, like a kind bright angel, walked around the wards with the sick. In 1856, shortly after the end of the war, Florence suffered a severe stroke, which forever confined her to a wheelchair.

1.3 Awards

In 1858, Florence Nightingale was elected a member of the Royal Statistical Society (and became the first woman to receive such an honor); in 1872, Florence became the Chief Expert of the Commission on the Sanitary Condition of English Military Infirmaries and Hospitals. It was unheard of for a woman of her era to post such a post, especially considering her state of health. In 1874 - a member of the American Statistical Association. For her contribution to the development of medicine and nursing, Florence Nightingale was awarded the Royal Red Cross in 1883, and in 1907 she became the first British woman to receive the Order of Merit from the hands of the British King George the Fifth.

On August 13, 1910, 90-year-old Nightingale died in her sleep in her room. The government's proposal to organize a formal funeral in Westminster Abbey was rejected: in accordance with Nightingale's last wishes, she was buried in the churchyard of St Margaret's Church in East Willow, next to her parents and older sister. Many people came to the funeral with flowers, and on the gravestone, at the request of Nightingale herself, a short inscription was engraved: “F.N. born in 1820, died in 1910."

May 14, 1912 on IX International conference The Red Cross, held in Washington, established the Florence Nightingale Medal in memory of the good deeds of the English nurse, who voluntarily devoted her entire life to caring for the sick and wounded and improving sanitary conditions in hospitals.

Gilt silver medal with a portrait of Florence Nightingale on the obverse and the inscription "ad memoriam florence nightingale 1820-1910". On the reverse side there is a circular inscription “pro vera misericordia et cara humanitate perennis decor universalis”. The owner's name and the date the medal was awarded are engraved in the center. The award is attached with a white and red ribbon to the laurel wreath surrounding the Red Cross. The medal is accompanied by a diploma on parchment.

This medal is the highest award for nurses, which is awarded on the birthday of Florence Nightingale herself - May 12, every two years. Thus, the name Florence Nightingale became a symbol of international charity.

2. The legacy of Florence Nightingale

Florence Nightingale's legacy - her books:

Notes on hospitals.

Notes on the factors affecting the health, efficiency and management of British Army hospitals.

How to care for the sick.

Notes on nursing for the working classes.

Introductory notes about your stay in the institution.

Observations.

Report of the Indian Sanitary Commission.

The especially famous “Notes on Care” remained for many years the main textbook for nurses. Now they remain a self-portrait of Florence Nightingale - with her attentive and penetrating gaze, truly English humor and love for a sick person. Florence outlined the basic principles of her system in the already named “Notes on Care,” which were translated into different languages. The popularity of this book is confirmed by the fact that the Russian translation of 1896 was made from the 28th English edition. In “Notes” she writes about things that now seem elementary and in some ways even outdated, but in the 19th century her statements created a real sensation, since the simplest information about the hygiene and psychology of the patient turned out to be a revelation for many.

Recently, the view on the functions of a sister has changed. Now the main tasks of a nurse are maintaining health and preventing diseases. F. Nightingale's concept of nursing takes on a new meaning in the context of modern nursing reform.

2.2 Applied statistics

Her 800-page book Notes on the Factors Affecting the Health, Efficiency and Management of British Army Hospitals (1858) included a section on statistics. She examined and classified the collected data with impeccable care, and then presented it in the form of clear and simple drawings and graphs - a variation of modern pie charts. Based on these graphs, Florence proved the need for reform even to her most stubborn opponents. Her ability to analyze data, collect it, tabulate it, visualize it and interpret it has become the talk of the town. Over time, Florence even developed data collection tables that hospital staff had to fill out to subsequently calculate statistics and make practical decisions.

Today these graphs are called histograms, but in Florence's time they did not yet have a name. Nightingale used pie charts, which were clear and did not require detailed explanations. It should be emphasized how cleverly the researcher acted: with the help of simple drawings, understandable to everyone and requiring almost no explanation. As Paul Levy aptly noted, Florence Nightingale led a lobby - albeit a pro-reform one, but a lobby nonetheless. However, her knowledge of statistics was limited - in those days, for example, analysis of variance and covariance were unknown, and it was impossible to consider the contribution of individual variables to the overall picture. Florence Nightingale is considered one of the pioneers of medical statistics. She coined the term "applied statistics" and greatly influenced scientists such as Francis Galton and Karl Pearson.

2.3 Oath

Medical deontology, in modern interpretation- medical bioethics has its own history. Practicing medicine involves immersion in the profession both in the field of knowledge and skills, and in moral - ethical principles. One example of selfless service to people is Florence Nightingale's oath for nurses. In her oath, Florence Nightingale gives us an ideal moral portrait of a nurse. Of course, there is no limit to perfection in medicine, but it is still necessary to strive for the heights.

Florence Nightingale's Oath (nursing code of ethics):

I, solemnly before God and in the presence of this assembly, make a commitment. To spend my life in purity and serve my profession faithfully. I will abstain from everything that causes harm and death and will not take or knowingly give harmful medicine. I will do everything in my power to support and elevate the standard of my profession, and I promise to keep confidential all personal matters within my care and the family circumstances of patients that come to my knowledge during the course of my practice. With fidelity, I will strive to assist the physician in his work and devote myself to the welfare of those who have entrusted themselves to my care.

By 2011, four films and many television series had been made about the fascinating and noble life of Florence Nightingale. Lytton Strachey dedicated part of his collection “Eminent Victorians” to her, which can be called the highest recognition of her services from the literary world.

Conclusion

Reasons for the emergence of a professional care system.

The emergence of new views on nursing was, according to one of Florence’s life writers, due to three factors: religion, war and science. Indeed, the Crimean War gave rise to an outbreak of female patriotism not only in Great Britain, but also in Russia, where, in fact, only from that moment on did sisterhood make itself known to society. On the other hand, Nightingale lived in a period replete with scientific discoveries in the field of medicine - during the era of the emergence of modern hygiene. The religious factor played a much smaller role in Florence’s activities: the necessary religious education of the sisters at the Nightingale school was, rather, a tribute to the previous tradition, since for this woman nursing was significant in itself - it became a profession.

“An illness is a serious matter and therefore a frivolous attitude towards it is unforgivable... You must love the work of caring for the sick, otherwise it is better to choose another type of activity.”

Bibliography

Nightingale sick nursing

1. S.A. Mukhina, I.I. Tarnoskaya. Theoretical foundations of nursing, part I-II 1996, Moscow.

2. Nightingale Florence - 3rd ed. - M.: Soviet Encyclopedia, 1969.

3. Biography of F. Neitingen on Wikipedia.

4. Bernard Cohen. Florence Nightingale.

Posted on Allbest.ru

...

Similar documents

    F. Nightingale as the first researcher and founder of modern nursing, reassessing the place of the nurse in protecting public health. The life story of a nurse, the creation of "Notes on Care" - a textbook for nurses.

    abstract, added 11/18/2010

    F. Nightingale's struggle for the reform of the medical care system in hospitals and the transformation of nursing into a serious profession based on the development of special training programs and the imposition of high professional requirements for their activities.

    abstract, added 06/22/2015

    The history of Russian communities of sisters of mercy, who personify heroic enthusiasm and formal organization in helping their neighbors. Marfo-Mariinskaya Convent is an organization for caring for the sick. F. Nightingale is the founder of nursing.

    test, added 03/02/2011

    Founder of modern nursing. Our compatriots in the history of nursing. The concept of the nursing process. The nursing process consists of five main stages. Nursing examination. Formulating a nursing diagnosis.

    abstract, added 02/18/2007

    Description of the myocardial infarction clinic. Familiarization with the statistics of this disease in Russia. Study of the basic elements of nursing care for patients suffering from myocardial infarction. An overview of the duties of a nurse in an intensive care unit.

    presentation, added 11/15/2015

    Bed capacity of the therapeutic department. Compliance with the sanitary and epidemiological regime in the department, wards, and department premises. Maintaining documentation at the nursing station. Giveaway medicines. Caring for and monitoring patients.

    certification work, added 12/07/2010

    The essence and main provisions of studying the experience of organizing nursing in a medical school and at the Faculty of Higher Nursing Education (HNU). Factors influencing the implementation of the nursing care process in practical activities nurses.

    course work, added 09/16/2011

    Epidemiology of tick-borne encephalitis - a natural focal viral infection characterized by fever, intoxication and damage to the gray matter of the brain. Mental disorders in encephalitis. Features of nursing care for patients.

    course work, added 01/08/2015

    Etiology, pathogenesis, risk factors for pneumonia. Clinical picture of the disease, complications during its course. Methods of diagnosis and treatment of pneumonia. Activities of a nurse in organizing care for patients with pneumonia in a hospital setting.

    course work, added 07/10/2015

    The formation of nursing in Rus' X - XVII centuries. Development of nursing in the 18th century. Nursing care in the 19th century. Reforming nursing education at the beginning of the 20th century. In Russia, the profession of “sisters of mercy” was considered respected.

The principles of nursing ethics and deontology are most accurately reflected in the oath that graduates of nursing schools take in many countries. This is Florence Nightingale's oath:

“Before God and before the congregation, I solemnly promise to lead a life of purity and honorably fulfill my professional responsibilities.

I will abstain from everything that is poisonous and harmful and will never knowingly use or prescribe drugs that may cause harm.

I will do everything in my power to maintain and improve the standard of my profession. I will keep confidential all personal information that may come into my possession while working with patients and their families.

I will faithfully assist the physician in his work and devote myself to tireless concern for the well-being of all those entrusted to my care.”

Topic: "COMMUNICATION IN NURSING"

Plan:

Definition of communication,

Levels of communication

Communication functions

Elements of communication,

Communication channels,

Factors promoting communication

Communication styles

Therapeutic and non-therapeutic communication.

“Knowing the mutual actions of the soul and body, I consider it my duty to say that there are also spiritual medicines that heal the body. They are drawn from the science of wisdom. With this art you will console the sad, soften the angry, calm the impatient, make the timid bold, the secretive frank, the desperate trustworthy. This art communicates that firmness of spirit that overcomes bodily pain, melancholy, and tossing.” M. Ya. Mudrov

COMMUNICATION IN NURSING- exchange of information and (or) emotions between the nurse and the patient.

Exists THREE LEVELS OF COMMUNICATION:

- intrapersonal(mental communication of a person with himself when he develops some plans, develops ideas, preparing to communicate with someone)

- interpersonal(between two or more people)

Public (between large groups)

COMMUNICATION FUNCTIONS: 1. informational(provision of information)

2. expressive(emotional).

3. regulatory(impact on consciousness and behavior).

ELEMENTS OF COMMUNICATION:

In order for communication to be effective, it should not be limited only to the transfer of information. Effective communication consists of five elements:

- sender– who transmits the information;

- message– information sent;

- channel– message sending form;

- recipient– to whom the message is sent;

- confirmation– a way to notify the sender that a message has been received.

COMMUNICATION CHANNELS:

1. VERBAL (VERBAL)

Verbal communication m.b. effective if:

Have a good command of the literary language, avoiding all kinds of verbal rubbish, professional jargon, and swagger;

Speak slowly, loudly, but not shouting, in simple, short phrases.

Be able to correctly express your thoughts.

Whenever possible, ask open-ended questions (i.e. questions that are expected to be answered).

full answer. Questions that can be answered “Yes” or “No” are called closed questions).

Think and answer, what is verbal intelligence?

Let us recall the prescription written out for a patient by one of the heroes of the poem by Yuna Moritz:
"Pills, medicine and a warm word,
Mustard plasters, jars and gentle words, - Not a drop of cold, sharp, evil! Without kind words, without a warm word,
Without a gentle word, they don’t treat a patient!”

In your practice, you may encounter patients who are deaf and mute from birth or who have lost speech as a result of a disease (stroke, a consequence of a skull injury, etc.).

You can chat with them:

In writing

The effectiveness of written communication depends on whether a person can read, understand, and see the written message.

Written communication can be effective if:

Write neatly (if your handwriting is bad, write in block letters);

Choose the right size and color of letters (for a person with low vision, write with a pen with black or blue ink, in block letters on white paper);

I, solemnly before God and in the presence of this assembly, pledge:

To spend my life in purity and serve my profession faithfully.
I will abstain from everything that causes harm and death and will not take or knowingly give harmful medicine.

I will do everything in my power to support and elevate the standard of my profession, and I promise to keep confidential all personal matters within my care and the family circumstances of patients that come to my knowledge during the course of my practice.

With fidelity I will strive to help the doctor in his work
and will devote myself to the well-being of those who have entrusted themselves to my care.

Nurse's Oath

By joining the medical community, I solemnly pledge:
- devote your life to serving the ideals of humanity;
- show the highest respect for human life from the moment of its conception and never, even under threat, use your medical knowledge to the detriment of the norms of humanity;
- The health of my patient will be my first reward.
I swear:
- give my teachers the respect and gratitude they deserve;
- continue training throughout your professional career;
- I will be a good mentor to future nurses

I swear:
- fulfill my professional duty conscientiously and with dignity;
- respond to the physiological emotions and spiritual needs of the patient;
- comply with the principles of equality and accessibility of care for all;
- recognize and respect the different spiritual values ​​of patients and colleagues;
- respect the decisions made by patients, their right to informed choice and active participation in care;
- help patients realize their social significance;
- keep medical confidentiality;
- respect the secrets entrusted to me, even after the death of my patient.
I swear:
- support with all our might the honor and noble traditions of the medical community;
- promote the development of professional cooperation;
- continue to create and maintain high standards and quality of nursing care.
I will not allow considerations of gender or age, illness or disability, religion, ethnicity, race or national origin, party political ideology, sexual orientation or social status to come between the performance of my duty and my patient.
I will not lose my dignity and will not humiliate my profession.
I accept these obligations solemnly, freely and honestly!

Topic 3. Theoretical foundations of bioethics

Biomedical ethics (BME) as a new field of applied ethics. Sociocultural reasons for the formation of bioethics. Bioethics as a form of spiritual and practical protection of life and fundamental human values ​​- human rights to life, autonomy and freedom of choice. The relationship between the concepts of bioethics, biomedical ethics, medical ethics, deontology.

have an idea:

About bio medical ethics, How modern stage development of medical ethics, its continuity with traditional medical ethics and its significant differences from the latter.

know:

Direct historical background the emergence of biomedical ethics (advances in resuscitation, transplantology, etc.);

Initial definitions of biomedical ethics as scientific and academic discipline And social institution;

What are the similarities and differences between traditional medical ethics and modern biomedical ethics;

Code of Ethics for the Profession

be able to:

Work with tests containing theoretical basis bioethics;

Exercise 1. Study the contents of the Code of Ethics for Russian Nurses. Answer the questions.

1. What constitutes an ethical basis professional activity nurses?

2. What is the ethical duty of a nurse?

3. What tasks of a nurse’s professional activity are the most important?

4. What is meant by comprehensive comprehensive care?

5. What does comprehensive care include?

6. Who does the Code apply to?

7. Who can act as a patient?

8. What constitutes the basis of a nurse’s activities?

9. What should be the nurse’s attitude towards professional standards?

10. What is the primary professional duty of a nurse?

11. What rights does the nurse have to protect the interests of the patient?

12. In the event of a conflict between the patient’s worldview and the nurse’s ethical concept, what will have absolute priority within nursing care?

13. What is considered unethical and unacceptable in the activities of a nurse?

14. What patient rights should the nurse respect?

15. Whose decision regarding delivery strategy medical care remains a priority?

16. How should the nurse approach the patient's decision?

17. In what situations is the nurse expected to actively intervene?

18. What should the nurse's attitude be toward patient confidentiality?

19. When might a nurse disclose confidential information about a patient?

20. What criteria should the nurse use when determining the priority of medical care?

21. What must the nurse do when performing medical interventions that carry a risk of complications, pain or other painful sensations?

22. What is the moral and professional duty of a nurse?

23. Who determines the procedure for providing information about the patient’s health status?

24. What type of information should the nurse provide to the patient?

25. Is patient consent required for the nurse to share information with other professionals and health care providers caring for the patient?

26. How should a nurse treat a patient who refuses a particular intervention?

27. What should the nurse do to provide care without the patient's consent?

28. What knowledge must a nurse have?

29. In what cases can a nurse accept gratitude from a patient?

30. What are nurse managers personally responsible for?

31. In what cases does an ethical conflict arise?

32. In which areas should the nurse be proactive?

33. Are nurses allowed to participate in strikes?

34. In what cases are strikes not allowed?

35. Is a nurse obligated to provide first aid and emergency care in case of participation in a strike?

36. What kind of assistance should the Nurses Association of Russia LLC provide to the nurse?

37. What measures can be taken for violating the Code of Ethics for Nurses in Russia?

Task 2. Web quest. Code of Ethics for Russian Nurses.

Topic 4. Principles and rules of biomedical ethics

Principles of biomedical ethics: non-maleficence and beneficence, respect for individual autonomy, justice. The principle of respect for patient autonomy. Patient's rights. Competent and incompetent patient. Rule of presumption of patient consent.

The "do good" principle. The content of the benefits of healing from the point of view of the doctor and the patient.

The "do no harm" principle. Classification of types of harm caused by the action of a physician. Direct and indirect harm. Rule of double effect. The problem of iatrogenicity.

The principle of justice. Criteria for equitable distribution of medical care.

Bioethics rules

Rule of voluntary informed consent. The patient's right to information and the doctor's and researcher's duty to inform.

Medical confidentiality (confidentiality rule). Ethical aspects of the problem of confidentiality in modern medicine. Confidentiality and communication with the patient's relatives. Acceptable restrictions on confidentiality.

Rule of truthfulness. The right, duty, opportunity and expediency to always be truthful in relationships between doctors and patients.

As a result independent work in preparation for the lesson, the student must

know:

Principles of biomedical ethics (respect for personal autonomy, non-maleficence, beneficence, justice);

Patient's rights

Definitions of the concepts “competent patient” and “incompetent patient”;

On the possibility of causing both direct and indirect harm to the patient

Rules of bioethics (rule of informed consent, rule of truthfulness, rule of confidentiality)

be able to:

Use basic concepts correctly;

Highlight the principles of bioethics when discussing practical situations;

Task No. 1. Test questions.

Answer security questions

1. What are the basic principles of bioethics?

2. What principle of bioethics is fundamental?

3. What human action can be called autonomous?

4. What is the meaning of the formulation of the principle of “respect for patient autonomy”?

5. What rights does the patient have as an autonomous person?

6. For which patients is the principle of respect for patient autonomy limited? Why?

7. Why is the principle of non-maleficence fundamental in medical ethics?

8. Is it possible to interpret the principle “first of all, do no harm” literally, that is, in the sense of avoiding any harm at all?

9. What is the difference between direct and indirect harm?

10. What are the main causes of direct harm?

11. What are the main causes of indirect harm?

12. How are the principle of do no harm and the principle of do good related?

13. Is it possible to understand the principle of do good in the sense of obligatory self-sacrifice and extreme altruism?

14. The principle of “do good” is a moral ideal, or duty, obligation medical worker?

15. What criteria for fair distribution are used in modern medicine?

16. What are the advantages and disadvantages of the principle of “everyone an equal share”?

17. What are the advantages and disadvantages of distribution according to individual need?

18. What are the advantages and disadvantages of allocation according to social value?

19. What are the advantages and disadvantages of allocation according to individual effort?

20. What are the advantages and disadvantages of market exchange allocation?

21. What rules complement the basic principles of bioethics?

22. What information should the doctor tell the patient?

23. What information standards exist in medical practice?

24. Does the patient have the right to refuse information?

25. Does the patient have the right to refuse treatment?

26. What is the importance of following the rule of informed consent?

27. What does it mean to be truthful?

28. Why should the doctor and the patient be truthful?

29. Should a doctor tell the truth in case of an unfavorable (fatal) prognosis?

30. What is the subject of medical confidentiality?

31. What restrictions are possible when complying with the confidentiality rule?

32. What is the importance of complying with the confidentiality rule?

Task No. 2. Dictionary

You must learn to correctly use the basic concepts on the topic.

principle from lat. principium - “base, beginning”, the main position of any theory, the basic rule of activity.

personal autonomy(from the Greek autonomia from autos himself + nomos law - independence, self-legitimacy) - the right and ability of a person to act on the basis of independent choice.

rights– requirements recognized and supported by society made by a subject to other subjects. Rights come with responsibilities

LAW ON THE BASICS OF CITIZENS' HEALTH PROTECTION in the Russian Federation Chapter 4. RIGHTS AND OBLIGATIONS OF CITIZENS IN THE FIELD OF HEALTH PROTECTION Article 19. The right to medical care

5. The patient has the right on the:

1) choice of a doctor and choice of a medical organization in accordance with this Federal law;

2) prevention, diagnosis, treatment, medical rehabilitation in medical organizations in conditions that meet sanitary and hygienic requirements;

3) receiving consultations from medical specialists;

4) relief of pain associated with the disease and (or) medical intervention, available methods and medicines;

5) obtaining information about one’s rights and obligations, the state of one’s health, choosing persons to whom, in the interests of the patient, information about the state of his health can be transferred;

6) receiving medical nutrition if the patient is undergoing treatment in a hospital setting;

7) protection of information constituting medical confidentiality;

8) refusal of medical intervention;

9) compensation for harm caused to health during the provision of medical care;

10) access to him by a lawyer or legal representative to protect his rights;

11) admission to a clergyman, and if the patient is undergoing treatment in a hospital setting - to provide conditions for the performance of religious rites...

competent patients- patients capable of making decisions. incompetent patients - patients who are unable to make their own decisions

deputies- persons who are authorized by law or custom to make decisions when the patient is incompetent

rule of “presumption of patient consent”(from Latin presumption - assumption): in emergency cases, the issue of medical intervention in relation to incompetent patients is decided either by a council of specialists or by the attending (duty) doctor with subsequent notification to the administration of the medical institution

harm to the patient's health– this is causing him pain, suffering, loss of incapacity, disfigurement of the face and body; extreme degree of harm to health – death.

harm to the patient's well-being– this is not only harm to health, but also material (property) and moral harm. Material damage is loss of earnings and expenses associated with treatment. Moral injurymental anguish patient.

direct harm– is harm caused to the health and well-being of a patient at the will of a medical professional

indirect harm is harm caused to the health and well-being of the patient against the will of the medical professional

"rule of double effect" or the “rule of proportionality”: indirect harm cannot be the goal - it is an evil that has to be tolerated. The expected benefit for the patient from a medical intervention must exceed the indirect harm caused to him.

Iatrogenesis(from the Greek iatros - doctor and genesis - origin) this is a change for the worse in the course of the original disease or the emergence of a new pathological process as a result of medical intervention

abuse medicine is the use of its knowledge, means, methods, professional status with goals contrary to medicine.

justice- this is a principle that regulates relations between people by rewarding what they deserve

distributive justice means equal reward for equal deeds.

distributive justice obliges, when distributing, to take into account the differences between objects and subjects, and to give everyone their due, i.e. it is based on the principle of equal retribution

egalitarian the concept of justice requires that all members of society receive equal benefits

liberal the concept of justice believes that free distribution according to labor is true

democratic the concept of justice - its basic principle is to maximize benefits for each and every member of society.

justice as honesty presupposes equality of fundamental rights and freedoms and inequality in the distribution of benefits if it contributes to improving the lives of the least adapted.

I swear before God and in the presence of this meeting to live purely and faithfully serve my profession.

I will abstain from anything that is harmful and will never administer or knowingly take harmful medicine.

I will do everything in my power to maintain and improve the standard of my profession and will maintain the confidentiality of information entrusted to me regarding the identity of the patient or family relationships that I learn about during the course of my visits.

With all loyalty I will strive to assist the physician in his work and will devote myself to promoting the well-being of those who have entrusted themselves to my care.

The nurse has four primary responsibilities: maintaining health, preventing disease, restoring health, and relieving suffering.

The need for nursing work is universal. Nursing involves respect for life, dignity and human rights. It has no restrictions based on nationality or race, religion, skin color, age, gender, political or social status. Nurses provide health care to individuals, families, and the community and coordinate their activities with other groups.

Nurse and patients

A nurse's primary responsibility is to those who need her help.

When providing care, the nurse tries to create an atmosphere of respect for the values, customs and spiritual beliefs of patients.

The nurse maintains sensitive personal information received and shares it with great care.

Nurse and practice

The nurse has personal responsibility for the implementation of nursing practice and for continuous professional development.

The nurse strives to perform at the highest level possible in the situation. The nurse makes informed decisions about personal competence when giving and accepting assignments. While performing professional duties, a nurse must at all times behave in a manner that does not undermine confidence in the profession.

Nurse and society

The nurse, like other citizens, is responsible for implementing and supporting measures aimed at meeting public needs in the field of health care.

Nurse and staff

The nurse maintains collaborative relationships with other nurses and with those with whom she works in other areas.

The nurse takes the necessary measures for the patient's safety if the patient's condition is threatened by staff or other people.

Nurse and her profession

The nurse plays a major role in defining and implementing the desired standards of nursing practice and specialty education.

The nurse takes an active part in the development of professional knowledge.

The nurse, working in a professional organization, participates in the development and provision of fair social and economic conditions of work.

In the section on the question I can’t find Florence Nightingale’s oath 🙁 help asked by the author Denis Tsitser the best answer is Florence Nightingale's Oath (nursing code of ethics)
Before God and before the congregation, I solemnly promise to lead a life of purity and perform my professional duties with integrity.
I will abstain from anything that is poisonous or harmful and will never knowingly use or prescribe drugs that may cause harm.
I will do everything in my power to maintain and improve the standard of my profession. I will keep confidential all personal information that comes into my possession while working with patients and their relatives.
I will faithfully assist the physician in his work and devote myself to tireless concern for the welfare of all entrusted to my care.

Answer from Oldest[guru]
Florence Nightingale's oath. In honor of the Holy of Holies, Florence Nightingale, the founder of nursing, an oath in her name was created in 1983, which has become one of the main guidelines for many nurses around the world: “Before God and before the face of those gathered, I solemnly promise to lead a life of purity and honestly fulfill my professional responsibilities. I will abstain from everything harmful and harmful and will never knowingly use or prescribe a drug that may cause harm. I will do everything in my power to maintain and improve the standard of my profession. I will keep confidential all personal information that comes into my possession while working with the patient and his family. I will faithfully assist the physician in his work and devote myself to tirelessly caring for the well-being of all patients entrusted to me.”
It is somewhat reminiscent of the Hippocratic Oath. It's not surprising. Since the time of Hippocrates, the principle “first of all, do no harm” has been established in medicine.