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I was particularly controversial with rule number 20.  As I reflected on the pass reading activities, this rule caused me to wonder if it is an ethically legal rule or moral rule by virtue. Some countries passed laws stating that all individuals have the right to healthcare but health administrators normally functions with their organizations best interest. Even though politicians make laws they cannot force private owned organizations to function in that capacity unless there is an agreement. Is 'the greatest number' referring to people or dollars? We all know that health administrators functions by providing optimal availability of care for their clientele, the question is 'Is this by law or moral?'.

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I was particularly controversial with rule number 20.  As I reflected on the pass reading activities, this rule caused me to wonder if it is an ethically legal rule or moral rule by virtue. Some countries passed laws stating that all individuals have the right to healthcare but health administrators normally functions with their organizations best interest. Even though politicians make laws they cannot force private owned organizations to function in that capacity unless there is an agreement. Is 'the greatest number' referring to people or dollars? We all know that health administrators functions by providing optimal availability of care for their clientele, the question is 'Is this by law or moral?'.

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Completing the 20 questions caused me to use the information that i have learnt in both unit 1 and 2.  The difficulty came with question 17. Yes all persons have a right to healthcare but is it enforced? What about those homeless persons who die because they could not make it to a healthcare facility. Yes they had a right to it but they could not get to it. I gave the rules one category each with the majority being  moral. This activity helped me to further understand ethics.

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#4 caused me much difficulty. Though is a patient right to request to hasten their death but because of my cultural and religious moral values I would not feel comfortable carrying out this request. As a nurse I am guided by the nursing code of ethics to provide care for the patient and not to hasten death.

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There was a question that made me think twice. "
All people have a right to access healthcare when they require it. " Yes they do, but what if they can not afford to pay for healthcare? Do we have a right to turn them away? Then it gets legal if their condition worsens and you do nothing about it initially to prevent the demise of the client.
Most statements in my opinion allowed us to question our morality; while others were plain prosaic situations.

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The rules that were allocated most frequently was the moral rule

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The twenty-question activity made me question my own beliefs e.g. number 18 states that if someone ask you to keep something secret then you should do this. I selected both moral and legal as the response. My moral obligation to a patient is to be an advocate and a counselor. If, however there are situations when the secret is harmful to my patient, for instance in a domestic abuse situation or neglect and abuse of minors. I will be obligated to keep confidential information and know where to channel such information. But I cannot just not do anything to assist the individual so the secret must be told. Although it goes against my moral judgement there are laws that protects the right of children example keeping children and families safe act of 2003. To conclude it is probably safe to say that secrets can be kept once it does not breach the law.Rule number 20 had much difficulty because I do not believe that health care should always aim to bring about the greatest good for the greatest number, because morally is sounds good but legally it saying that if the condition does not affect a great quantity or is not popular or common to an area then administration don’t need to use resources for that cause. I left this question unanswered because it conflicts my believe that everyone has a right to the care they deserve.

I allocated the most answers to the moral rule as most of the situations are what I perceived to be right or wrong issues.

I have learnt from this activity that moral rule is sometimes affected by legal rule depending on the circumstance of the situation at hand. There are also implications during practice when your moral value conflicts what the law states.

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Rule #20 caused me more difficulty because while all people have the right to access health care, I reflect on how many do not receive appropriate health care when they require it because they cannot afford it. How many are left to die because they cannot afford the required investigations or treatment, so we see there is no justice in the administration of resources.

I allocated to most categories to Rule #7.

Doing that activity made me realize that our moral and ethical values strongly influence our everyday decisions.

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The rule that caused me difficulty is

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The rule with difficulty was rule 17 which says 'All people have a right to access healthcare when they require '
It gave me concerns as in my country, accessing proper  healthcare has become a thing for the wealthy and even though it is boldly written as part of human rights very few are able to access it. And it got me wondering shouldn't the morality of preserving human life be explored.

The rules with the most categories are rules number 4 and 8

Reflecting on this activity, I realized that whatever you do has a rule guiding your decision whether you consciously use it or not

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My reflection focused on Rule 20

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1. My reflection focused on Rule 20 the greatest good for the greatest number. We all have the right to equal health care not minding the race, sex etc but the health administrator might want to provide good health care to the rich because of the money involved and the poor will be denied their right.

2. I allocated the most category to Rule 8.

3. All the rules are interwoven, they have one or two thing in common..

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Rule 4 and 2  had me reflecting the most and caused difficulty .Nursing is a practice that seeks human well-being by promote health ,prevent illness,restore health and alleviate suffering according to the(ICN2000) If a patient requests medication to hasten their death mostly likely they would want to end their suffering  however doing so is going against the law.
we have an obligation to do good

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Twenty question
Answer number 1- no question caused me great difficulty. Although I was a little confused with question number 4. My morals and values would not allow me to hasten a patient's death.
Answer number 2- I used the moral rule the most.
Answer number 3- it learned how to classify situations and statements under the correct categories.

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In reading the questions, I figured they would have been straight forward in selecting one of the rules. However, I was proven wrong. Haven't done so much reading on ethics and morals; personally, morals was allocated mostly followed by the social rule. # 10 reminded me of the principle of fidelity. If a promise is made to the patient for a hot cup of tea verses informing her about her lab results, neither is least important than the other. As it is my obligation to keep my word to the patient.  #18 speaks to confidentiality, and fidelity. In doing this activity, it has served as a means of reinforcement of what I have read and it has made it easier to distinguish between moral and social norms.

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`TWENTY RULES`

Mark each statement:

S (for social/cultural rule)

M (for moral rule)

R (for religious rule)

L (for legal requirement)

U (University rule)

N (for none of these)

If you think it is necessary, use more than one letter against a statement.

1. You must not use another author’s work when you write an essay unless you acknowledge her/him as your source. UL

2. Sherry must be drunk with soup; white wine with fish; red wine with red meat; and a sweet wine with dessert. S

3. No form of artificial contraceptives should be used. R

4. If a patient requests medication to hasten their death you should agree to this. M

5. When using chopsticks do not use the narrow end to take food from a communal dish. S

6. When you receive a gift it is polite to wait until later on to open it. S

7. You should not take anything that doesn’t belong to you, unless you have the owner’s permission. L

8. Sleeveless vest tops should not be worn in public places. S

9. Before you cough, sneeze or yawn, put your hand in front of your mouth. S

10. If you make a promise, you must keep it. M

11. When you try to decide whether or not something should be done, you should always take other people’s interests into account. M

12. Never do anything which you would disapprove of someone else doing in the same circumstances. M

13. Before entering a temple you should remove your shoes.

14. In a crowded bus or MRT carriage, men should always give up their seats so that women can sit down. S

15. Do not make a moral exception of yourself ie think that it is acceptable for you to do something that you would disapprove of someone else doing in a similar situation. M

16. Men should not wear hats inside a building. S

17. All people have a right to access healthcare when they require it. L

18. If someone asks you to keep something secret then you should do this. M

19. You should use only your right hand to handle food directly. S

20.  Health administrators should always aim to bring about the greatest good for the greatest number. M

Reflect on your reasons for assigning a rule to one or another category.

Some rules are easy to assigned because they are a part of every day living, how we do things. Other rules have to be thought upon long and hard, wondering if that is the appropriate rule esp the plagiarism rule.

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Question 1 cause me to stop and think long and hard,  so I allocated two rules to it. I believe it can be both university and legal rule. It's practically stealing.  I've learnt a lot that  rules govern every aspect of our lives.

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Having done this exercise, I found myself reflecting on RULE#4It is an ethical dilemma that requires me to reflect on my moral values and belief.  What would be my behaviour toward such patients  and how would one handle such situation? Is the patients autonomy justified?Would the patient require legal counselling?

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Having done this exercise, I found myself reflecting on RULE#4It is an ethical dilemma that requires me to reflect on my moral values and belief.  What would be my behaviour toward such patients  and how would one handle such situation? Is the patients autonomy justified?Would the patient require legal counselling?

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In essence, what would be the right thing to do?

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I was conflicted on question 18.19 and 20 . In my opinion most of the question has more moral and social values to them, at some points multiple answers can be chosen. The question  about health care always baffles me, In my organization a cost is attached to health care.

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I applied moral values to most of my question as several of them that   were related to moral values were also related to other issues such as legal, religion,  universal and social. For question 7, it could be seen from a moral ,legal,social and universal perspective.It is a universal rule that you do not take what does not belong to you unless unless given permission from the owner, it also has to do moral values: what you think is right or wrong,good or bad. It could also be a legal issue, you could be prosecuted for the crime of stealing as well as a cultural issue where person  within that culture could be severely punished for carrying out such an act. What i have learned from this activity is that as a nurse, when making decisions regarding patients care and treatment you have to include all the different aspects that could affect the decisions, yours as well as the patient. Moral values, Cultural practices , religious beliefs,what are universally accepted and the legal implications.

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I found myself assigning four categories to Question 4. There were so many things to consider. In some cultures,  a family member may be expected to end their life and not be a burden on their family. It is also against a healthcare personnel's oath to cause harm or in this case assist in causing harm, which has legal consequences. An individual may not believe it is morally right to assist in such an activity as well, which can also stem from religious beliefs. Taking a life or assisting in ending one  seems to be the ultimate action that from both an ethical and a legal standpoint.

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I allocates the most rules to the (moral rule category)
mos of those questions were based on morals, what you think was right or wrong.

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I categorized most as "moral rules" guided by the moral/ ethical principles I learned.
Question 20 was a little puzzling and required more consideration and rumination. At a glance, I thought it was a purely moral rule - being carried away by the phrase,  " the greatest good for the greatest number." Health administrators do indeed have a moral obligation to promote the well-being of people at a macro-level. That obligation also carries legal connotation for the healthcare administrators, who must ensure the "right to health" for all.Therefore it is both a moral rule and a legal requirement.

This activity has reinforced what I learned about ethics and law.

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The statement which caused me difficulty was statement 20.  It made me really think about what i would have done if I was faced wit this ethical dilemma. I understand it is for the greater good but what about those people it will not benefit. I am not sure if I am ready to face this. The rule I allocate the most categories to was moral.

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This exercise helped me to reflect on the topics learnt.  I was surprised to see university rules incorporated but helps to highlight a key aspect of our learning journey. Moral value or moral judgement where highlighted in the majority of the statements and it shows that our morals are a vital part in our decision making in providing care.

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This exercise helped me to reflect on the topics learnt.  I was surprised to see university rules incorporated but helps to highlight a key aspect of our learning journey. Moral value or moral judgement where highlighted in the majority of the statements and it shows that our morals are a vital part in our decision making in providing care.

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Twenty Questions

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During my activity i encountered some difficult on question 10[ If  you make a promise , you must keep it,.] it is ethically moral rule to keep a promise which is trust or confidentiality,  It is also a legal rule  not to breach someone's confidentiality. But this activity i had a difficulty grouping  question 10 as a legal rule because  the promise made was not specified , [ What type of promise] i wondered if it has to do with promising someone a gift which has no legal implication, or keeping a personal information, service,  or something that should be actually legally secret.

2. Most rules were assigned to  Moral Rules.

3. Lesson: Majority of life rules are moral rules.
Many moral rules  are also  legal and have requirement.
4. there are  also social rules as well as Religious rules and others.

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20 Questions
There wasn't any of the rules that caused me any difficulty but I had to do some deep thinking to come up with an correct option.
The social cultural rule was allocated the most.
I learnt that most of the rule we live by can be considered as moral rule according to your stands in life or social cultural according to your social orientation .
The exercise was a very interesting one ,much was also learnt from it .

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I did not have any difficulties with the rules but they did cause one to really take their time to think before rushing to answer.

During my reading I allocated the most categories to the following rules:

1. You must not use another author’s work when you write an essay unless you acknowledge her/him as your source.

7.      You should not take anything that doesn’t belong to you, unless you have the owner’s permission.

13.  Before entering a temple you should remove your shoes.

17.  All people have a right to access healthcare when they require it.

18.  If someone asks you to keep something secret then you should do this

What I have learned from this activity is that a lot of the decisions that we make comes from our past experience, culture and background. For example rule #4 If a patient requests medication to hasten their death you should agree to this. In my country to take another person’s life is both morally and legally wrong. Where as in other countries it may be done and the individual committing the act will not be prosecuted.

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i allocated the category of society/culture to the most rules. 

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i allocated the category of society/culture to the most rules. 

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i have learned that most of our actions are as a result of societal norms.
no. 7 caused me to think the most as to what category to place it under, if it is legal or if it is moral.