K.Jnursingnotes
Principle of Totality and Its functioning of the whole
Integrity person and even then
● These principles dictate that with an effort to
the well-being of the whole compensate for this
person must be taken into sacrifice
account in deciding about any ● Justifiable: removing
therapeutic intervention or use part of the body for the
of technology purpose of improving the
Totality function of the body part
● It refers to the duty to e.g amputation of
preserve intact the physical gangrenous foot, tooth
component of the integrated extraction (for better
bodily and spiritual nature of functioning)
human life, whereby every part b. The basic capacities that
of the human body “exists for define human personhood
the sake of the whole as are never sacrificed
imperfect for the sake of the unless this is necessary
perfect”. to preserve life.
● Non justifiable-
Integrity refers to each individual's TAHBSO because
duty to “preserve a view of the whole you don't want to
human person in which the values of have a child,
the intellect, will, conscience and cosmetic reason
fraternity are pre-eminent” addiction for
● To promote human dignity in vanity purposes
community every person must ● Justifiable-
develop, use, care for and matter of life and
preserve all of his or her death,
natural physical and psychic mastectomy, organ
functions in such a way that; donation
a. Lower functions are
never sacrificed except
for the better
, Principle of Totality and Its Integrity
K.Jnursingnotes
Conditions for Principle of Totality ● Each Registered Nurse (RN)
1. The organ, ny its deterioration has ethical and moral
in function, may cause damage responsibility to represent the
to the whole organism or at patient's interests, show
least pose a serious threat to it humility, respect and protect
2. That there is no other way than patient autonomy and preserve
taking the indicated action patient dignity (International
against it or obtaining the Council for Nurses, 2013).
desired good result The formal external responsibility
3. That the damage being avoided ● Ensure that the patient is not
to the whole is proportional to exposed to risks, protect the
that which is caused by the patient's body and
mutilation or incapacitation of systematically plan and organize
the part the work of the surgical team
Principle of Totality and Integrity The personal ethical value
● It applies to the management ● Confirm the patient as a
of health and integrity of the person, to care for patient’ and
body preserve the patient's dignity
● It throws light to the licitness Responsibility in perioperative
or illicitness of all kinds of practice shown by the patient
medical interventions, surgical always being in mind
procedures and transplants ● To ensure the patient's safety
● A person can dispose of and create a peaceful
individual parts, destroying atmosphere in the operating
them, if and to the extent that theater for the patient's
is necessary for the good of hid wellbeing. A personal ethical
being as a whole, to ensure its value to always have to look and
existence or to avoid and to take an interest in the patient,
repair grave and lasting damage not abandon the patient in a
which could not be avoided in high technological environment
any other way and preserve patient dignity
Ethico-Moral responsibility of
nurses in surgery