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Reproductive Ethics Cheryl Nienaber Ferris State University Winter 2013. January 26, 2009 Noah (A) 2 lbs 11 oz Maliyah (B) 2 lbs 12 oz Isaiah (C) 3 lbs 4 oz Nariyah (D) 2 lbs 8 oz Jonah (E) 1 lbs 8 oz

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Reproductive Ethics Cheryl Nienaber Ferris State University Winter 2013

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Reproductive ethics cheryl nienaber ferris state university winter 2013
Reproductive EthicsCheryl NienaberFerris State UniversityWinter 2013


Reproductive ethics cheryl nienaber ferris state university winter 2013

  • January 26, 2009

    Noah (A) 2 lbs 11 oz

    Maliyah (B) 2 lbs 12 oz

    Isaiah (C) 3 lbs 4 oz

    Nariyah (D) 2 lbs 8 oz

    Jonah (E) 1 lbs 8 oz

    Makai (F) 2 lbs 12 oz

    Josiah (G) 1 lbs 15 oz

    Jeremiah (H) 2 lbs 11 oz


Seminar outcomes
Seminar Outcomes:

  • Upon completion of the seminar, the student will be able to:

    • Provide ethical terms and definitions to support their view on the topic.

    • Reflect on prior personal experiences and identify ways to handle ethical situations in the future.

    • Accept a willingness to consider other points of view even when they do not reflect your own.


Theories to consider
Theories to Consider

  • Roy’s Adaptation Theory

    • Self Concept-Group Identity

    • Role Function

  • Deontological Theory

    • Immanuel Kant

    • W. D. Ross

      Alligood, M., & Tomey, A. (2010)

      \ Edge, R., & Groves, J. (2006)


What is ivf
What is IVF

  • Egg/Sperm Collection

  • Held in Clinic up to 5 Days

  • Average Price $12,400 per Cycle

  • Success Rate 22.4% (Age Dependant)

    Todd, 2012


Elective reduction
Elective Reduction

The IVF Industry's Dirty Little Secret: "Selective Reduction"

http://youtu.be/PBpJ-Xio5YY

Watch the first 3 minutes of the attached

you-tube video to witness the

process of elective reduction.


Concepts ideas
Concepts/Ideas

  • What is the Correct number of

    Embryos to Implant?

    • Number of Previous Children

    • Safety

    • Age of Mother

    • Cost Factors

      McClimans, (2009).

      Orentlicher, (2010).


Data info evidence
Data/Info/Evidence

  • How did we get to this point?

    • Cost

    • Autonomy

    • Core Values

    • Consequentialism

http://msnbcmedia4.msn.com/j/MSNBC/Components/

Photo/_new/090529-jon-kate-vmed.widec.jpg


Point of view assumptions
Point of View/Assumptions

  • Which Embryo(s)

    is/are Removed

  • Who Decides

  • What If…

www.yalescientific.org/2012/05/the-more-the-merrier-li

miting-the-number-of-embryo-implantations/)


Inferences interpretation
Inferences/Interpretation

  • Abortion vs Elective Reduction

  • Judge and Jury


Implications consequences
Implications/Consequences

  • Autonomy

  • Welfare of Children

  • Environment


Ana standards
ANA Standards

  • Standards of Professional Performance

    • Standard 7 Ethics

    • Standard 12 Leadership

    • Standard 14 Professional Practice Evaluation


Recommendations for quality and safety improvements
Recommendations for Quality and Safety Improvements

  • Current Policy

  • Best Evidence Practice

  • Review Policies of Other Countries

  • Reduce Cost of IVF


Personal decisions
Personal Decisions

  • Can you provide ethical terms and definitions to support your view elective reduction?

  • Can you reflect on prior personal experiences and identify ways to handle ethical situations in the future?

  • Can you accept a willingness to consider other points of view even when they do not reflect your own?


Reference
Reference

  • Alligood, M., & Tomey, A. (2010). Nursing theorists and their work (7th Ed.). Maryland Heights, MO: Mosby Elsevier.

  • American Nurses Association [ANA] (2010). Nursing: Scope & standards of practice (2010 Ed.). Silver Spring, MD:

    Nursesbooks.org.

  • Edge, R., & Groves, J. (2006). Ethics of health care: A guide for clinical practice (3rd Ed.).

        Clifton Park, NY: Delmar.

  • McClimans, L. (2009). Elective twin reductions: evidence and ethics. Bioethics, 24 (60), 295-303.

  • Orentlicher, D. (2010). Multiple embryo transfers: time for policy. Hastings Center Report. 40 (3), 12-13.


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