Nursing and Ethics

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DOI :10.26650/B/CH17CH24.2024.002.12   IUP :10.26650/B/CH17CH24.2024.002.12    Full Text (PDF)

Esthetic Surgery and Ethics

Seda Er, Yasemin Uslu

The aim of aesthetic surgery is to reshape the external appearance of the body according to the perception of beauty in the mind of society or the individual. The principles of respect for autonomy, benefit, non-harm, and justice are emphasized in aesthetic surgery. In aesthetic surgery interventions, ethical problems can be seen in which surgical nurses have a responsibility toward their patients. Body image is becoming more and more important in society. In addition, the perception of beauty frequently imposed by the media can lead to ethical dilemmas in aesthetic surgery. From another perspective, the number of patients undergoing bariatric surgery is gradually increasing as a result of the increasing prevalence of obesity and the showing of bariatric surgery as a safe and effective way to treat patients diagnosed with obesity. Therefore, surgical nurses come in contact with ethical problems in the field of bariatric surgery. Surgery is a process in which the patient must give up his or her autonomy during the surgery. The establishment of an atmosphere of trust between the patient and the healthcare team and the right to informed consent is very important. Especially in malpractice cases, the patient’s informed consent must be obtained, and every intervention performed on the patient must be properly recorded. Since aesthetics is a subjective concept, surgical nurses have the responsibility to ensure that patients’ expectations are realistic. When deciding on surgery in aesthetic and bariatric surgery, the patient must be evaluated psychosocially. Surgical nurses should completely diagnose the medical and psychosocial anamnesis of patients planned for aesthetic surgery. Surgical nurses should be aware of mental disorders frequently seen in aesthetic surgery patients. In such cases, the indication for plastic surgery should be made in collaboration with a psychiatrist and a consultation liaison psychiatric nurse.


Keywords: Aesthetic surgery, cosmetic plastic surgery, bariatric surgery, medical ethics, surgical nursing
DOI :10.26650/B/CH17CH24.2024.002.12   IUP :10.26650/B/CH17CH24.2024.002.12    Full Text (PDF)

Esteti̇k Cerrahi̇ ve Eti̇k

Seda Er, Yasemin Uslu

Estetik cerrahinin amacı, vücudun dış görünümünü toplumun ya da bireyin kendi zihnindeki güzellik algısına göre yeniden şekillendirmektir. Estetik cerrahide özellikle özerkliğe saygı, yarar sağlama, zarar vermeme ve adalet ilkeleri üzerinde durulmaktadır. Estetik cerrahi girişimlerde, cerrahi hemşirelerinin hastalarına karşı olan rol ve sorumluluklarında zaman zaman etik sorunlar görülebilmektedir. Günümüzde, toplumda beden imajı giderek çok daha önemli hale gelmektedir. Ayrıca medya tarafından sıklıkla dayatılan güzellik algısı da estetik cerrahide etik ikilemlere yol açabilmektedir. Başka bir açıdan, obezite prevalansının artması ve bariatrik cerrahinin obezite tanısı konan hastaları tedavi etmenin güvenli ve etkili bir yolu olarak gösterilmesi sonucu, bariatrik cerrahi uygulanan hasta sayısı giderek artmaktadır. Bu durum, cerrahi hemşirelerinin bariatrik cerrahi alanında da etik sorunlarla karşı karşıya kalmasına neden olmaktadır. Cerrahi süreç, hastanın cerrahi süresince özerkliğinden vazgeçmesi gereken bir süreçtir. Hasta ve sağlık ekibi arasında güven ortamının oluşması ve bilgilendirilmiş rıza hakkı bu nedenle çok önemlidir. Özellikle malpraktis (tıbbi hata) davalarında hastanın bilgilendirilmiş rızasının/onamının alınması ve hastaya yapılan her girişimin uygun şekilde kayıt edilmesi gerekmektedir. Estetik subjektif bir kavram olduğu için, cerrahi hemşirelerinin hastaların beklentilerinin gerçekçi olmasını sağlamaya yönelik sorumlulukları bulunmaktadır. Bu nedenle, estetik ve bariatrik cerrahi girişimlere karar verirken hastanın mutlaka psikososyal yönden değerlendirilmesi gerekmektedir. Cerrahi hemşirelerinin estetik cerrahi planlanan hastaların geçmiş tıbbi ve psikososyal öyküsünü alması ve tanılamasını eksiksiz yapması gerekmektedir. Cerrrahi hemşireleri, estetik cerrahi hastalarında sıklıkla görülen ruhsal bozuklukların farkında olmalıdır. Böyle durumlarda, estetik cerrahi endikasyonu bir psikiyatrist ve konsültasyon liyezon psikiyatri hemşiresi ile işbirliği içinde yapılmalıdır.


Keywords: Estetik cerrahi, plastik cerrahi, bariatrik cerrahi, tıbbi etik, cerrahi hemşireliği

References

  • Al tieri, M. S., Yang, J., Park, J., Novikov, D., Kang, L., Spaniolas, K., ... & Pryor, A. (2017). Utilization of body contouring procedures following weight loss surgery: a study of 37,806 patients. Obesity Surgery, 27, 2981-2987. google scholar
  • At iyeh, B. S., Rubeiz, M. T., & Hayek, S. N. (2020). Aesthetic/cosmetic surgery and ethical challenges. Aesthetic plastic surgery, 44, 1364-1374. google scholar
  • Baksi, A., & Tuncer, N. (2021). Examination of nursing students’ acceptance levels for aesthetic surgery and affecting factors. International Journal of Health Services Research and Policy, 6(1), 60-72. google scholar
  • Beauchamp, T. L., & Childress, J. F. (1979). Principles of biomedical ethics. USA: Oxford University Press. google scholar
  • Bermant, M. A. (2005). Ethics of cosmetic plastic surgery in adolescents. AMA Journal of Ethics, 7(3), 257-261. google scholar
  • Blakemore, A. I., & Froguel, P. (2008). Is obesity our genetic legacy? The Journal of Clinical Endocrinology & Metabolism, 93(11), 51-s56. google scholar
  • Camzos, M. A., & Gonzalez-Vinagre, S. (2019). The surgical informed consent process: Myth or reality? Ethical issues in bariatric surgery. In A. R. Ferreres (Ed.), Surgical ethics: Principles and practice (pp. 203-216). Cham: Springer. google scholar
  • Chavoin, J. P. (2003). Aesthetic surgery and ethics. Annales de Chirurgie Plastique et Esthetique, 48(5), 273-278. google scholar
  • Chiodo, G. T., & Tolle, S. W. (2001). Cosmetic treatment, autonomy, and risks:” If you don’t do it, I’ll go to a dentist who will”. General Dentistry, 49(1), 16-8. google scholar
  • Crerand, C. E., Franklin, M. E., & Sarwer, D. B. (2008). MOC-PS (SM) CME article: Patient safety: Body dysmorphic disorder and cosmetic surgery. Plastic and Reconstructive Surgery, 122(4), 1-15. google scholar
  • Crockett, R. J., Pruzinsky, T., & Persing, J. A. (2007). The influence of plastic surgery “reality TV” on cosmetic surgery patient expectations and decision making. Plastic and Reconstructive Surgery, 120(1), 316-324. google scholar
  • Darisi, T., Thorne, S., & Iacobelli, C. (2005). Influences on decision-making for undergoing plastic surgery: a mental models and quantitative assessment. Plastic and Reconstructive Surgery, 116(3), 907-916. google scholar
  • De Vries, J. (2007). The obesity epidemic: Medical and ethical considerations. Science and Engineering Ethics, 13(1), 55-67. google scholar
  • Dean, N., Foley, K., & Ward, P. (2018). Defining cosmetic surgery. Australasian Journal of Plastic Surgery, 1(1), 95-103. google scholar
  • Dufresne, Jr, R.G., Phillips, K.A., Vittorio, C.C., & Wilkel, C.S. (2001). A screening questionnaire for body dysmorphic disorder in a cosmetic dermatologic surgery practice. Dermatologic Surgery, 27(5), 457-462. google scholar
  • Durkin, N., & Desai, A. P. (2017). What is the evidence for pediatric/adolescent bariatric surgery? Current Obesity Reports, 6, 278-285. google scholar
  • Elçioğlu, Ö., Özkan, N.A. ve Çetin, C. (2001). Etik açıdan plastik ve rekonstrüktif cerrahi. Türkiye Klinikleri Tıp Etiği, 9, 92-97. google scholar
  • Eldaly, A.S., & Mashaly, S.M. (2021). The new dilemma of plastic surgery and social media: A systematic review. European Journal of Plastic Surgery, 1-12. google scholar
  • Fogli, A. (2003). Aesthetic surgery and public health. In Annales de Chirurgie Plastique et Esthetique, 48(5), 279-281. google scholar
  • Frederick, D.A., Lever, J., & Peplau, L.A. (2007). Interest in cosmetic surgery and body image: Views of men and women across the lifespan. Plastic and Reconstructive Surgery, 120(5), 1407-1415. google scholar
  • Ferreira, M.C. (2005). Who is in control of aesthetic surgery? Aesthetic Plastic Surgery, 29, 439-440. google scholar
  • Gilmartin, J., Bath-Hextall, F., Maclean, J., Stanton, W., & Soldin, M. (2016). Quality of life among adults fol-lowing bariatric and body contouring surgery: A systematic review. JBI Evidence Synthesis, 14(11), 240-270. google scholar
  • Glenn, N.M., Raine, K.D., & Spence, J.C. (2015). Mandatory weight loss during the wait for bariatric surgery. Qualitative Health Research, 25(1), 51-61. google scholar
  • Gorney, M. (2006). Professional and legal considerations in cosmetic surgery. In D.B. Sarwer, T. Pruzinsky, T.F. Cash, R.M. Goldwyn, J.A. Persing & L.A. Whitaker (Eds.), Psychological aspects of reconstructive and cosmetic plastic surgery: Empirical, clinical, and ethical issues (1st ed.) (pp. 315-327). Philadelphia: Lippincott Williams & Wilkins. google scholar
  • Harth, W., & Hermes, B. (2007). Psychosomatic disturbances and cosmetic surgery. Journal der Deutschen Dermatologischen Gesellschaft, 5(9), 736-743. google scholar
  • Hess, A., & Shakhsheer, B. A. (2022). Ethics of pediatric bariatric surgery. In V.A. Lonchyna, P. Kelley & P. Angelos (Eds.), Difficult decisions in surgical ethics: An evidence-based approach (pp. 433-445). Cham: Springer Nature. google scholar
  • Hodgkinson, D. J. (2005). Identifying the body-dysmorphic patient in aesthetic surgery. Aesthetic Plastic Sur-gery, 29, 503-509. google scholar
  • Hofmann, B. (2010). Stuck in the middle: The many moral challenges with bariatric surgery. The American Journal of Bioethics, 10(12), 3-11. google scholar
  • Hofmann, B. (2013). Bariatric surgery for obese children and adolescents: A review of the moral challenges. BMC Medical Ethics, 14, 1-13. google scholar
  • Horton, J. B., Reece, E.M., George Broughton, I.I., Janis, J.E., Thornton, J.F., & Rohrich, R.J. (2006). Patient safety in the office-based setting. Plastic and Reconstructive Surgery, 117(4), 61e-80e. google scholar
  • Ishigooka, J., Iwao, M., Suzuki, M., Fukuyama, Y., Murasaki, M., & Miura, S. (1998). Demographic features of patients seeking cosmetic surgery. Psychiatry and Clinical Neurosciences, 52(3), 283-287. google scholar
  • Kam, O., Na, S., La Sala, M., Tejeda, C.I., & Koola, M.M. (2022). The psychological benefits of cosme-tic surgery. The Journal of Nervous and Mental Disease, 210(7), 479-485. https://doi.org/10.1097/ NMD.0000000000001477 google scholar
  • Khunger, N. (2015). Ethics in aesthetic surgery: Rituals and realities. Journal of Cutaneous and Aesthetic Sur-gery, 8(3), 123. google scholar
  • Körpe, G. (2017). Plastik-rekonstrüktif cerrahi hastalarında benlik saygısı ve hemşirelik yaklaşımı. Sağlık Akademisi Kastamonu, 2(3), 223-231. google scholar
  • Küçükkaya, P. G. (2011). Estetik cerrahide ameliyat öncesi psikososyal değerlendirmede hemşirenin rolü. Jour-nal of Psychiatric Nursing, 2(2), 94-9. google scholar
  • MacGregor, A.M., & MacGregor, C.C. (2000). Economic theory and physician behavior in bariatric surgery. Obesity Surgery, 10(1), 4-6. google scholar
  • Madan, A.K., Tichansky, D.S., & Taddeucci, R.J. (2007). Postoperative laparoscopic bariatric surgery patients do not remember potential complications. Obesity Surgery, 17, 885-888. google scholar
  • Maio, G. (2007). Is aesthetic surgery still really medicine? An ethical critique. Handchir Mikrochir Plast Chir, 39, 189-194. google scholar
  • Marchac, D. (2007). Aesthetic surgery and its future. Aesthetic Plast Surg, 31,211-212. google scholar
  • Mavroforou, A., Giannoukas, A., & Michalodimitrakis, E. (2004). Medical litigation in cosmetic plastic surgery. Medicine & Law, 23, 479. google scholar
  • Meningaud, J.P., Benadiba, L., Servant, J.M., Herve, C., Bertrand, J.C., & Pelicier, Y. (2001). Depression, anxiety and quality of life among scheduled cosmetic surgery patients: Multicentre prospective study. Journal of Cranio-Maxillofacial Surgery, 29(3), 177-180. google scholar
  • Mousavi, S.R. (2010). The ethics of aesthetic surgery. Journal of Cutaneous and Aesthetic Surgery, 3(1), 38-40. google scholar
  • Nejadsarvari, N., Ebrahimi, A., Ebrahimi, A., & Hashem-Zade, H. (2016). Medical ethics in plastic surgery: A mini-review. World Journal of Plastic Surgery, 5(3), 207. google scholar
  • O’Brien, C.M., Thorburn, T.G., Sibbel-Linz, A., & McGregor, A.D. (2006). Consent for plastic surgical proce-dures. Journal of Plastic, Reconstructive & Aesthetic Surgery, 59(9), 983-989. google scholar
  • Peralta, M., Ramos, M., Lipert, A., Martins, J., & Marques, A. (2018). Prevalence and trends of overweight and obesity in older adults from 10 European countries from 2005 to 2013. Scandinavian Journal of Public Health, 46(5), 522-529. google scholar
  • Phillips, K.A., Coles, M.E., Menard, W., Yen, S., Fay, C., & Weisberg, R.B. (2005). Suicidal ideation and suicide attempts in body dysmorphic disorder. Journal of Clinical Psychiatry, 66(6), 717-725. google scholar
  • Puhl, R., & Brownell, K. D. (2001). Bias, discrimination, and obesity. Obesity Research, 9(12), 788-805. google scholar
  • Rankin, M., & Borah, G. (2009). Psychological complications: National plastic surgical nursing survey. Plastic Surgical Nursing, 29(1), 25-30. google scholar
  • Ray, P.Ç., Demirkol, M.E. ve Tamam, L. (2012). Beden dismorfik bozukluğu. Psikiyatride Güncel Yaklaşımlar, 4(4), 547-565. google scholar
  • Rouleau, C.R., Rash, J.A., & Mothersill, K.J. (2016). Ethical issues in the psychosocial assessment of bariatric surgery candidates. Journal of Health Psychology, 21(7), 1457-1471. google scholar
  • Saarni, S.I., Anttila, H., Saarni, S.E., Mustajoki, P., Koivukangas, V., Ikonen, T. S., & Malmivaara, A. (2011). Ethical issues of obesity surgery—A health technology assessment. Obesity Surgery, 21, 1469-1476. google scholar
  • Sarwer, D.B. (2002). Awareness and identification of body dysmorphic disorder by aesthetic surgeons: results of a survey of American Society for Aesthetic Plastic Surgery members. Aesthetic Surgery Journal, 22(6), 531-535. google scholar
  • Schneider, P.L., & Li, Z. (2016). Ethical challenges in the care of the inpatient with morbid obesity. Narrative Inquiry in Bioethics, 6(2), 143-152. google scholar
  • Shiffman, M.A. (2005). Medical liability issues in cosmetic and plastic surgery. Medicine & Law, 24, 211. google scholar
  • Silkiss, R.Z. (2006). Eight-fold path to happiness for the cosmetic surgery patient. Ophthalmic Plastic & Re-constructive Surgery, 22(3), 157-160. google scholar
  • Sjöström, L. (2008). Bariatric surgery and reduction in morbidity and mortality: Experiences from the SOS study. International Journal of Obesity, 32(7), 93-S97. google scholar
  • Snyder, J., & Crooks, V.A. (2010). Medical tourism and bariatric surgery: More moral challenges. The American Journal of Bioethics, 10(12), 28-30. google scholar
  • Spilson, S.V., Chung, K.C., Greenfield, M.L.V., & Walters, M. (2002). Are plastic surgery advertisements confor-ming to the ethical codes of the American society of plastic surgeons? Plastic and Reconstructive Surgery, 109(3), 1181-1186. google scholar
  • Şen, Z., Ersoy, A., Serel, S., Emiroğlu, M., Gültan, S. ve Soykan, A. (2003). Plastik ve rekonstrüktif cerrahi girişimlerin psikiyatrik yönleri. Türk Plastik, Rekonstrüktif ve Estetik Cerrahi Dergisi, 11(2), 117-122. google scholar
  • Toraman, A., & Erdem, R. (2016). Kavramsal açıdan tıbbileştirme. Hacettepe Sağlık İdaresi Dergisi, 19(4), 423-442. google scholar
  • Torres, A.J., Cano-Valderrama, O., & Dommguez-Serrano, I. (2019). Ethical issues in bariatric surgery. In A.R. Ferreres, (Ed.), Surgical ethics: Principles and practice (pp. 295-303). Cham: Springer. google scholar
  • Vergallo, G.M., Marinelli, E., Napoletano, S., Di Luca, N.M., & Zaami, S. (2018). Ethics and/or aesthetics? google scholar
  • Reflections on cosmetic surgery for adolescents. Cuadernos de Bioetica, 29(96), 177-189. google scholar


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