...the news due to what might trigger another patient. After discussing the situation with the nurse and taking a step back from the situation I realized that the unit social worker is just that, the social worker for the entire unit not just one person on the unit, so the best interest of the unit as a whole needed to be my primary focus. The nurse agreed that we would monitor not only the new patient but the unit as a whole for signs of being triggered by the images and media coverage of the Las Vegas shooting. Censoring what is allowed on the TV based off a concern of what may possible trigger a patient does not meet the standard set forth within the NASW Code of Ethics for limiting self-determination, self-determination cannot be limited due to a general concern or feeling. Self-determination should only be limited when there is a...
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... acts, and feels. Personality differences and preferences can impact organizational ethics because each employee in an organization is unique and may or may not act like someone else will act in a similar situation as it can be observed in the present case under analysis. 2. Discuss how organizational policies and procedures can impact ethics. According to the article “Ethics in the workplace” (2011), among the benefits of promoting ethics within an organization is that it allows the company to recruit and retain top-quality people, foster a more satisfying and productive working environment, build and sustain the company’s reputation within the communities in which it operates, maintain the trust of members to ensure continued self-regulation,...
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...My ethical dilemma involved my commitment to my clients, as in this specific case I was committed to a parent and her two young daughters and also I battled with respecting her right to self determination. I have been working with a family for 9 months and the case has been active with this particular family welfare agency for 2 ½ years. Many external factors of oppression have affected this family. I present a 35 year old African American single mother and two young daughters ages 8 and 12. This mother, Ms. Module, (name change for confidentiality), has a history with Child protective services for 2 years now, included in the allegations was substance and alcohol use, educational neglect, lack of supervision, and engaging in domestic violence disputes in the presence of the children. Ms. Module does not know who the father is of the girls, states they were conceived while she was dating various strangers for money. In September 2008 the two children were placed into foster care due to mother’s addiction to cocaine and alcohol including her inability to care for her children and provide a safe environment. Due to Adoption and Safe Families Act, when children are in Foster Care 15 out of 22 months, the Department of Social Services is mandated to file for termination of parental rights against the parents. Since the children have been in a foster home, Ms. Module has been in and out of various rehabilitation facilities. Ms. Module is also diagnosed with Major Depression...
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...Ethical Dilemmas in Health and social care Shoall is a 19 years old woman who suffers from depression and has a history of binge drinking. She has now increasing thoughts of suicide. She does not want that her parents find out that she has these suicidal thoughts and therefore tells the social worker not to inform her parents. When the social worker finds out that Jenny was admitted into the hospital by taking an overdoses, she asks herself why she did not informed Jenny’s mother earlier about her suicidal thoughts. In this essay I’m going to analyse the ethical justification of the question whether the social worker should have informed the parents about Jenny’s suicidal thoughts. In social work it is very important to have respect for the clients right to self-determination. This means that service users should have the right to make their own decisions and solve their problems, whether the social workers agrees with his course of his actions. According to the codes of practice, article 1.3, social workers must support service users right to control their lives and make informed choices about the services they receive. So a social worker might help the client to choose an option, but she is not allowed to influence the client’s decision by using her personal bias and opinions. The right to confidentiality versus the right to self-determination is also an ethical dilemma, which social care workers experience. This plays an important role in suicidal cases. According to...
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...do with moral beliefs and rules about right and wrong, and it is the task of the researcher to follow the ethics of the study in order to protect the participants from various harms. However, the practical aspects of research ethics are much more complex than might be anticipated. Thus, I will explore complexities, challenges and dilemmas of ethics in this paper. I will provide a conceptual framework of ethics ✓ What it is ✓ Dilemmas ✓ Consent ✓ Confidentiality ✓ Privacy ✓ Betrayal ✓ Deception then describe my personal experience of addressing ethical issues while conducting a research. Conceptual Framework What is Ethics? Ethics has to do with treating research participants with respect and morality. “Nothing is more indicting to a professional than to be charged with unethical practices” (Bogdan and Bicklen, 1992, p. 49). Ethics requires considerate efforts and care. As Hitchcock & Hughes (1993, p. 44) state “Ethics refers to questions of values, that is, of beliefs, judgments and personal viewpoints”. However, I should note that ethical practices are not hard rules and regulations that one can apply to every situation. Diener and Crandall (1978, p. 3) observe; Ethics are guidelines and principles that help us uphold our values – to decide which goals of research are most...
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...Health care organizations have existed to serve all patients within and beyond their local communities. The members of the organizations, such as physicians and nurses, have taken an oath to treat illnesses, restore health, and preserve life of all patients resulting in an improved quality of life. However, ethical and legal concerns arise during a patient’s end of life. The decisions that are made by patients during their end of life can contradict the oath and pledges the physicians and nurses take. In California, the End of Life Option Act (EOLOA) went into effect on June 2016 which allows patients, diagnosed with a terminal illness, to request for death inducing medication from their physician (California Department of Public Health,...
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...The Ethical Issue Stated In this case, there are conflicting responsibilities and loyalties. The medical team feels strongly that the patient (Sarah) has a mental illness that requires hospitalization to ensure her safety. Although she is not agreeable to psychiatric admission, Sarah has demonstrated significant acts of self-harm and has lost the ability in her situational stress, mood disorder, and intoxicated state to make decisions that are in her best interest. She is clearly a danger to herself, and in good faith the medical team feels that it is their duty to provide services that will protect and rehabilitate the patient, Sarah. The nurse feels as if she needs to advocate for the patient’s best interests. However, there is always...
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...Ethics are the moral principles used in an individual’s decision making process that influences a right or a wrong behavior. Ethical decision making is different for all individuals. Every individual thinks differently and behaves differently in various situations. “If individuals are products of biology, life would have no higher meaning and purpose. It is personality that gives individuals meaning and purpose.” (Hellriegel, 2011). Personality differences, policies and ethical dilemmas all affect decision making when making choices in organizations. Discuss how personal differences and preference can impact organizational ethics. It is nearly impossible to treat individuals alike because of this difference in personality. Culture, child and adult experiences and family and friends shape individuals into the beings they are today. Personality may be affected by emotional stability, self esteem, attitudes and emotional intelligence. These differences in personality impact organizational ethics because individuals faced with the same situation will behave in a different manner. What may seem right for one may not be the best decision for the group. One individual could be making self-serving decisions acting only in their own best interest. Another individual could base their approach solely on the balancing interest principle and base their decision on what is good for the group. “Organizational ethics is concerned with the structures, systems, practices, and protocols necessary...
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...would be supportive of the client’s right of autonomy and self-determination. We would ensure that the physician who prescribed the medication went over the risks and benefits of continuing this medication during pregnancy so that this client can make her decision accordingly as well as that this physician will able to monitor the potential consequences of her decision. As we have learned in this course, there may be little research conducted on how these medications affect women and in particular pregnant women. As social workers, we would ask for collateral information from other...
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...could save their lives. Hendrick (2000) indicates that in such cases, nurses, with patients’ best interest at heart question the possibility of employing coercion or other means to make the patient undergo the treatment. Veitch (2007) warns nurses or any medical practitioner on making patients comply with treatment citing that in healthcare, best practices, in reference to legal rights and ethical practices should act as effective tools that should make nurses and other medical practitioners decide on patients that refuse treatment. In addition, every case should be examined individually to decide the best course of action that nurses and the medical practitioners should take. Hence, in deciding on Sally’s case, the key question lies on whether Sally has a legal basis or right, as well as the ethical right of refusing treatment. Respect for autonomy, granted under the individual legal right to refuse or consent treatment automatically grants Sally the legal right to refuse treatment. However, the complexity, in reference to the limited nature of the law and respect for autonomy as an ethical principle coupled with the characteristic of anorexia nervosa, as a psychological disorder that makes a patient incompetent to make medical decisions reveal that against all odds, Sally has no legal right to refuse her treatment. One of the contributing factors to developing anorexia is an individual’s need to control his or...
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...ensured absolute confidentiality to the father and the daughter. Once they finished counselling the service worker felt guilty for promised absolute confidentiality to the clients, because she was told about severe physical and mental abuse from the father. She was in dilemma, as she promised absolute confidentiality to the clients, whether to keep the promise or to breach the confidentiality and report this to the management. Here the service worker faced dilemmas because of Lack of training and knowledge in a new situation. If she was an experienced worker she would never promise absolute confidentiality to any clients. QUESTIONS TO ASK THAT HELP RESOLVE ETHICAL DILEMMAS. ●Who is your...
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...waiting with Irene’s daughter, for the ambulance to arrive. The ambulance personnel arrived to the scene and immediately proceeded with performing cardiopulmonary resuscitation (CPR). Do Not Resuscitate (DNR) Ethical Dilemma Irene’s daughter and nurse instantly stated that Irene was a DNR resident of the facility. Emergency personnel stated that they would have to view the DNR documents and would continue procedures until they examined the required paperwork. Irene’s nurse ran into the facility to grab her record; however, by her return the emergency personnel had already resuscitated Irene. There are many scenarios where ball dropping can occur in healthcare and it is at those times when ethical legal decision-making dilemmas appear. Marjorie is a 91-year-old female residing in a long-term care facility (Kase, 2013). Marjorie’s daughter filed a lawsuit against the long-term care facility and the hospital for attempting to resuscitate Marjorie and perform multiple and painful interventions to sustain her...
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...Ethical Dilemma: Disclosure of confidential information and a duty to protect The job of a nurse is multifaceted. They are leaders, they are teachers, and they provide therapeutic nurse-client relationships. According to a recent poll conducted by Gallup (Newpart, 2012, para. 1), it should come as no surprise that the nursing profession is viewed as the most trusted profession where honesty and ethical standards are concerned. Nursing, like many other professional industries, have standards of practice in which to guide their decisions by providing frameworks for resolving issues. However, according to Walton (2013), with the growing complexity of ethical dilemmas now facing our health care system, nurses are often left asking: “what should we do, [rather than,] what can we do” (as cited in Black, 2014). What is certain is that ethical and...
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...An Analysis of the Dilemma Before analyzing this dilemma, it is important to distinguish the difference of epileptic and non-epileptic seizures (NES). An epileptic seizure has a sudden onset and is involuntary with a time-limited change in behavior. This includes motor function, autonomic function, sensation, or consciousness and is clearly visible by an abnormal EEG. A psychogenic or NES seizure is a convulsive type of event in which there is an absence of electrographic ictal pattern. Therefore, obtaining an EEG is essential in order to determine an accurate diagnosis (Thompson, Osorio, & Hunter, 2005). The ethical implications of this dilemma are better understood through the use of an ethical decision making model. Burkhardt and Nathaniel (2014) discuss using a five step process, one in which each step can be evaluated as often as needed and adapt to any changes that occur in the situation. These five steps include: articulate the problem, gather data and conflicting moral claims, explore strategies, implement the appropriate strategy, and evaluate the outcome of the action. Articulate the Problem...
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...An Ethical Dilemma Every person has unique moral imperatives that force him or her to act in particular ways. A dilemma emerges when there is a conflict between individual opinions where one has to make choices. It may either be within a person or between two or more individuals. Ethical dilemmas are common in daily life experiences and workplaces, and they are accompanied by challenges of analyzing the problem critically and making effective decisions that do not harm others. At one point in time, I had to face an ethical dilemma in my life. To be more exact, I was compelled to choose between staying in my home country and working with parents to support the family or go to the USA and complete education at much higher level than I...
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