MODULE 3case analusis RESUBMITTED

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Southern New Hampshire University *

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260

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Philosophy

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Jan 9, 2024

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docx

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MODULE 3:3:2 DRAFT ASSIGNMENT: CASE ANALYSIS ETHICAL FRAMEWORK Colleen White Southern New Hampshire University PHL-260: Ethical Problem Solving Dr. O’Leary November 29, 2023 (Resubmitted)
In this case study a middle-aged man suffering from paranoid thoughts was committed to a psychiatric hospital for posing a danger to himself and to others (“Application of Ethical Frameworks to Social Work Case Study”). His violent behavior has been controlled with injectables against his will with the consent of his adult son who was awarded medical power of attorney and guardianship. The goal is for this man to return home to his community and close to his son, but the injections only control the aggression. They do not treat the paranoid thoughts so his chances of returning to his community are unlikely. The hospital informed his son of a new drug introduced to them to treat his father's paranoid thoughts, but it is only available in pill form. His father is paranoid of being poisoned so the suggestion was made to crush up the pill and put it into his food since the man would willfully take the pill. Consent was given by his son on the basis that doing so would achieve the goal of his father returning home to the community. Although consent was given by his son, the nurses did not feel comfortable deceiving the patient by crushing the pill up and putting it in his food.   My moral intuition leaves me feeling like crushing up medication and mixing it into a patient's food is really questionable ethically speaking. Though I can see the reasoning is logical, the risk is pretty high in ruining the trust of a patient. Is crushing the pill going to change the composition, or how it works? Is deviating from its intended use going beyond the scope of competence? Who is legally liable? Should nurses deceive a patient and mix the medication in their food?  
The IDEA Decision-Making Framework is a four-step process with guided questions that lead to the most ethical decision for the issue at hand. The first step is to identify the facts such as clinical indications, individual preferences, evidence, contextual features, and personal considerations. Step two common principles are autonomy, beneficence, non-maleficence, and justice. Determine which ethical principle is in conflict. Step three explores the viable options including the pros and cons of each option and applying the principles identified in step two to each one. Finally, step four is acting on the decision and documenting the steps taken to reach the decision with the process for evaluating the decision (“Ethics Frameworks”).   When applying the IDEA Decision-Making process to the issue of ethical uncertainty, the guided questions in step one led me to identify the facts as   diagnosed with paranoid thoughts, mental incompetence, current injections against will preferences for patient are made by the son, and personal considerations identified ethical guidance is needed.   Step two led me to the principles of BENEFICENCE: defined as acting beneficently toward others (contributing to the welfare of others, which may include preventing harm, removing harm, promoting well-being, or maximizing good)( IDEA: Ethical Decision- Making Framework Guide ) in conflict.
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