Module Three Project Draft Introduction and Background

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Southern New Hampshire University *

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Philosophy

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Apr 3, 2024

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Module Three: Project Draft Introduction and Background In the case study ("Application of Ethical Frameworks to Social Work Case Study"), a middle-aged man with paranoid ideas was admitted to a mental health facility because he posed a risk to himself and others. Injectables have been used against his will to control his aggressive behavior, with his adult son's permission. The son was granted guardianship and medical power of attorney. The injections only lessen the aggression; the man's ultimate desire is to go back to his hometown and be with his son. There is an unlikely chance of him going back to his community because they do not treat the paranoid thoughts. His son was told by the hospital about a new medication that was brought in to address his father's paranoid thoughts, but it can only be taken as pills. Since the man would voluntarily take the tablet, it was suggested to crush it and mix it into his food because his father is afraid he will be poisoned. His son consented, believing that doing so would help his father achieve his dream of going back to his hometown. The staff did not feel comfortable tricking the patient by breaking up the tablet and adding it to his food, even if his son had given consent to it. My moral intuition tells me that it is extremely unlikely from an ethical standpoint to crush up medication and put it into a patient's diet. Even though the argument makes sense, there's a good chance you could lose a patient's trust. Will breaking the tablet alter its makeup or method of operation? Does deviating from its intended usage exceed one's area of expertise? Who holds legal responsibility? Should nurses give false information to a patient and combine their prescription with food? The greatest moral choice for the given situation can be made using the four steps of the IDEA Decision-Making Framework, which includes guided questions. Finding the relevant information is the initial phase, which includes contextual features, evidence, personal

considerations, preferences, and clinical indications. Autonomy, beneficence, non-maleficence, and justice constitute the second common idea. Determine which ethical principle is at odds. Step three examines the feasible possibilities, weighing the benefits and drawbacks of each and applying the principles from step two to each one. The final step, step four, must then be implemented, and the process for assessing the decision must be documented along with the procedures that were taken to arrive at the decision ("Ethics Frameworks"). I identified the facts as follows after using the first step's guided questions to apply the IDEA Decision-Making process to the ethical uncertainty issue: diagnosed with thoughts of paranoia, mental incompetence, current injections against will, the patient's son makes all of his choices, and personal factors indicated the need for ethical guidance. The second step led me to the ideas of BENEFICENCE, which are described as acting in a conflicting manner in a way that contributes to others' welfare (which may involve preventing harm, removing harm, promoting well-being, or maximizing good) (IDEA: Ethical Decision- Making Framework Guide) . The step three options to take into consideration are: giving the medication while consuming food, bringing the medication to the patient and telling him to take it, or not giving the patient any medication at all, and spending some time building the patient's trust so that he will willingly cooperate in taking the prescribed medication. It became clear after going over each stage of the procedure step by step that the answer is NO. Even in cases when consent is given, nurses need to determine whether administering the medication to the patient is in their best interest before combining it with meals. Step one's instruction to separate facts from feelings taught me a lot about the bad choices I've made in the

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