Case Study Approaches to Ethical Dilemmas
LaDonna Landry
BSHS 335
January 12, 2015
Nicole Zmuda
Case Study Approaches to Ethical Dilemmas
The case study I chose is that of six-year-old Tavion Robinson who was taken to Methodist Hospital by his father for a broken arm and abrasions. There were a couple of things in this case that could insinuate that the broken arm and abrasions were not an accident. The father being hesitant to leave Tavion alone with hospital staff was the first red flag that something could be wrong. Secondly, Mr. Robinson’s request that he be notified prior to releasing Tavion’s records to anyone. Thirdly, informing the Emergency Department that Tavion’s parents are divorced and that the mother
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She suspects the father was physically abusing him and wanted to view documentation.
I do believe that Tavion’s mother has the right to view his records especially if she suspects abuse. Along with the inconsistencies of the finding of the injuries and the suspicions of the mother I feel that this is enough reason to investigate the suspicion of child abuse. The concerns of the mother is valid and she also is aware of how the father handles his son on a day to day basis she isn’t suspicious for no reason at all. There is history amongst the adults before they divorced she knows how he was disciplined as a kid and he could be using the same discipline as that in which his parents used on him. The mother has several avenues that she can take on her suspicions she could talk to the social worker at the hospital, the Department of Family Protective Services or contact the police. The ethical issue we are dealing with is the mother wanting the hospital documents of her son’s visit and the father denying her access without him being consulted. Also the injuries not matching up to the father’s story.
Confidentially will be the legal issue in this case regarding Tavion’s medical records. Of course the father’s request of being contact if there is a request to view the files makes him look suspicious and makes it appear he is hiding something. However, if the hospital staff suspects that there is
The problem solving methods that might be helpful to assist Jerry in making an ethical decision would be to establish trust with the patient and become aware of the problem. Then analyze the problems and decide on a plan with the patient. He will then want to make sure he reinforces the commitment to the patient and activate the plan. Last, he will follow through with the task and monitor everything until the situation is taken care of.
The Canadian Health Information Management Association Code of Ethics outlines a powerful standard for Health Information Management Professionals. When one becomes a member of CHIMA along comes the responsibility of following the code of ethics as faithfully and professionally as possible. Although the interpretation of the guidelines can vary among individuals and organizations, the basis and underlying meaning of each code should be synonymous. The ten codes set general expectations for HIM professionals that help the public understand the ethical views of CHIMA. With these ethics in place we are able to decrease the number of breaches, improve data quality and encourage lifelong learning. There are a number of breaches that occur in healthcare settings that go unreported on a daily basis. The reason for these cases going unreported could be the lack of knowledge of severity and consequences, or have a malicious intent. The case study is a definite breach of the CHIMA code of ethics- and could fall into numbers 1-10, but in my opinion is more relevant to numbers 2-3, 5-7 and 9. Jane should have acted in a more proactive manner reflecting CHIMA values and informed the appropriate individuals so that they correct actions could be made.
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Advocacy is a fundamental responsibility in nursing because patients are inherently vulnerable (Creasia & Friberg, 2011). The scenario presented is challenging because, although the nurse suspects child abuse, there is a lack of explicit evidence. Reporting suspected child abuse is a legal obligation for nurses, but the result may have devastating effects for the family. To prevent inaccurate conclusions, a professional nurse should question the mother and child separately and attempt to uncover the
This paper will first discuss briefly what ethics are and provide the definition for an ethical issue. An ethical leadership issue is identified and explained for this author’s practice area. We will then identify and discuss key strategies for leadership that are pertinent to the ethical issue. Next, empirical evidence which supports the strategies discussed will be analyzed. Then, the impact and importance of the strategies will be stated. The final step will be to provide a conclusion to the reader that summarizes the content and strategies.
Qu. 1. Is Tavion’s mother’s statement of concern of abuse sufficient to warrant further investigation by the hospital?
It is important to remember that if the professionals involved decide to investigate the matter when a suspected case of child abuse has been reported by the practitioner; then the practitioner’s records will be vital evidence and, as such, must be accurate. It may be many months after the event has taken place when the practitioner is
Nurses are faced with ethical dilemmas every day. There are a lot of different beliefs surrounding ethics and the code of ethics. Ethics and ethical issues have always existed, that is why they have put in place the code of ethics. The American Nursing Association (ANA) Code of Ethics isa guideline to help nurses determine which course of action to pursue. Every minute many ethical decisions are made, some may not comply with guidelines and others the patient’s will never understand. In this case study the nurse is put in an uncomfortable position and has two find a way to comply with the family, the patient, and the doctor’s orders.How can she report to the doctor the information the daughter has told her? How she approached
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What ethical conditions might be involved with either Sierra Golden or Bottle Time Inc. that would make it impossible to continue to collaborate or to accept the funding? Please indicate which principle of the Prevention Code of Ethics may
If this scenario happened in an outpatient clinic or urgent care center and there were physicians who were more dedicated to patient safety a report to child protective services may have been made regarding the child’s injuries. This child deserves to have her rights observed and
I believe the ethical considerations in Brownfield v. Daniel Freeman Marina Hospital is for all hospitals to provide all information and access to emergency contraceptives to sexual assault and rape victims. In the defense of Brownfield, emergency contraceptives, Plan B, and oral synthetic hormones is the most common type of emergency contraceptives that should have been disclosed to her upon her request. These contraceptives are often called the "morning after pill or Plan B".
Health care professionals are subject to a multitude of professional, legal, and ethical responsibilities which call for personal judgment to be utilized in such a manner as to protect clients as well as public wellness and interests. Overall considerations in handling such duties may be considered to be respect of a client’s autonomy, confidence, and recognition of obligations owed to all clients. While the aforementioned acts fall within the professional realm, there are also legal implications that guide care. Therefore, it can be said that ethical considerations occur in observation of legal responsibilities. Confidential information is perceived as private facts which are disclosed with the
Ethical dilemmas are virtually impossible to avoid if you are a participant in the workforce. The definition of an ethical dilemma stands as a situation that challenges two or more “right” values that arise in a conflict (Treviño & Nelson, 2014). As ethical persons, how may we overcome ethical dilemmas and finish on the “right” side? The research mentioned in Trevino’s and Nelson’s book, “Managing Business Ethics: Straight Talk About How to Do It Right,” suggests that preparing for specific ethical challenges before a situation occurs can adequately prepare the workforce to better handle real-world applications when an ethical situation transpires. The notion that ethics is teachable inspires the following case analysis. The case analysis involving chemical safety will discuss the facts and issues, stakeholders, decision alternatives, and real-work constraints. Focusing on each of the previously mentioned topics, I will describe the applications using Utilitarian, Kantian Ethics, and Rawlsian Justice Analysis’s.
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