Dr. Ronald M. Boggio Case

The plaintiff in Ard v. East Jefferson General Hospital, stated on 20 May, she had rang the nurses station to inform the nursing staff that her husband was experiencing symptoms of nausea, pain, and shortness of breathe. After ringing the call button for several times her spouse received his medication. Mrs. Ard noticed that her husband continued to have difficulty breathing and ringing from side to side, the patient spouse rang the nursing station for approximately an hour and twenty-five minutes until the defendant (Ms. Florscheim) enter the room and initiated a code blue, which Mr. Ard didn’t recover. The expert witness testified that the defendant failed to provide the standard of care concerning the decease and should have read the physician’s progress notes stating patient is high risk upon assessment and observation. The defendant testified she checked on the patient but no documentation was noted. The defendant expert witness disagrees with breech of duty, which upon cross-examination the expert witness agrees with the breech of duty. The district judge, upon judgment, the defendant failed to provide the standard of care (Pozgar, 2012, p. 215-216) and award the plaintiff for damages from $50,000 to $150,000 (Pozgar, 2012, p. 242).

Fourth ethical issue I spotted was the relationship was deepened when Dr. Lowenstein asked Tom to coach her son in football. This is an indicator of a dual relationship that should be prohibited. Football is a contact sport and this created a relationship between Tom and Susan’s son. The relationship escalated as Tom and the son we rolling around in the grass and became close as summer went on. This is an unreasonable distance between client and Susan’s personal life.

Professional counselors deal with many legal and ethical issues in the course of treating clients. Some of the issues they may come across include dual relationships, boundaries, bartering, sexual relationships, gift giving, touching a client, and how to begin or end treatment. Some of these issues may seem straightforward in theory, but they can become complicated in practice. In these cases, if possible, a counselor should seek consultation before making any decisions. Ethical dilemmas are an area where professional counselors should continually receive consultation and ongoing education. This paper provides a summary of how a video presentation, the ACA Code of Ethics, and Maryland’s board regulations for professional counselors handle dual relationships, boundaries, gift giving, touch, and beginning and ending treatment. The paper will go on to discuss my reaction to these issues. Finally, I will discuss how I plan to apply what I have learned to my own counseling practice.

This paper will discuss the concept of non-sexual dual relationships between Ms. C and Ms. R., and the ethical consequences of relationships. This paper will also an ethical standard to use a guide when facing a dilemma like Ms. C. In addition to discussing ethical consequences, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how the Virginia Certificate Board, located in Virginia, may deal with reporting dual relationships, and how different interactions between Ms. C and Ms. R can be understood from an ethical standpoint, as well as preventive measures to avoid dual relationships.

The first expert witness represented the Commonwealth of Virginia and is a licensed clinical psychologist. Dr. Ronald M. Boggio’s testimony targeted information from a personal interview with the defendant, he also rendered psychological tests to Mr. Allen to assist in his testimony. When reading the case, it appeared that Dr. Boggio’s had been Mr. Allen’s psychologist is the past or may still be currently. It wasn’t very clear, regardless, he had broad knowledge and experience with the defendant Mr. Allen which leaves his testimony tainted in a sense. The question remains, was his actions ethical or not.

M was taking a look at his leg that was injured but seemed to be healing. All was thought to be well until one office visit the doctor went across the hall to check on another patient who seemed to have an infected leg. The doctor left the door open where confidentiality here was obviously not being taking into consideration for the patient he was seeing as well as others who were able to hear them. Since the door was open, his parents noticed that he did not change his gloves while entering that other room and came back to check on their son with no gloves on. Dr. M was concerned about Jacobs leg and told him to come back the following week while treating it with antibiotics. The following week he comes back only to see that he has developed osteomyelitis. This was the same infection that the other patient developed while under the care of his supervision. Jacobs delay in his recover cost him the opportunity to play football and a college scholarship. Jacobs’s parents then resorted to suing Dr. M because of his negligence and lack of medical

Contrary to the alleged, Dr. Brock refuted the claim, defending that he never established a doctor-patient relationship with Anita, which relieves him of liability. In order to validate his refute, Dr. Brock provided four factual elements that were supported by his counterparts; Dr. Whitfield and Dr. Ketcham. The four elements that were presented in the affidavit included: (1) That there has never been a doctor-patient relationship between Dr. Brock and Anita Oliver, (2) Dr. Brock has never seen or talked to Anita or Cathy Oliver, (3) Dr. Brock was not employed, engaged or requested to serve as a consultant to treat Anita, (4) and Dr. Brock was not employed or engaged to consult with doctors treating Anita, concerning complaints or medical problems. In order to support Dr. Brock’s refute, Dr. Whitfield and Dr. Ketcham provided affidavit’s as

Potential ethical issues with this case is the sexuality of the clients but Human service professionals provide services without discrimination or preference based on age, ethnicity, culture, race, disability, gender, religion, sexual orientation or socioeconomic status. Also obtaining or sharing information with Todd’s psychiatrist Human service professionals protect the integrity, safety, and security of client records. All written client information that is shared with other professionals, except in the course of professional supervision, must have the client 's prior written consent. A legal issue is the fact that Reggie is physical with Todd and although it was the past, if it happened again I must keep in mind If it is suspected that danger or harm may occur to the client or to others as a result of a client 's behavior, the human service professional acts in an appropriate and professional manner to protect the safety of those individuals. This may involve seeking consultation, supervision, and/or breaking the confidentiality of the relationship. Also Reggie smokes marijuana which is not good for urine tests with his parole officer along with Todd’s cocaine use. Human service professionals protect the client 's right to

During our negotiation with D.G. Barnhouse (DGB), we intend to utilize an integrative bargaining strategy with management. Before coming to this conclusion, we weighed the advantages and disadvantages of a distributive approach, however, we eventually decided to take an integrative and predominantly interest based stance versus a position based stance in our negotiations after assessing internal and external environmental factors. In addition, we settled on this strategy because we ultimately believe that management and the union share at the very least, one fundamental common interest, which is the firm’s financial stability. That being said, even with our plans to use integrative bargaining, we still plan to negotiate assertively to achieve

Most major professional codes of ethics have a policy or rule against dual relationships (Gottlieb, 1993). Dual relationships exist when a professional acts at the same time or sequentially in two roles (Gottlieb, 1993). Through the course of this paper, the concept of dual relationships will be examined. Ethical issues with dual relationships will be explained as well as the clarification and analyzation of a specific dual relationship. Not to mention the explanation of challenges presented by boundary issues in professional psychology.

Lying on the Couch by Irvin D. Yalom has been both entertaining and interesting from a counseling standpoint in that it provides a scandalous and as was in most of the cases, a look at what could go wrong if ethics in a clinical counseling setting go awry. Following the characters of Seymour Trotter, Earnest Lash, and Marshal Streider in working with their clients and with each other the ethical lessons to be learned become obviously apparent, if not emotionally painful. Although, numerous issues arise throughout the book, there were at least three that will be covered within the context of this writing. In consideration of each of these ethical breaches there will be dialog on the nature of the ethical issue or violation, where the ACA ethical code applies, ramifications of the ethical issue or violation on both parties, and application of Kitchener?s five primary ethical principles that were involved or violated. In addition, the justification offered by the characters in the book for their actions or considered actions, application to the situation in the setting of Clinical Mental Health counseling, and indication of personal response to the situation presented. Understanding that the use of these ethical principles and considerations as they apply in counseling are unequivocally valuable tools in helping a practitioner in working with clients to make comprehensive decisions that will not create conflict within their ethical parameters and are aligned with the laws

The Ethical Principles and Code of Conduct, published by the American Psychological Association are the standard guidelines for all Psychologists. Forensic Psychologists are also informed by Specialty Guidelines for Forensic Psychologist. Psychologists practicing forensic psychology can use these two documents to help clarify ethical questions. This paper will focus on role conflicts specifically in the area of Sex Offender Management and the ethical conflicts that may arise as a result and how to best handle this situation when faced with it. When an individual chooses to practice psychology within the legal system, they must be aware that this can at any point in their career lead to ethical conflicts. Just the possibility

Because of the doctors’ profession, a psychiatrist must abide by the ethic of nonmaleficence when it comes to their patients. This article is true, “When conflicts occur among psychologists’ obligations or concerns, they attempt to resolve these conflicts in a responsible fashion that avoids or minimizes harm” (Ethical Principles of Psychologists and Code of Conduct, n.d.). For this profession, this is very important because their judgment can have a serious effect on a person mind. If there were no ethics to guide them not to do no harm, psychology could become an unethical profession within the health care system. This ethic could also be the reason for the raise of concern that Dr. McHale has for the detainee.

Throughout my 13-year career in the Human Services field, spending the majority of that time working with adolescent girls in residential treatment facilities, I am very much aware of the risks that exist with regard to sexual relationships between professionals and clients. In that time, it came to my attention that at least three employees at programs where I was employed had sexual relationships with clients. In addition to the ethical issues that arose from these situations, all of the clients were under 18 years of age so the actions of these employees had legal ramifications. Many of our clients had been victims of sexual abuse prior to admission into our program. I always viewed our programs as safe places where clients would be treated with respect and could develop strong therapeutic relationships with both their counselors and program staff members. Unfortunately, the actions of a few had a detrimental effect on our programs and also the lives of our clients. Having dealt with these issues and focusing on ethical decision-making throughout my education and professional career, the ethical dilemma of

When discussing the importance of professional boundaries in mental health work, most people think first of relationships between psychotherapists and clients. However, similar boundary considerations are relevant for professor–student relationships, supervisor–supervisee relationships, consultant–consultee relationships, and researcher–participant relationships. Although different dynamics are at play, the relationships psychologists have with each other, with other professionals, and with the general public have boundaries that warrant ethical consideration as well. The American Psychological Association (APA) offers some guidance. The APA Ethics Code says, in Standard 7.07: "Psychologists do not engage in sexual relationships with