Mr. Pilsudski To begin with, the client whose name is Mr. Sam Pilsudski has an obstructed airway secondary to cancer of the larynx. He is a 67-year-old widower, and a father of one son and two daughters, who is unconscious and terminally ill, if not for a much-needed operation to remove both his cancer and larynx to save his life. However, one of Mr. Pilsudski’s daughters has adamantly refused to consent to the surgical procedure despite the physician explaining that although the operation would unfortunately render his patient disabled without a voice consequentially, but ultimately surviving the procedure to live and recover. Moreover, the physician attempted with rational and clear communication to express the gravity of the rather poor prognosis of his illness to his daughter that in the event of foregoing the surgery, his patient would surely die (Ralph Dolgoff, Donna Harrington, and Frank M. Loewenberg (2012), Ethical Decisions for Social Work Practice. 9th Ed; p. 279). Ms. Holiday, a Social Worker at the hospital was then requested by the physician to speak on behalf of the client with all (3) family members to solicit and reach a common consensus for consent to operate and save Mr. Pilsudski’s life. Although none of the family members had a health care power of attorney to make legal decisions on behalf of Mr. Pilsudski, Ms. Holiday none the less attempted broach the issue of his illness and to reassure them that she has seen many people
According to Pozgar (2016), “Physicians must, as provided in the Hippocratic oath and codes of ethics, make care decisions for the benefit of their patients and not for their hurt or for any wrong” (p. 346). In the case study “Physician Lacks Compassion”, it is possible to identify some violations to the principles of medical ethics. As stated by the American Medical Association (AMA) (n.d.) “A physician shall be dedicated to providing competent care, with compassion and respect for human dignity and rights” (Overview). Unfortunately, on the case mentioned above, Dr. Mean failed to be dedicated to providing care to Mrs. Smith, his patient. Mrs. Smith had been waiting for her appointment and her health status has deteriorated, however, that was not a sufficient reason for the scheduler to make a space for a new appointment as soon as possible.
This case raises conflict between two principles one for respecting autonomy and beneficence. Due to Mildred being in a semicomatosed and paralyzed state, she does not have the ability to think autonomously. So, the following authority to help with decisions to be made during this time would be her three children. Her three children want to stop the tube feeding, but the physician objects that it’s unethical to “starve” a patient so that she will die sooner. The physician is not acting autonomously due to the fact of not listening to the patients children who know their mother and what she would want, but he is also not acting with beneficence because he's not helping to promote the well- being of Mildred who is now in this state not able to make her own decisions in addition to having a feeding tube which is the only thing keeping her alive.
Dual relationships are very controversial within all helping professions. It can bring positive and negative components to a situation. There should always be a clear boundary and form of consent and agreement set by the social worker, or any health service professional to their client. However in some cases, it is vital for a client and work professionals to establish a relationship. This is an important component for a successful session or procedure. In this paper, I will discuss the ethical dilemma revealed between Dr. Green, the Psychologist and teacher, and the client, 19 year-old, Ava Jones.
In the medical field today, whenever a procedure is going to be done on a patient, informed consent must be given to the doctor from the patient prior the procedure taking place. Informed consent is the approval given by the patient to the doctor for treatment. In the case being discussed today, an 80 year old patient, with a history of congestive heart failure, is in the doctor's office complaining of chest pains. After an examination, the doctor believes the best course of treatment would be to have a surgical procedure, in an attempt to save the patients life. During the examination however, the patient expresses the wish to just be able to die. There is no Living will or Do Not Resuscitate (DNR) on file. The patient’s wife is
The New York State Coalition against Domestic Violence (NYSCADV) provides training, support, technical assistance and advocacy to local direct service domestic violence programs across New York State. We achieve our mission through activism, training, prevention, technical assistance, legislative development and advocacy, and leadership development.
Michael H., a 68-year-old man, was admitted for exploratory surgery of his abdomen. He is frail, and his attending physician describes him as “emotionally labile.” Marcy R. is a social worker at BFL General Hospital, who is assigned to the unit that Michael H has been admitted. After Michael’s surgery, Marcy R. was approached by Michael H.’s daughter, Ellen B. in which Ellen has told Marcy that her father’s physician had just informed her that the lab report from the exploratory surgery shows that her father has terminal cancer. Ellen said that she and the family are in shock and they have decided that they not want the hospital staff to tell her father about the terminal nature of his cancer once he recovers from anesthesia. In this essay, I will discuss the ethical dilemma of “to tell Michael or not to tell him he has terminal cancer. He has the right to confidentiality by not withholding information from him when he has been diagnosed with terminal cancer, informed consent, and self-determination.
This worker met with Ms. Buwo Monkweh at Brookdale office on 4/14/17. The interview was recorded and privacy practices were reviewed and signed.
the colour of his skin, then it could lead to him having a feeling of
Client is currently not employed or attends school and is available to meet from Monday to Sunday except for when she drops of her daughter to school Monday to Friday at 8 AM and picks up at 1:30 PM.
As a social worker she has not come across many ethical dilemmas that many social workers face. ADRC attempts to hire social workers because they have the basic knowledge of the roles of case management and the Code of Ethics, thus, not needing additional training. Beth mentioned that the majority of agencies adopt the social work Code of Ethics, for instance United Way and Area Agency on Aging, making it a requirement to abide to in the agency level, as well. In the interview she mentioned a case that she and a colleague were discussing where Adult Protective Services (APS) needed to be contacted. Beth advised her colleague to call APS to report the situation but Beth contacted them regardless if her colleague had already contacted them.
Ethical Decision-Making Exercise Frequently, social workers encounter situations in their social work practice in which requires the social worker to make an ethical decision. In preparation for these ethical dilemmas, it is important for social workers to familiarize themselves with profession ethical code. The National Association of Social Workers Code of Ethics specifies the values, principles, and standards to guide social workers’ behavior (National Association of Social Workers (NASW), 2008, para.5). This paper will demonstrate the appropriate response to five scenarios based on the ethical values and responsibilities stated in the NASW Code of Ethics.
Medical professionals face ethical dilemmas every day, and as they are ethical, decisions regarding patients can be challenging to make. In this case, the physician was faced with a dilemma of whether or not to inform a patient that he had an inoperable carcinoma in the prostate. If the physician had a patient that had no history of mental instability, then the decision to tell the patient about this carcinoma would be relatively easy considering the situation, but since this patient wasn’t all there, the decision was difficult.
Episode 24- Dr. Frederic Reamer: Ethical Dilemmas in Work: Trends and Challenges presented professional ethical standards for social work in a contemporary setting. Dr. Reamer began by identifying the Code’s humble one page beginning which was confirmed in the 1960’s however, it was seen as being very shallow. The reason being, it did not address all ethical dilemmas that existed or would eventually exist within the field of social work. For example, the Code did not address ethical dilemmas regarding client and their social worker’s relationship, value issues, and electronic communication between social worker and their clients, to name a few. The historical one page Code entailed 17 principles which was later re-developed by a team of experts
During my initial consultation with Julie, we discuss a couple of issues she was having with Jennifer. Jennifer did not handle the anger she has with her mother in an appropriate way. She will roll her eyes, stomp off and slam doors. Julie, her mother, believes that she deserves more respect. Also, Julie would like Jennifer to handle her anger in a more appropriate manner.
being shared. Summarizing the conversation provided clarity resolving any areas of misunderstanding about her situation (Shulman, 2016, p237). Through this process of engagement pertinent information about this student was obtained. (AS) spoke about her culture, family, past school history and why she feels she needs counseling.