Ethical Dilemmas
Debra Lohmeyer
HCS/478
February 11, 2013
Barbara Scheibe
Ethical Dilemmas
The Allen family presented in the simulation has several health issues they deal with individually that contribute to the family unit. Clifford struggles with depression that he does not want to have documented or take medications for out of fear. Pam is the glue of the family; she keeps the home functioning and has not worked outside the family because their son was born with Down’s syndrome. Her time is spent caring for him and the home. She has a history of endometrial cancer and has gone 14 months without a check-up. Gary is an active special needs young man, he holds a job, participates in Special Olympics and Scouting. The family
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The medical record did raise some questions about the nursing documentation because it falls under the ethical principle of veracity, truth telling (Guido, 2010, p. 8). The 1945 entry does not include the amount of morphine given. The 0030 entry does not give a description of the CBI color when this has been assessed and documented on previous shifts, how would a change be reflected. The 0500 entry indicates pain was assessed, does not indicate a pain score and also states the patient was asleep and this is contradictory. The documentation for Wednesday does not indicate a pain score but pain medication documentation indicates it was given. The documentation of CBI does not appear and no mention of the CBI as discontinued status was indicated. The lack of documentation indicates a violation of fidelity, duty to keep promises or commitments because correct documentation is a duty of nursing when providing accurate care (Guido, 2010, p. 5, 8-9).
The family experiences more dilemmas when Pam is diagnosed with colon cancer. She does not want to worry Clifford, so she does not elaborate when she does not feel well. The necessity of surgery and the resultant colostomy are difficult for both Pam and Clifford to deal with. They also must decide to accept treatment with Chemotherapy and Radiation Therapy. In this situation using an ethical decision making model would assist them in arriving at a decision. During the Be Attentive phase all the priorities
Directions: Complete the tasks below. Replace the highlighted text with your own answers. Copy and paste your answers to the student comments box in 1.07 and submit for grading.
Nurses are faced with ethical issues and dilemmas on a regular basis. Nurses must understand his or her values and morals to be able to deal adequately with the ethical issues he or she is faced with. Some ethical issues nurses are exposed to may be more difficult than others and the ethical decision making process is learned over time.
Ethics is the practice of not only understanding where someone is coming from, but also understanding how he or she got there. Former Supreme Court Justice, Potter Stewart, when commenting on ethics, explained that “ethics” is “knowing the difference between what you have a right to do, and what is right to do.” Potters expression perfectly parallels to any ethical dilemma, as it is not only correct to bring in different approaches, but also to understand the goal, or as Potter put it- to know the “difference.” For the sake of this paper, and for a fair analysis, the four main ethical approaches will be considered: Virtue, Utilitarian, Justice, and Rights. The academic article “Man and Superman” by renowned Author, Malcolm Gladwell focuses on many ethical dilemmas in the world of extreme and professional sports, as it raises the question of- “When is Enhancement acceptable?”-Regarding Natural Versus Engineered athletic ability. He injects: “what qualifies as a sporting chance?” as people should not be allowed to enhance themselves to compete or catch up with the naturally talented.
In this mini case Mike Stephan is dealing with a very difficult situation because he is new to the accounting firm and wants to impress the superior accountants on his engagement team. While auditing for EarthWear, he makes a little mistake by spending too many hours looking at the wrong bank statements when he is not supposed to go over a total of 6 hours. Pressured by the senior on the audit, he is caught between lying about his hours or telling the truth and going over budget on the audit, potentially causing the other accountants on the team to look bad professionally. The first alternative that I have learned about when addressing ethical issues as a staff auditor would be to talk to the senior on the team and tell him/her exactly
Ethical decisions are ones that everybody makes everyday either knowing it or not. Ethical decisions are not ones that are right or wrong but ones that take deep thought about them to make that decision. I myself had a situation in which I had to make an ethical decision. My situation was that my best friend Eddie got a sexually transmitted disease that is harming him and he asks me not to tell his girlfriend Amber about it or his family about it. Eddie got chlamydia and herpes from messing around with another girl but does not want amber to know because he know she will break up with him if she finds out. Eddie also believes that his fellow friends with act a certain way after find out that Eddie got chlamydia and herpes from another girl
Having to make an ethical decision regarding unethical circumstances can be challenging for some. “Ethical decision-making refers to the process of evaluating and choosing among alternatives in a manner consistent with ethical principles. In making ethical decisions, it is necessary to perceive and eliminate unethical options and select the best ethical alternative.The process of making ethical decisions requires: commitment-the desire to do the right thing regardless of the cost; consciousness-the awareness to act consistently and apply moral convictions to daily behavior and competency-the ability to collect and evaluate information, develop alternatives, and foresee potential consequences and risks” (according to Blink, 2016).
An ethical dilemma is an incident that causes us to question how we should react based on our beliefs. A decision needs to be made between right and wrong. I have experienced many ethical dilemmas in my lifetime, so I know that there is no such thing as an ethical dilemma that only affects one person. I also know that some ethical dilemmas are easier to resolve than others are. The easy ones are the ones in which we can make decisions on the spot. For example, if a cashier gives me too much change, I can immediately make a decision to either return the money or keep it. Based on Kant’s, categorical imperative there are two criteria for determining moral right and wrong. First, there is universalizability, which states, “the person’s
A 19 year old college student and addicted gambler was pulled over for erratic driving on the Long Island Expressway. He pulled out a toy pistol and pointed it at the officer, he was then shot and killed. Another incident involving a 45 year old cancer patient had the same ending in new Jersey. He walked into a Pizza Shop and pointed a gun at the officers inside eating. Experts believe that they force the cops to kill them as a form of suicide. Suicide is difficult to commit and forcing an officer to kill you takes away the pressure of completing the task. Some insurance companies don’t cover suicide and religions forbid it so it is away of taking the guilt and shame away from common suicide. 10% of fatal police
There are many decisions, both positive and negative that can be made by an instructor, when faced with the dilemma of plagiarism. As an educator, it is our job to teach and hopefully reach the decision making process that might have led them to do this and enhance their own feelings about their ability to do the right thing. The approach an instructor takes can make a strong, proficient and competent professional or it can make a bitter, resentful person who will leave school with a disheartened spirit and failure complex, never to return.
During the first week of February it was discovered that one of the youth on probation and his family was no longer living at their given address. I, along with my supervisor, made several trips to the house to verify. The house was soon boarded up and the youth could not be located. There was no attempt by the youth to contact probation and he soon became out of contact, a clear violation of his probation contract. An arrest and detain (A&D) warrant was issued for the youth because of his probation violation. The youth was unable to be located by the Juvenile Crime Apprehension Team (JCAT) and no one in his family could be found by probation staff. The youth was also no longer attending school. The seriousness of
Changes in health care and society have led to new and increased awareness of the ethical dimension of nursing and its impact on the delivery of high-quality care (Coverston & Rogers, 2000). In their daily practice, nurses are constantly confronted with decision-making that is ethical in nature. An ethical dilemma is a situation wherein moral precepts or ethical obligations conflict in such a way that any possible resolution to the dilemma is morally intolerable. In other words, an ethical dilemma is any situation in which guiding moral principles cannot determine which course of action is right or wrong. One of the systematic approaches available to nurses in solving ethical dilemma is the ethical decision-making model presented below.
According to Viren Swami, a professor at the University of Westminster, “animal testing, or animal research, refers to the use of animals in experiments within academic, research, or commercial establishments” (Christopher, 269). Sounds simple enough, but Swami does not mention how this testing affects the animals or why this is such a controversial issue among the public. M.J. Prescott, from the National Center for the Replacement, Refinement and Reduction of Animal Research, makes a very good point when he says that:
Utilitarianism ethics accentuates that the activity that should be ethically beneficial to the group. In further terms, the outcome of any moral activity ought to be valuable for all by mass offer. This is a universal fundamental theme for ethics in industrialist economies and business as well as in all governments.
If the accusations against Noca-Cola (N-C) were true and founded then the ethical dilemma of deception and contributing to an epidemic would exist. The information provided about the study doesn't clearly identify that N-C is not decreasing water available to people in need. Based on the results from the thorough investigation identifying that “Noca-Cola uses a very small supply of water in the formula for the soft drinks – and that it is a statistically insignificant amount relative to the water shortages in the country” the ethical dilemma can be possibly removed for me. However, I would need to gather more information on the details of the investigation to determine if there were a ethical challenge in taking this
Because human services work often involves direct client interaction, there are times when the values of the worker differ from those of their clients. In these circumstances, ethical dilemmas tend to arise. Review the case examples and current ethical conflicts presented in Chapter 5 of your textbook. Choose