Investigating Ethics And Clinical Practice

In the helpful receptionist video, the receptionist violates the principle of confidentiality by disclosing private information without informed consent. When the client 's husband asked if she is in her counseling session the receptionist confirms the client 's presence. By doing so, she violates confidentiality because she is supposed to protect the client 's whereabouts to the best

A 35-year-old man named Paul, who has a supportive wife and two adventurous kids, has been diagnosed with a very severe case of bone cancer for 1 year now. Since this type of cancer is so severe, chemotherapy is starting to not work as well. Paul’s oncologist unfortunately had to suggest a final option for Paul to try which was a clinical research trial. Clinical research trials are experimental studies that deem whether or not a medical drug, treatment, surgery, or device is safe and beneficial for humans to use ("National Heart, Lung, and Blood Institute"). As explained in Marcia Angell’s Article, “The Ethics of Clinical Research in the Third World”, the Declaration of Helsinki of the World Health Organization (WHO) provides a guideline

A paper discussing the ethical issues from a video that discuss cases that are regarding barter, boundaries crossing and violation, touching, receiving and giving gifts, and termination of care. The ACA code of Ethics and Michigan States Rules and Regulation for Professional Counselors on the ethical issues of barter, boundaries crossing and violation, touching, receiving and give gifts, and termination of care are summarized. My feelings toward the cases that were discussed in the video regarding the ethical issues and topics of barter, boundaries crossing and violation, touching, receiving and give gifts, and

Informed consent is defined as “permission granted in the knowledge of the possible consequences” and is the backbone to honorable physician patient interactions. Unfortunately, throughout history there have been many cases where physicians have used a patient’s lower socioeconomic status to manipulate the obtaining of informed consent. The AMA Code of Medical Ethics predates back to 1847, yet cases continue to arise directly breaking their key principles. These principles include autonomy, justice, beneficence, non-maleficence; and if followed ensure patients receive a high quality of care. Informed consent prior to any participation in experiments or procedures is essential for physicians to act within these guidelines. Autonomy allows patients to have free will and make decisions without coercion. Justice keeps all individuals in mind so resources are distributed fairly and all individuals are treated the same. Beneficence and Non-maleficence focus on the intent of the procedure to do only good and no harm. Even with these principles established there are discrepancies in on how they unfold in a clinical setting. The American Medical Association states physicians should assess their patient’s understanding of their medical condition, the recommended treatments, and document the physician-patient interaction. The Tuskegee, Abdullah vs Pfizer, and The Skid Row Cancer Studies are a few cases where these principles were ignored so physician and big pharmaceutical

Ethical codes have been developed so that therapists understand the standards for appropriate behavior and maintaining the welfare of the client. All mental health professionals should be proficient in the acknowledgment of any Code of Ethics as they serve as legal guidelines when ethically questionable circumstances arise. Essential to the principles of counseling, a client’s confidentiality is imperative as a therapist is the receiver of an individual’s thoughts and ideas surrounding the concerns for seeking treatment. Item 2.1 in the AAMFT Code of Ethics states how a therapist would disclose and limits of confidentiality, and in what circumstances that a client’s information would be requested. Additionally, item 2.2 is the

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

Medical ethics and legal issues have been a key topic in medical field for many years now. It is important for medical professionals to understand the importance of the way we care for patients, it is therefore important to be knowledgeable and aware of the medical ethics and legal issues that govern good patient care. Health care professionals must make decisions based on ethical and legal issues to performance their regular duties. However, Medical ethics is not only about avoiding harm to patients. It is rather a norms, values and principles (Ethical theories 2015). Therefore norms, values and principles are intended to govern medical ethical conduct. Ethics is defined as “a standard of behaviour and a concept of right and wrong beyond what the legal consideration is in any given situation”. In another words medical ethics is a discipline that used to handle moral problems coming out the care of patients. Law is another important discipline that often comes together with medical ethics. Law defined as a “rule of conduct or action prescribed or formally recognized as binding or enforced by a controlling authority”. Government imply law to keep the society running smoothly and to control behaviour that could threaten public safety. Medical professionals have to often prioritise these terms before making any clinical decision. The following findings will constructively emphasise on medical ethics, its

The rise of ethical practice and accounting for the individuality of clients has led to a wide-range of ethical considerations and guidelines to help demonstrate appropriate actions. Firstly, under principle-based ethics there are four general principles of ethics (Kerridge, et al., 2005) which create a mindset of important considerations a psychologist must keep in mind in all actions. Beauchamp and Childress listed these as autonomy; the right to self-determination, beneficence; acting with compassion for others, non-maleficence; avoiding harm and justice; acting fairly and objectively(Kerridge, et al., 2005) .They also named two derived principles- veracity and confidentiality. These general principles are crucial for psychologists as they are flexible enough to allow the psychologist to adapt to best handle to the complexity of the situation.

As therapist try to carry on in an ethically, morally, and lawfully mindful way toward all persons in therapy, ethical practice requires that customers be unequivocally educated of and cooperatively agree to standards and strategies put into practice. On account of relationship-pertinent data, all persons ought to be unequivocally educated whether a strategy of revelation or non-divulgence will be maintained, and essential legitimate assents be put into place.

There are multiple ethical standards, laws and ethical aspirations that need to be addressed in this case study. First and foremost, Aspirational code of beneficence and nonmaleficence, should be addressed while problem solving this conundrum. WAC 246-924-357 also addresses the steps that the psychologist may need to make when terminating and referring services with this client. It is important to address Standard 3.04, Avoiding Harm. “Psychologists take reasonable steps to avoid harming their clients/patients, students, supervisees, research participants, organizational clients and others with whom they work, and to minimize harm where it is foreseeable and unavoidable” (APA, 2002). In this case study, the client has an executive role in the organization, which the client notes that he can overlook the psychologist contract obligation by working with this client, outside of the organization. This comment can lead to a slippery slope, and demonstrates an initiation of a multiple relationship. It also prevents the clinician from holding true objectivity, which if the psychologist continues to work with this client, could lead to an exploitative relationship.

Healthcare encompasses ethical issues related to business in addition to ethics concerning patient care. Physicians, hospitals, clinics, and other healthcare entities are subject to the potential for fraud and abuse. There are complex regulations and laws associated with Medicare and Medicaid, The Health Insurance Portability and Accountability Act (HIPAA), and The Patient Protection and Affordable Care Act (ACA) and are in place to prevent and/or address the unethical issues of fraud and abuse (Krause, 2013).

Ethical dilemmas can occur when professional duties and obligations clash. Counsellors may then find that they have to breach one ethical principle in order to implement another and that they can be a matter of perspective as different counsellors may value principles differently. An example of such competing obligations would be a client who was very upset but breaching their time limit. Here the counsellor would have to decide which ethical principle takes precedence. A clear example of a breach of ethics is to have a sexual relationship with a client.

Genetic research is imperative to the field of healthcare. Genetic research enables healthcare providers to have a better understanding of many genetic diseases and the components of those diseases. This research aids in early detection, prevention, treatments, and sometimes cures. Without the use of genetic research, healthcare would be at a standstill. Genetic and genome healthcare is a powerful tool. As with anything powerful, it often puts the people involved with it into delicate situations. Nurses are on the frontline of patient care, collecting personal and family history, as well as consents for treatments and testing. With this responsibility, nurses can often be put into situation that involve ethical dilemmas. Nurses’ are supposed to advocate for their patients, as well as protect their privacy and confidentiality. When a patient put’s the nurse in a situation that could potentially affect other people, what should she do? The nurse must be familiar with genetic testing, the impact it can have on the patient and society, the ANA Code of Ethics, privacy and confidentiality, and the implications to breach confidentiality agreements.

In this case, the psychologist is presented with several ethical issues which could cause harm to the client. The first ethical issue that arose in this case is the potential for a role conflict. The psychologist and Mr. Hartwig had contact prior to the development of a therapeutic relationship when the psychologist bought a car from Mr. Hartwig. It may not be enough that the brief, informal relationship ended. The psychologist must assess the dimensions of the previous relationship from the viewpoint of the client as well as his/her own personal feelings (Koocher & Keith-Spiegel, 2008). For example, the client could feel that he gave the psychologist a good deal and that the psychologist was indebted to him. This could leave the

Giving gifts to my clients, joining them in social events, or disclosing something personal might sound unethical to many professional counsellors ( Ipsupovici & Luke , 2002). What if, the cases are giving a bookmark with encouragement to a stressful student about to sit for an open examination, unintended encounter with some clients in church services, and unintentional disclosure of my interest in dogs when my client was sharing her experience with pets? When put into context, it is usually more difficult for us to judge if a boundary crossing is unethical than by simply defining it or banning it. The above cases exemplify the unavoidable, ethical (e.g. Barnett & Yutrzenka, 1994; Borys & Pope, 1989; Herlihy & Corey,1997; Ebert, 1997; Younggren & Gottileb, 2004), or even helpful (Lazarus & Zur, 2002) nonsexual boundary crossing and