Case Study 2: Suicide or Well-Reasoned End-of –Life Decision?
In the case of Jason, the 38 year old gay man with AIDS who is considering a rational suicide, there are several ethical and legal issues that the counselor has to consider in order to effectively continue to treat the client. Jason has disclosed to his counselor that he was considering to stop taking his medications which will ultimately end his life. Upon receiving this information from the client , the counselor has to now consider if he or she has any personal, moral issues, or spiritual belief system about the end -of -life decisions that might conflict with what the client has decided. The counselor should consult with a
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This will ensure his autonomy in the matter and ultimately in his end of life decision. Jason has been estranged from his family for over a decade and his only social support are the people at he HIV support group. The counselor can try to explore with Jason the possibility of trying to reconnecting with his family. If he is receptive to the idea, she can probably, with his consent, assist him in getting in touch with them. Hopefully, they will be as receptive and want to reconcile. The counselor does not want to do any thing will further depress and stress the client and will must honor the client’s wishes. The issue of confidentially may factor in here. If the terminally ill client decides to hasten his or her death, the counselor has an option to either adhere or to break confidentiality depending on the situation and the law of the state in which he or she is practicing in. ( Standard A.9.c ) In this particular situation, if the counselor feels that Jason would probably benefit from consulting with his physician and she consults with her supervisor she will be with the code of ethics to do so. In the state of Florida, according to the Florida Mental Health Law manual, the counselor has to try to assess the probability that his or her client will commit suicide and decide how to act . (p.177). The important thing here the counselor’s documentation of actions in case there are any liability suit filed against
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.
4. The physician must fully understand the patient’s struggles and should have established “a meaningful relationship” with the patient (Dixon). Also, alternative treatments should be provided by the doctor anytime during assisted suicide if the patient changes his/her mind.
In today's society, one of the most controversial issues is physician-assisted suicide for the terminally ill. Many people feel that it is wrong for people, regardless of their health condition, to ask their health care provider to end their life; while others feel it is their right to be able to choose how and when they die. When a physician is asked to help a patient into death, they have many responsibilities that come along with that single question. Among those responsibilities are: providing valid information as to the terminal illness the patient is suffering, educating the patient as to what their final options may be, making the decision of whether or not to help the patient into death, and also if they do decide to help,
Counselors need to be guided by the ethical standards set forth by the American Counseling Association’s Code of Ethics. These standards define ethical conduct in the counseling profession, and provide guidance for maintaining professionalism in any situation. I have become familiar with many of the sections included in the ACA Code of Ethics from the research and assignments completed in this class. Garnering an awareness of the ACA Code of Ethics as it pertains to informed consent, confidentiality, professional responsibility, and resolving ethical issues, has given me confidence to discuss and evaluate the legal issues and ethical obligations associated with this profession. The section regarding professional responsibility of this document resonated with me the most, and elicited a feeling of confidence about counseling ethics and law, that was not present before this class. Professional responsibility sets the tone for everything else we do. As counselors, we must be guided by professionalism and high standards. Standard C.1 of the ACA Code of Ethics (2014) states that counselors have a responsibility to read, understand, and follow the ACA Code of Ethics, and abide by all applicable laws and regulations. While there are a plethora of legal and ethical issues that may arise for professional counselors throughout their careers, I feel that this class has given me a broad overview of how to be proactive and use appropriate decision-making tools to work
By using this article, it will provide reasons why a patient seeks assisted suicide when facing a terminal diagnosis, with 6 months or less to live. It offers the physician perspective on assisting terminal patients at the end of their life span. An explanation of the Death with Dignity Act provides an example of legislature in the United States addressing this controversial subject.
Since all diseases are not curable, a lot of people are living in severe pain that is unbearable. Assisted suicide, also known as mercy killing, is the act of bringing the death of a hopelessly ill and suffering person in a relatively quick and painless way. Indeed, it is one of the effective solutions for people who are suffering in pain from terminal illness and especially for children who are not able to choose for their own lives. Even though assisted suicide is not legalized globally, there are few countries and six states in America including Washington State that allow such action. Many people are still against an assisted suicide system. However, since America is the country of freedom, people should have choices
There are several ethical dilemmas that the mental health professionals that are working as a team will face including “ensuring that the client has given informed consent, maintaining client confidentiality, and involving professionals, paraprofessionals, and family in appropriate coordinated processes that benefit the client” (Paproski & Haverkamp, 2000, p.96).
Physician-assisted suicide is arguably one of the most controversial issues of the twenty-first century. Anyone can kill themselves, but what happens when one is not capable of physically doing so and at the same exact time is also terminally ill. When is it okay for a physician to use their medical expertise, and oblige with a incurably patient; to agree that one’s life is worth ending. Where is the line drawn? Legally, physician-assisted suicide is a criminal offense; you are after all killing another human. Morally, is it okay to watch someone die in agonizing pain and stand-by because God told us all too. This essay will explore and analyze the legal aspect of physician-assisted suicide, what does the law say. As well as, the moral implications of physician-assisted suicide, it is ever okay, and the consequences it will have on our society.
Physicians assisting in suicide deaths are not productive in this area because some not trained in this field of expertise. Moll assert, doctors, are of little help. They have no training in how to discuss end-of-life issues with families and patients, so they avoid the conversation and call on other staff trained in this area. (88) Moll also points out, "people wants to be cared for, even if they do not want every possible procedure performed on them." (88) The best thing for people to do is discuss their end-of-life arrangements before major decision making is needed so the doctors, hospital staff and family members would not have to deal with the stress of this situation.
The healthcare system is complex with nearly every decision made posing an ethical dilemma for patients, providers, and healthcare leaders. With an influx of new medical knowledge from evidence based practices and new technologies more decisions are being made available to patients and families. Terminally ill patients for instance are faced with numerous options when it comes to treatment including whether or not they end their life by terminating treatment altogether or seek controversial options such as Physician’s Assisted Suicide. The topic of Physician’s Assisted Suicide or (PAS) is very intricate with numerous pros and cons, moral ethics, and ways to address the issue within the healthcare practice.
(Hallock 1). This decision helps the patient to accept the dying process, knowing that it is not out
An issue in mental health counseling that affects the young and old, civilians and criminals alike is suicide. Suicidality can be considered both a legal and ethical issue in counseling depending on how the counselor handles the situations presented to him or her. The news articles I found each discuss different topics relating to suicide, but all have similar messages: not enough is being done through advocacy, education, and awareness. Legally and ethically, when one of these facets are not upheld problems can arise.
In end-of-life scenarios, where the patient may not be able to communicate their wishes, decisions must be made either by the healthcare professional(s) or family member(s). However, who gets to decide or where the line should be drawn are not always clear. Consequently, not all decisions may be ethically permissible. To illustrate, I will discuss a scenario in which physicians and family are not in agreement. Upon proving a brief summary and explaining the ethical dilemma, I will provide moral reasons for two ethically permissible choices from which, by referencing the principle of autonomy and Utilitarianism, will determine which course of action ought to be carried out.
The supervisor is ultimately liable for the welfare of the supervisee’s clients. The supervisee is expected to discuss with the supervisor the counseling process and individual concerns of each client. Inform supervisor immediately of any of the following incidents: restraint, violence to themselves or others, suicidal thoughts, breach of appropriate boundaries, violations of confidentiality and/or clients rights, any disclosure of abuse or neglect. The supervisor must be available by phone, web-camera, or in person to answer clinical questions that correspond directly to the clients’
Such a controversial topic as euthanasia and physician assisted suicide obviously brings about both proponents and opponents. When it comes to the case of a terminally ill person who is fully competent, how can one say no to his desire in having