Tell My Wife Case

One of the most agonizing decisions a medical professional can make comes when viable internal organs become available for transplant, because the current system of transplant lists often necessitates a time-sensitive evaluation of several candidates to determine who should receive the desperately needed operation. The ethical dilemma presented by the activity You Decide, in which three individuals coming from vastly different circumstances are eligible to receive a heart transplant, represents an all too common situation within the medical profession, and despite the intense emotional stakes involved, the most effective and efficient decision making process is one based on careful consideration of the ethical ramifications involved. Due to the enormous pressure involved in the transplantation of vital organs, a process which must be undertaken with immediacy, medical professionals often rely on the predetermined structural boundaries of respected philosophical tenets. The utilitarian ethical philosophy advanced by the work of Jeremy Bentham and John Stuart Mill, each of whom argued that deciding the most morally acceptable course of action required the clinical application of logical reasoning, is epitomized by Bentham's famous axiom that "it is the greatest happiness of the greatest number that is the measure of right and wrong" (1776). By applying the fundamental precepts of Bentham and Mill's concept of utilitarianism to this morally sensitive medical dilemma, it is

Another strong ethical issue was the huge confidentiality issues that involves Susan and Savannah’s family. Susan reveals information about Savannah’s sessions while she was still in a medically induced coma, so clearly there was not permission to do so from Savannah or from a legal stance. The Code of Ethics prohibits this kind of behavior and as a social worker is not acceptable.

is 8 year old Caucasian male who has a younger brother. He was taken from his biological parents who was on drugs thus client B. suffers from intense abuse and neglect. He and his brother was left with his father’s mother who had a schizophrenic diagnosis years of neglect and abuse. He had been to five foster homes over a 5 years period and to each he was abused physically, emotionally, mentally and sexually. Client B. has no friends and during the time in the foster homes, his biological mother would only call to say she is trying to getting him back. Client B. is now adopted by a new parents and is now living in a caring environment but he is still struggling with mistrust issues, hurts, and low-self-esteem and anger issues. His adoption parents is very concern and want to see him become less distressed and open to the care and love that they are sharing. Client B. has developed some medical issues which was of concern to the medical provider was called in children services to check in on

While working with vulnerable groups of individuals in health and social care settings there are times when care workers are faced with a conflict of interests. Very often ethical dilemmas will not have the right answer and will depend upon a number of considerations. When the care worker is faced with a dilemma and will be expected to make a decision. Before making a decision, the care worker must consider their risks to the individual and any other people, the policies of the organisation and if they have all the facts of the case.

One of the areas that is currently affecting the United States is the ethical issue of organ transplant allocation. Since the first single lung transplant in 1983 and then the first double lung transplant in 1986 there have been thousands of people who have lived because of the surgery. One must examine, evaluate, and apply the four ethical principles to Organ transplant allocation to look at the ethical issues involved. Once must look at the fact that not every patient who would benefit from a transplant will receive one in time

Due to the increase in medical technology over the years, medical advancements, such as organ transplants, have grown in commonality. This has increased the number of patient who needs such care. The problem with organ transplants arises from the debate on the ethical way to distribute organs and how to combat the issue of a lack of organ donors. An ethical approach to solving these issues is to develop a system of equal access that relies on maximizing benefits as well as respecting the rights of personal property through better patient-physician conversations when trying to increase organ donors.

This paper will look at the principles of confidentiality, ethical theories, and a presented case study on the Z family and the practitioners’ ethical decisions. It will provide a better understanding of how moral and ethical situations can be approached by the practitioner, and giving examples and theories that can be put into practice in difficult decisions.

Firstly, by looking at the first patient, whether she gets a kidney from her father or a “cadaver kidney” , there will be no difference because she needs a kidney nonetheless. The second patient however, cannot agree to give his kidney away because one of the main reasons is that he’s scared and lacks “the courage to make this donation”9. So right at this point, it can be seen that it would be better if the father didn’t give his kidney away because it wouldn’t cause him any happiness, whereas the daughter has two options to gIn everyday life, whether on a personal base or on a professional base, difficult scenarios, or also known as moral dilemmas, are present. Depending on whom the person is or what their belief and value systems are,

“An ethical dilemma exists when a choice has to be made in which the consequences may have a potential positive or negative outcome.”("Topic 4: Contemporary Ethical Dilemmas (How do managers evaluate beginning-of-life dilemmas?). ", n.d.) The given scenario presents a patient named Jamilah Shah, who is of Turkish descent, 90 years old and collapsed at the side of her bed in the extended care facility in which she resides. The patient suffers from Chronic Pulmonary disease and diabetes mellitus. The patient was rushed to the ER were the EKG and lab tests revealed she suffered a heart attack and she was started on anticoagulants. The patient has no advance directives and a communication barrier exists, the ER department contacts the emergency contact, one of the patient 's sons Bashir. The patient 's family arrives at the hospital and her son states that he makes the decisions and the wants a do not resuscitate order for his mother and no medical intervention other than comfort care. The social worker handling Jamilahs case is concerned by her family 's lack of support and that the family 's wishes are at odds with the patient 's request for help and her expressed desire to live. Furthermore if the patient does not receive a cardiac catheterization or is considered for a coronary bypass, she will surely die.

Available became controversial. While the question of the dialysis machine is still controversial, the health system was caught in another ethical dilemma regarding organ transplantation. Organ transplantation is closely linked to the issue of cleanliness because patients with kidney failure can get an organ transplant as an alternative to hemodialysis. The issue is complicated by the fact Medicare is financed by organ transplant, and there are those who believe that the distribution of rare transplant is not right. There are thousands of terminal patients whose lives can be saved by organ transplantation, but there are no formulas of work that can be used to determine which of the thousands of patients will be given priority. It is left to the discretion of medical officers to decide who is worth saving. The ability to keep someone alive by replacing one or more of their major organs is a splendid achievement of medicine of the 20th century.

I think that the worker was too personal with the client where she was not able to hold her feelings from coming out in front of the client. She was not able to set boundaries in this case by being too attached to the client. As a social worker, she needs to learn how to set clear professional boundaries so that both the client’s and social worker’s feelings do not get in the way of the treatment. I think

Within healthcare, practitioners often have to make difficult decisions regarding the care of their patients. This could be to do with giving or withdrawing treatment, or as simple as sharing risk information (Glover, 1997). Ultimately, the practitioner must be able to rationalise any decision they have made (Morrison, 2009). With this in mind, the following assignment will draw upon an ethical dilemma and explore how theoretical perspectives can be utilised within the decision making process. Therefore it will also be pertinent to draw upon the law, and how this influences actions within health care. To facilitate this discussion, I will identify a scenario from practice that

As a result I use persuasion and a plea to the conscience of the husband to understand why it would be morally wrong to keep this information away from the wife. If the client still insist on not disclosing this information, then I need to decide either to keep my own part of the patients’ bill of rights on doing what is right. I don’t give up rather use all necessary means of saving the other members of the family until we get them to disclose to their wives so we can manage them

By withholding information from the client in respecting the wishes of Michael’s family by keeping the truth from the patient was posed by his family members. As a social worker, the primary mission is to “enhance human well-being and help meet the basic human needs of all people, with attention to the needs and empowerment of individuals who are vulnerable, oppressed, and living in poverty” (Code of Ethics of the National Association of

The second ethical issue occurred when the psychologist disclosed information about Mr. Hartwig’s to his psychiatrist without Mr. Hartwig’s consent. The psychologist motivations for contacting Mr. Hartwig’s psychiatrist appears to be ethical. He was attempting to establish a collaborative relationship with the psychiatrist in order to maximize the effectiveness of each for of treatment in order to best serve the client (APA, 2002). However, The APA guidelines on stipulate that while psychologist should attempt to establish a collaborative relationship they must request release from the client before disclosing confidential information (APA, 2002). The client shared the name of his psychiatrist, but there was no evidence that the client consented to an exchange of information between the two professionals. In addition to the psychologists’ obligation to obtain consent to disclose information to the psychiatrist; he was also ethically obligated to ensure that the client understands what he/she is giving consent for. Koocher and Keith-Spiegel, suggest elements that a release-of-information form should include; who the information is to be released to, and any limitations on the information to be released (2008). If the client consented to disclosure with the