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The case concerns a 14 year old adolescent girl I have been counselling for the past three months. Her home background has been unstable due to a conflictual family life. Her situation has been exacerbated by her poor nutritional health. She complained of severe depression and shared her intent to end her life. She sought advice from me in terms of the means to execute her wish to terminate her life. This was communicated in confidence and I was specifically asked not to divulge this information as she felt ashamed that she was not coping with her life.…
Example scenario: A woman referred to counselling for issues about a past relationship and divorce presents to the clinic. On intake, the woman reports the following concerns of (a) history of emotional abuse, and (b) depression & anxiety. In addition, reports the ex-husband's history of substance abuse, noting that the behaviour was unpredictable, and is one of the main reasons for seeking help. Upon reading this information, the counsellor's thoughts are of a potential problem with informed consent. She believes this dilemma may compromise her ethical principles to gain informed consent. Although aware that past trauma may upset the client, she believes the risks could cause harm to the client. Therefore, she avoids discussing potential negative…
The following counseling center description is a fictitious organization which has been modeled as if I were the director. The organization description provides for a mission statement and values statement which blueprints the ethical development of the organization. I have further modeled this organization on psychological and behavioral theories in the hope to avoid moral implications that may be inherent to organizations that utilize other therapeutic models. In specific, I have rejected the use of Christian based counseling services as their theological…
The Onslow County Department of Social Services primary responsibility is to address child abuse, neglect and dependency. The Child Protection Services Division provides intake, investigation, assessment, and in-home services when needed. The division has a commitment to deliver family-centered services to children and families in Onslow County. When social workers are providing these services they may be faced with ethical dilemmas. An ethical dilemma, according to the Oxford English Dictionary, is “a situation in which a difficult choice has to be made between two courses of actions, either of which entails transgressing a moral principle.” Social workers working for the Onslow County Department of Social Services have a duty to follow agency policies while still abiding by the NASW Code of Ethics. Being able to respond to ethical dilemmas while working as a social worker is crucial. The intent of this paper is to discuss an ethical dilemma that arose during field placement at the Onslow County Department of Social Services.…
Ilene, many of the ethical dilemmas faced by nurses could be eliminated if people would take the time to let their family know what interventions they would want in situations like this. End-of-life planning and advanced care directives will increase the quality of life of a dying patient, ease the ethical decisions having to be made by family members, and will ensure that personal wishes will be abided by (Eggertson, 2013, p. E617). Many people talk about what they do and do not want but never write them down. This leaves the family, doctors, and other health care members second-guessing the wishes of the patient whenever they are too ill or sick to make decisions themselves. If your patient had made these decisions earlier and made it…
There is a difference between being nice and involved in a patient’s life and healthcare and being with that patient and making irrational choices for the patient because of that relationship clouding up judgement. A lot of doctors say that a relationship with a patient is unethical and unprofessional. According to a survey done by Medscape in 2012 asking 24,000 doctors, “is it ever acceptable to become involved in a romantic or sexual relationship with a patient?” 1% say that “yes” “even if it’s with a current patient”, 22% say “yes, 6 months after they stopped being a patient” and 68% say “no”. There is the last 9% that say that it depends on the situation (Physicians Top Ethical Dilemmas), which is the grey area that everyone questions.…
Nathanson, Pamela G., 2000. Bioethics on NBC’s ER: Betraying Trust or Providing Good Care? When is it okay to break confidentiality? Journal. Bioethics.net.…
Generally, the purpose of the ethics committee in health care is to deliberate and rectify complicated and unusual matters involving issues that affect the care, and treatment of patients within the health care institution (Morrison, 2014). Members of the ethics committee should be chosen on the elements of their concern for the welfare of the sick and interest matters, and their reputation in the community and among their peers for integrity and mature judgment. Ideally, the purpose of the ethics committee should be curbed solely to ethical matters. In addition, the ethical committee’s communications and deliberations should comply with institutional and ethical policies for protecting the privacy of patient’s information (Greenwood, 2015)…
The significance of the profession ethic of nursing care in North America in the early 1900s was recognized as a nurse leader. Overall, the emphasis appeals on ethics about the nature of nurse’ day-to-day commitments to others including issues such as the vulnerability of ethics, respect and dignity (Doane 2009). Some ethics, for example dealing with patients with their proper titles or names, which may be related to manners and courtesy, however, this kind of behavior is more properly understood as a etiquette, that is relevant rules of behavior and social norm (Holt, 2012). In giving nursing care, nurse involved in relationship with the patients and their families, and, in general, it is involved in the more continuous interaction with them…
It is not unusual for nurses to face at least one ethical dilemma per shift. Some of the hardest ethical dilemmas that a nurse will face during their nursing career are situations that go against the personal values of the nurse. The following essay will discuss such a dilemma and how the nurse uses a decision-making model to assist in resolving the ethical dilemma.…
Communication is a very important aspect of health and social care. There are four very important things that need to be taken into consideration to make sure communication with anyone is successful. The four key aspects are to prevent misunderstanding, meet individual needs, build a relationship, and developing self-esteem.…
I am interested in this type of work because I want to help people. Some people have many thing going on with their lives, but they have nobody to talk to. I wish I could be at somebody that people can talk to if they have any problem.…
The ethical dilemma in this scenario is whether to risk Dr. John’s and Joseph’s life, also Margaret’s in an attempt to save more people, with no guarantees that they’ll be able to save any at all and safely come back to the roof. Margaret, the RN, already made up her mind as she disappeared down the stairs with Joseph expressing his reluctance.…
Within this report there will be a small investigation into current concerns the public and other health care professionals have in regards to service users being abused and how this has affected service provision and methods of working.…
Illegal immigrants or noncitizens are sometimes portrayed as free loaders using public services without contributing financially to public funding through taxes. Some argue that illegal immigrants hold no claim to public health benefits because if they don’t have a right to be in the county legally, then they have no right to accept the benefits of being a citizen of that county. Other humanists argue that access to public health care is a basic right of humans and should be made available to all, not just legal citizens. Neither of these views is sufficient to hand the every growing health care crisis. The existence of this class raises an important and difficult ethical question: Do we as a society have…