Reba is experiencing an ethical dilemma. Her 82-year-old father has recently had a stroke and is ready for discharge. She doesn’t know what actions she should take to provide the best care for her father. Her dilemmas are competing and have no satisfactory solution. Reba’s cultural and ethical beliefs are different than those of her husband. Reba thinks it is her duty to care for her father because he cared for her. Her husband thinks there is no way she will be able to take on so many responsibilities with the one she already has. She also has a dilemma concerning the appropriateness of her house and her ability to care for her father. Reba would have to remodel her house to put a bathroom downstairs and to make it assessable for her father. …show more content…
She would also have to quit her job or hire home care, but her young children depend on her income because her husband’s job is seasonal. The two dilemmas interfere with both her beliefs and her family’s wellbeing. Reba’s father is 82 years old and had a stroke recently. He is incapacitated and requires total care. He is confused and has some short term memory loss but is not combative and generally cooperates. The physician requests her father goes to a nursing home, but Reba thinks it is her duty to care for her father. Her husband disagrees and thinks it is too much to take on. Her house would have to be remodeled and her family would have to change their lifestyle if she had to quit her job to care for him. There are many conflicts in this case. The physician recommends Reba’s father be placed in a nursing home. Reba thinks she should take her father home to care for him there. She would have to remodel her home and possibly quit her job to do so. Her husband disagrees and will be aggregated with her if she brings him home. Reba’s family depends on her income and does not have the room or the time to care for her father properly. Reba’s beliefs are unrealistic because there are multiple conflicts. Nonmenlefaence is a dilemma because Reba might not always be able to prevent and avoid harm to her father because she a lot on her plate. Beneficence is a dilemma because the physician recommends a nursing home, but the daughters beliefs goes against his request. Fidelity would be a struggle for Reba is she takes her father home because she has a lot on her plate and would not be able to faithfully commit to everything that is on her plate. Reba has to determine what action to take.
Should she take her father home and go against her husband’s wishes? If doing so she will start a fight with him. She would have to quit her job and remodel her house. This will also put a strain on her family’s financial status. They would have to change their way of living. She could go against her beliefs and put her father in a nursing home. Her life would not change very much and it would make her husband happy.
Weighing the situation outcomes, it would be best of Reba put her father in a nursing home. It goes against her beliefs, but it saves a lot of time and commitment she is not capable of taking on. She would not have to remodel her home, quit her job, or go against her husband’s wishes. It would allow her father to receive the proper he deserves. She could visit as often as she wanted and would not have to stress about her capability to take care of him. After all, it is also what the physician recommended.
Although putting her father in a nursing home goes against her beliefs, it would be the best discussion of her to make. Both her family and her father would best benefit from this decision. She would know he is being taken care of the way he deserves and she would still be able to give her family the attention they deserve as well. Going against her beliefs is the only down side to this decision. Professional can try to influence the best decision but, ultimately it is up to
Reba.
This ethical scenario presents an 86 year old female with numerous health issues and chronic illnesses. Mrs. Boswell’s advancing Alzheimer’s disease makes it extremely difficult to initiate dialysis, leading her physician to conclude a poor quality of life. The ethical dilemma portrayed in this case is between non-maleficence and autonomy. Health care workers should focus on promoting the patient’s overall wellbeing and weigh the benefits and risks of the course of action, while also considering what the family declares they want done. Since the patient is deemed unable to make decisions, the goal is to collaborate with family, assess patient quality of life, address prognosis, and establish realistic care goals.
By looking further into this dilemma using various ethical standpoints allows for a broad understanding of principles and complexity in a specific situation with these paradigms. The focuses are three prominent ethical paradigms such as: teleological utilitarianism, deontological duty theories and virtue based ethics. Each of these three paradigms will be applied to the aforementioned dilemma, each will be evaluated and the best option will be revealed.
Thank you for contacting the Ethics Committee regarding Mrs. Mitsue Takahashi’s healthcare plans. As you are aware, 83 year old Mrs. Takahashi was recently admitted to the hospital immediately following a stroke. Through looking at her past medical history and running various tests, it was apparent that she suffers from several serious medical complications. Notably, she suffers from dementia which makes it impossible for her to make autonomous decisions concerning her healthcare. Despite poor prognoses from neurology, cardiology, and psychiatry consultations, the patient’s two grandchildren disagree over the next step in their grandmother’s healthcare. You have recommended to the family to have a DNR order written, withhold aggressive cardiac
In this paper we will be look at the book called “Lying on the Couch”. I will be going over what I saw as the biggest ethical issues that I read about in this book, I will also go over my thoughts on this book and the ethical problems that I saw for Dr. Lash, Carol and Marshal Streider. I will explain my personal opinion regarding self-care and my reasoning as to why it is so important to maintaining clear boundaries.
a dilemma is taking place due to its content. Based on moral obligations, the action to coming to
Virginia Held brings up many criticisms of traditional ethical theories in her essay. The ethics of care can be considered as a suitable substitution for other widely accepted ethical theories such as Kantian ethics. The ethics of care recognizes the importance of interpersonal relationships, especially those within the family unit. All people need care at some point during their life, be it at birth or old age. Caring for people that can not provide sufficient care for themselves is a fundamental part of a moral society. Ethical theories based on the importance of a rational and independent individual excludes the importance of interpersonal reliance.
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, the issue can be ‘resolved’. In this particular case, questions arise about whether it is morally right to lie to family members when something can be done, ignoring the fact of its after effects. The case will be explained in details later on including the patient’s state, but to answer this ethical question, two theorists will be presented for the con and pro side. For the con side, the deontologist Immanuel Kant will be presented with his theory that lying is prohibited under all circumstances, as for the pro side, John Stuart Mill will be presented for the utilitarian theory stating that whichever decision brings out the most happiness is the right decision. After discussing the case, my personal view of what is right will be stated with my own reasons, which is that lying is the right decision to be taken.
This case comes down to: Does the written living will or the proxy named in the living will have the louder voice in end-of-life care discussions? In this case, the voice of the proxy won. In the best cases, such decisions should be made together at the time of the creation of the living will with both the patient and the proxy. If this occurred, the son would be more on the same page with the concerns for his mother’s end of life care. Another way of solving the issue of the possibility of the woman’s life changing over the past seven years, would be having a way for the woman to acknowledge that thoughts are still the same by updating/resigning the living will
...overtaken her body and the family know how much care Deana will need. By placing Deana in a nursing home where she can get the care she needed, I could only imagine that the decisions from the family were very challenging. Caring for Deana probably was a lot on some or most of the family member. So being honest about the care she needed, the decision made about placement in the nursing home was the best decision they made and in her best interest.
al., 2010, p. 103-104). In medicine, beneficence is the foundation of every encounter a clinician has with their patient, they are there to help alleviate symptoms and diseases in order to do good for them. In the case of Ms. R, respecting her decision to live alone will violate this premise of beneficence and go against all the medical advice she has been given. However, like with all decisions in medicine, a patient is presented with options and if the patient is mentally capable of making their own healthcare decisions, their decision should be respected no matter what it is. Nonetheless, just because Ms. R made a decision to live alone and accepts her potential risks, doesn’t mean that her daughter along with the medical team should let her put herself in harm 's way. There are other means of beneficence and nonmaleficence in this case that can be achieved while still respecting Ms. R’s autonomy. Firstly, Ms. R’s daughter can move in with her and be by her side everyday, or if she cannot move in, she can come visit her mom on the days the home health aid is not scheduled, that way someone will be always there to monitor her. Additionally, due to Ms. R’s increased risk of falling along with her other medical risks, the social working can help arrange for Ms. R to receive a
Dialysis is a pretty expensive procedure and is required to be done regularly. The patients have to follow a strict schedule. Some patients that have to undergo regular dialysis are already very old and most of their other body parts are also not properly working. For example consider a situation in which a patient is in comma and is not responding , and patient is going through regular dialysis cycles, questions may arise that should the patient be given the treatment of dialysis. Not only it is putting burden on the resources and equipment of the hospital but it is also a financial burden on the person and the family of the patient. The dialysis machine could be used for another patient who is young has a lot of responsibilities like supporting the family needs etc, also the money that is spent on the procedure of dialysis for the comma patient that might have been used for someone’s help in the family. This is where we see the ethical dilemma. These are very di...
With the aging population growing faster every year many families must make a difficult decision whether their loved ones should live in assisted living or nursing home facilities. I can relate because I made the decision to care for my mother at my home. Some people do not have the money or resources to care for their parent so they must live in a facility for health and safety reasons.
In this assignment we will be identifying an ethical dilemma an individual has experienced. We will begin with a short introduction of what an ethical dilemma is, moving on to providing brief details of the dilemma an individual has experienced. We will then go on to selecting one ethical theory, to show how it can help an individual understand and deal with the situation when placed within, followed by a conclusion.
Make sure the family understands the importance of open dialogue between family members. This will help with unresolved feelings.
Limited mobility is a factor that creates a situation where people once social butterflies become home bound, creating a need for increased care (Berger, 2014). As age increases, more support may be needed creating a situation where a nurse would need to support my aunt in the care for my grandmother. Respite care and/or some form of assisted living may be on the horizon; however, as of right now my grandmother is in her home where she wants to be with the ability to stay for the unforseen