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Choose one of the case studies
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Assessment 03 – Applying Ethical Principles
For this assessment, you will develop a solution to a specific ethical dilemma faced by a health
care professional. Before you complete the instructions detailed in the courseroom, first select
one of the ethical dilemmas below to be the focus of your assessment.
After you have selected one of the ethical dilemmas from below, return to the detailed
instructions in the courseroom to complete your assessment.
Case Study: End-of-Life Care for a Minor
Timothy Collins, a vibrant 16-year-old high school junior known for his passion for music and
soccer, has been battling an aggressive form of leukemia for two years. Despite the initial hope
and a brief period of remission, recent tests have shown that the leukemia cells have multiplied
aggressively. The prognosis is grim.
After enduring multiple rounds of chemotherapy, bone marrow transplants, and countless
hospital stays, Timothy, weary from the side effects and the emotional toll of the disease,
expresses a wish to his primary oncologist, Dr. Angela Foster, to discontinue his treatments. He
has been researching and wishes to enter hospice care, hoping to spend his remaining time in
the comfort of his home, surrounded by his loved ones.
His parents, Mr. Robert Collins, a bank manager, and Mrs. Lydia Collins, a schoolteacher, are
devastated by Timothy’s decision. They have been tirelessly researching and believe that a new
experimental treatment overseas might offer a glimmer of hope. They cannot fathom giving up
and want to explore every possible avenue to save their only child.
Dr. Angela Foster, a seasoned oncologist with over 20 years of experience, finds herself in one
of the most challenging situations of her career. She deeply respects Timothy’s maturity and his
right to have a say in his care. However, she also understands the desperation and pain of the
Collins family. The principles of beneficence and autonomy are at odds in this situation. While
she wants to act in the best interest of Timothy, she also recognizes the rights of the parents
and their wishes for their minor son.
Case Study: Medical Data Privacy
Nurse Diana Mitchell, a dedicated professional with over a decade of experience at City Health
Hospital, prides herself on her commitment to patient privacy. One evening, while assisting Dr.
Roberts with patient record updates, she inadvertently stumbles upon medical records of her
neighbor, Samuel Gray. The records reveal that Samuel has been receiving treatment for HIV
for the past two years.
The discovery leaves Diana in shock, not just because of the diagnosis, but because
her
younger sister, Emma, recently mentioned that she had started dating Samuel. Diana is
very
concern for her sister’s well-being.
Diana is torn. The principle of confidentiality is a cornerstone of medical ethics, and she
knows
the legal and professional implications of breaching it. However, the personal stakes are
high.
She fears for her sister’s health and feels a moral obligation to inform her. Diana
grapples with
the weight of her professional responsibility against her protective instincts as an older
sister.
Note: The requirements outlined below correspond to the grading criteria in the scoring
guide. At a minimum, be sure to address each point. In addition, you are encouraged to
review the performance-level descriptions for each criterion to see how your work will be
assessed.
For this assessment, develop a solution to a specific ethical dilemma faced by a health
care professional. In your assessment:
1. Select one of the case studies presented in the Assessment 03 Supplement:
Applying Ethical Principles [PDF] Download Assessment 03 Supplement: Applying
Ethical Principles [PDF]resource.
o Note: The case study may not supply all of the information you need. In such
cases, you should consider a variety of possibilities and infer potential
conclusions. However, please be sure to identify any assumptions or
speculations you make.
2. Summarize the facts in the selected case study and use the three components of an
ethical decision-making model to analyze an ethical problem or issue and the factors
that contributed to it.
o Identify which case study you selected and briefly summarize the facts
surrounding it. Identify the problem or issue that presents an ethical dilemma or
challenge and describe that dilemma or challenge.
o Identify who is involved or affected by the ethical problem or issue.
o Access the Ethical Decision-Making Model media piece and use the three
components of the ethical decision-making model (moral awareness, moral
judgment, and ethical behavior) to analyze the ethical issues.
▪ Apply the three components outlined in the Ethical Decision-Making Model
media.
o Analyze the factors that contributed to the ethical problem or issue identified in
the case study.
▪ Describe the factors that contributed to the problem or issue and explain how
they contributed.
3. Apply academic peer-reviewed journal articles relevant to an ethical problem or
issue as evidence to support an analysis of the case.
o In addition to the readings provided, use the Capella library to locate at least one
academic peer-reviewed journal article relevant to the problem or issue that you
can use to support your analysis of the situation. The NHS-FPX4000: Developing
a Health Care Perspective Library Guide will help you locate appropriate
references. You will select at least one current scholarly or academic peerreviewed journal articles published during the past 3–5 years that relate to your
topic.
▪ Cite and apply key principles from the journal article as evidence to support
your critical thinking and analysis of the ethical problem or issue.
▪ Review the Think Critically About Source Quality resource.
▪ Assess the credibility of the information source.
▪ Assess the relevance of the information source.
4. Discuss the effectiveness of the communication approaches present in a case study.
o Describe how the health care professional in the case study communicated with
others.
o Assess instances where the professional communicated effectively or
ineffectively.
o Explain which communication approaches should be used and which ones
should be avoided.
o Describe the consequences of using effective and non-effective communication
approaches.
5. Discuss the effectiveness of the approach used by a professional to deal with
problems or issues involving ethical practice in a case study.
o Describe the actions taken in response to the ethical dilemma or issue presented
in the case study.
o Summarize how well the professional managed professional responsibilities and
priorities to resolve the problem or issue in the case.
o Discuss the key lessons this case provides for health care professionals.
6. Apply ethical principles to a possible solution to an ethical problem or issue
described in a case study.
o Describe the proposed solution.
o Discuss how the approach makes this professional more effective or less
effective in building relationships across disciplines within his or her organization.
o Discuss how likely it is the proposed solution will foster professional
collaboration.
7. Write clearly and logically, with correct use of spelling, grammar, punctuation, and
mechanics.
o Apply the principles of effective composition.
o Determine the proper application of the rules of grammar and mechanics.
8. Write using APA style for in-text citations, quotes, and references.
o Determine the proper application of APA formatting requirements and scholarly
writing standards.
o Integrate information from outside sources into academic writing by appropriately
quoting, paraphrasing, and summarizing, following APA style.
Ethical decision-making at an individual level and one’s ethical behavior can
be viewed in three primary steps using an ethical decision-making model.
First is one’s moral awareness, recognizing the existence of an ethical
dilemma. This is the pathway to establishing the need for an ethical decision.
This awareness is an individual sensitivity to one’s values and personal
morals.
Once a personal awareness is evident, we can make a judgment in deciding
what is right or wrong. This sounds simple, yet there are a number of
variables driving this personal judgment. One variable is the individual
differences and cognitive bias we all have based on our personal history and
experiences. A second variable is the organization. This variable may be
influenced from a group, organizational or cultural perspective. A code of
conduct or standards of behavior may also influence our judgment.
This model, operating in a dynamic fashion, leads us to our ethical behavior;
taking action to do the right thing. Is the right thing the same decision for
everyone? Obviously not. We are all influenced my multiple factors in our
decision-making.
This decision-making model can help us understand the pathway to our
ethical decisions.
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