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What Is Dilemma In Health And Social Care. Required fields are marked *. In terms of autonomy the health visitor should explain to sally when she would have to breech confidentiality. By continuing we’ll assume you’re on board with our cookie policy, The input space is limited by 250 symbols. Mental health care providers are bound by the ethical standards of their profession and by the laws that govern mental health practice in their state. Depending on what type of licensure one holds will determine what code of ethics one follows. Following the NSF (DO, 2004) and safeguarding children (DOCS, 2010) the health visitor would follow safeguarding procedures as there is a potential risk to the child, as sally does not want to be left alone with it. Johnston (2009) comments that mental illness can impair ones capacity to make decisions, she cites Brock and Buchanan (1989) stating that when such choices arise, three points should be considered. Ethical Dilemma in Nursing Essay Explore the example of a possible medical problem in the nursing essay. These points are, protecting and promoting the patients wellbeing; promoting and protecting the patients eight to, and interest in exercising self-determining choices; and protecting others who may come to harm by the patients harm-causing choices. Classic utilitarianism suggests that the outcome of a dilemma should maximize the greatest good, for the greatest amount of people Moonstone, 2009). Situations in healthcare arise where professionals have a duty of care which often can conflict with the patient’s right to autonomy (Béchamel and Childless, 2009). Then there are three stories describing everyday interactions in an acute psychiatric unit. This paper will now discuss the the principle of Beneficence. New York: Oxford. Defensive medicine is not an ethical dilemma faced by most, but it is what gives rise to court cases that call into question the necessity of a doctor’s actions. Below I will describe how mental health professionals should proceed to minimize these adverse effects. Issues and Ethics in the Helping Profession, International Edition, 8th edition, Brooks/Cole. This possible crosier may have Incapacitated Sally from making rationale decisions, as her picture of reality may be distorted (ACID-II v. 2010). Some professionals may adhere strictly to one therapeutic approach and view all others as less effective, inappropriate, or even inferior. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. In the dilemma, the health visitor would have to make a decision based on the greater good, is the decision that he/she makes, for the greater good of Sally, or for the greater good of the baby? Although a high degree of education is important, and does play a role in competence, a person with a lower level degree and many years of experience may be as competent as someone with a PhD (or even more competent) (Reiter & Runyan, 2013). Lurch et al (2010) cites Florence nightingales (1859) nursing notes, where she discusses ethical duties of confidentiality, communication, and the centrality of meeting patients’ needs, this reflects the same moral and ethical issues nursing professionals face today. Justice The principle of Justice relates to the fairness and desert of situations, it has been stated that ‘the holder of a valid claim based in justice has a right, and is due something’ (Béchamel and Childless; 2009). However, a more recent evaluation of the theory old deem it appropriate to attempt to “maximize the overall satisfaction of preferences, for the greatest number of people” by maximizing autonomy (Johnston 2009, page 64). The health visitor should explain this to Sally that t is her jobs protocol, and she is doing it for the safety of Sally, and of the baby; as disclosing the concern for sally mental Tate will safeguard both of them. Mental health practitioners working with children and families must attend to several ethical concerns that do not typically come into play with adult clients. They try to abide by the code of ethics from professional organizations like the National Association of … She continues to say that it is an important part of care as it involves both the protection of individual welfare and the promotion of the common welfare (Weaver, 2011; Béchamel and Childless 2009). As in the other example, mental health professionals should strive to be open minded and accepting of various theoretical approaches. Dignity and Worth of the Person – As the NASW Code of Ethics states, social workers seek to resolve conflicts between clients’ interests and the broader society’s interests in a socially responsible manner consistent with the values, ethical principles, and ethical standards of the profession. Introduction. American Counseling Association (2014). Autonomy means "self-rule" and involves the right of an individual to make choices that may go against a physician's treatment advice concerning treatment, or non-treatment, of an existing health … If a mental health counselor is experiencing emotional problems due to a pending divorce, chemical use relapse or severe depression, there is an ethical obligation to seek consultation. Conclusion: There are four key points from the NC (2008) code which indicates guidance which can be applied to the scenario. Ethical dilemma is defined as a complex situation involving a mental conflict occurring between the moral imperatives where obeying one would make to transgress the other. Likewise, colleagues may have different educational levels, such as BA, MA, PhD or MD, which may influence their perspective on treatment. To be incapacitated due to trauma or mental ill-health (for example) means that practitioners will Often work in your best interests (Kulak, 2005). For example, those with higher level degrees may assume superiority over those with lower level degrees (such as a PhD over a MA or a MA over a BA), even when the person with the higher level degree is not a direct supervisor of the other. Malefaction Malefaction is the principle which states; that above all else, do no harm, but also impose no risk of harm (Béchamel and Childless, 2009). 1997). Which can make the nurses ethical dilemma difficult to manage due to balancing the two valid ethical principles of autonomy (respecting and supporting decisions making) and beneficence (relieving or minimising harm in the best interest of the patient) (Hendrick 2004, Beauchamp & Childress 2009). This paper will now discuss the principles of Justice. An ethical dilemma is a conflict between alternatives, where choosing any of them will lead to a compromise of some ethical principle and lead to an ethical violation. For example, the APA code of ethics states that psychologists should attempt to cooperate with one another in order to best serve their clients. “From colleague to patient: Ethical challenges in integrated primary care.” Families, Systems, & Health, 2013, 31: 41-48. American Psychological Association ethical. Some ethical dilemmas are specific to mental health nursing and are seen rarely in other areas of practice 2.An involuntary commitment to care, or a decision made by a family member on behalf of the patient, is often made to protect the patient from harming herself or others. The solution from this perspective is to protect the child, as the health visitor’s responsibilities are favored in the child’s preferences but additionally, Sally has admitted she ought not to be left alone with the baby. It used 1st person, so it is a reflective essay. Various ethical codes often give different guidance for how to deal with ethical issues. Get Your Custom Essay on, By clicking “Write my paper”, you agree to our, Legal and Ethical Issues for Mental Health Professionals, Applying ethical principles in nursing management, https://graduateway.com/ethical-issues-in-mental-health-nursing/, Get your custom The ethical standards that guide mental health professionals in their work often conflict with the ethical principles that guide business practices, such as those employed by MCO’s. Ethical dilemmas in community mental health care is the focus of this article. Sorry, but copying text is forbidden on this website. As nurses we often deal with ethical dilemmas in our everyday clinical practice; and as professionals we have the responsibility to analyse and examine any ethical problems that may arise. Georges and Gryphon (2002) state that nurses often fail to recognize the moral elements of complex situations, and they often lack the skills to effectively resolve moral dilemmas. & Runyan, C. “The ethics of complex relationships in primary care behavioral health.” Families, Systems, & Health, 2013, 31: 20-27. Aristotle refers to justice as equal desert (Richardson-Lear, 2013; McIntyre, 1988). Counselors/psychologists should strive to take care of their own mental health and control their own personality defects, so that it does not affect their colleagues or more importantly their clients (Koocher & Keith-Spiegel, 2008). The dilemmas relating to autonomy and choice in the given scenario are; does sally have the capacity to decide that her partner is not informed; and should the health visitor breech the confidentiality of Sally, and tell her partner? ... whereby behaviour or actions of one individual could harm another in the service and this could be an individual with mental health problems who might become violent to someone. However, long term, those issues may be resolved, and the immediate risks that may be imposed upon he child, are paramount. Regardless of how counselors/psychologists view other therapeutic approaches, attacking one another on a personal level because they disagree with an approach will only foster an environment of negativity and resentment, which may ultimately negatively affect the clients being served (Kanzler, 2013). The ethical areas of discussion will be Autonomy, Beneficence, Malefaction and Justice; this paper will also look at Deontological and Consequentiality theories. The following are several common ethical dilemmas that nurses face while on the job. In practice, it is sometimes necessary for social workers to make a judgment call, and one needs to be sure they are choosing the best options to resolve issues wisely when encountering an ethical dilemma. Here are 10. It would appear, that Sally has some insight that her feelings could be considered a risk, as she has chosen to inform the health visitor of the situation, therefore making her choices autonomous (Béchamel and Childless, 2009). In addition, as a health visitor, she would have a practitioner patient relationship which she would need to maintain. Case examples are used to illustrate several distinct ethical features of mental health care in small, isolated, and otherwise "closed" communities with limited resources. The ACA code of ethics is more detailed in its guidelines, however. It should help define what we ought to do, by considering and reconsidering actions”. Munroe (2007) has argued that a conflict between mum and baby, and health visitors relationships, occur nonetheless with increased surveillance as set out in DO policies (Bibb) The NC (2008) states tattoo must respect a persons’ right to confidentiality, however, it states that also, “you must disclose information if you believe someone is in harm, in line with the law of the country tattoo are practicing in”. Indeed, tempers can flare when each respective counselor feels he/she knows what is best for his/her clients, but is unwilling to be flexible. The dilemmas are derived from a discussion of the results of a qualitative research project that took place in five countries of the European Union. Your email address will not be published. Examples of Ethical Dilemmas that Nurses Deal with on a Regular Basis •Dealing with the pro-life and pro-choice debate. Professional code of ethics offer very little guidelines on how to resolve conflict between professionals. These are used to help unravel ethical issues relating to patient autonomy. ... is responsible for himself or herself regarding how to resolve conflict and ensure that conflict does not become an ethical dilemma. ACA Code of Ethics. It is also noted however, that mental illness does not always cause people to be incapacitated; mental capacity can fluctuate, and should be tested where there is doubt, at the time of making the decision (MAC, 2005). This will be tackled using the ethical framework set out by Béchamel and Childless (2009), this framework will give the structure to the complicated argument above. Ethics in Psychology and the Mental Health Professions: Standards and Cases. Ethical principles are the framework that guides a mental health counselor’s practice. To determine this, the counselor/psychologist should consult with his or her code of ethics. Furthermore, conflicts may arise amongst colleagues who hold different types of licensure or no licensure at all. Ethical Issues in Mental Health Nursing. This discussion paper will firstly explore the theory of autonomy. Corey, G., Corey, M.S., & Callanan, P. (2011). Acting in accordance with ethical principles can often protect healthcare professionals from legal action where patient’s rights, such as autonomy have been overridden (Bingham, 2012). Likewise, it states that psychologists should maintain adequate self-care to ensure that their personal problems do not interfere with the quality of their work (APA Code of Ethics, 2012). Indeed, these differences can create conflict if one’s colleagues are not flexible or accepting of each other’s viewpoints. Mental health professionals who are unable to separate their problems or personal life from their work often contribute to an unpleasant work environment. This article explicates this ethical dilemma and explains how a social worker traversed this dilemma. "You must agree to out terms of services and privacy policy", Don't use plagiarized sources. Hard paternalism is justified in healthcare if the action will probably prevent harm, and when the risks of an action, outweigh the potential risks to a patient (Béchamel and Childless, 2009). In case you can’t find a sample example, our professional writers are ready to help you with writing As a health visitor she has a duty of care to protect both parties, however, the interests of the child comes first (RCA, 2008, DO 2004, DOCS 2010). As in any work environment, conflict with coworkers is inevitable. Another ethical dilemma encountered by mental health … This paper will now explore the principles Of malefaction. Theoretically, Sally partner may come to emotional harm if he is told before consent nuances are explored; therefore it would be advisable that he is only informed as a next of kin, when the decisions on the wider situation are available. Ethical dilemmas in community mental health care is the focus of this article. A List of Ethical Dilemmas Facing Social Work. Following the recent description of theory, the health visitor would have to assess each person’s preferences; Sally, her by, and her partner if knowing. While all of the above effect both telehealth and tele mental health, there are additional ethical challenges to consider when using tele mental health. Reiter, J. For example, in addition to encouraging cooperation and self-care, the ACA code of ethics encourages respect and acceptance of various therapeutic approaches. Personality styles that counselors/psychologists may encounter and prove troublesome include those who are rigid, overly critical, and narcissistic. The second point is “to each person according to need”. Consequential is a philosophical theory, and its ethical principle is utilitarianism. Patient autonomy is the most basic right of every individual and an example of a medical ethics dilemma. Beneficence Beneficence is the principle which works towards the greatest good of the possible outcomes, to benefit the most people (Béchamel and Childless; 2009). It is, therefore, important to determine beforehand if ethical violations have actually taken place, since making unnecessary ethical complaints is inappropriate. Ultimately, if a counselor is unable to resolve conflict through the appropriate channels, it may be appropriate for the counselor to seek employment elsewhere in order to ensure that the work environment does not begin to affect them in a negative way (such as causing them to neglect clients due to a lack of motivation caused by a poor work environment) (Koocher & Keith-Spiegel, 2008). (2008). At that point in time, it is her main concern to ensure the baby is safe. The challenges for practitioners usually involve attention to four subsets of concerns that all begin with the letter c: competence, consent … Schlemiel (2009) comments that the role of a nurse in ethical lemmas is often seen an advocate by some, Variation et al (2005) explained advocacy as assisting patients to understand treatment processes, to safeguard patients from rights violations and to show a philosophical stance to guide patients. For example, it can affect the counselor’s or psychologist’s career, mental health, or his or her clients. Hale, B. If you need this or any other sample, we can send it to you via email. The social work code of ethics are designed … Harry Frankfurt, ‘Freedom of the Will and the Concept of a Person’ (1971) 68(1) J Phil 5; Gerald Dworkin, The Theory and Practice of Autonomy (CUP 1988). In addition to these differences, other issues may arise from different personality styles, colleagues who are experiencing personal problems (such as those who may be in recovery from a mental illness, addiction, or personality disorders), as well as those who blatantly break ethical codes of conduct. One way to improve our ethics is to example arguments on both sides of common ethical dilemmas.. Key strategies to help address dilemmas in rural mental health care are also outlined. Ethical Decision-Making in Mental Health Marna S. Barrett, Ph.D.Marna S. Barrett, Ph.D. Department of PsychiatryDepartment of Psychiatry ... to address every possible ethical dilemma that counselors may face. 2010). written assessment will be to present the reader with an encounter of an ethical dilemma that a social worker may come across while working with clients within the mental health system and show how interpretation, how different dilemmas will impact on practice and how the impacts influence the delivery of services for the resolution approaches. If a counselor or psychologist finds herself in a conflict with colleagues or in a negative work environment, it can have many adverse effects. Essay, Use multiple resourses when assembling your essay, Get help form professional writers when not sure you can do it yourself, Use Plagiarism Checker to double check your essay, Do not copy and paste free to download essays. Retrieved from https://graduateway.com/ethical-issues-in-mental-health-nursing/, This is just a sample. Firstly, the counselor/psychologist should determine if the conflict between the two colleagues is ethical in nature. Bibliography. Those who work in the mental health profession often work alongside others with different educational backgrounds. Colleagues who fail to the either of these will contribute to tension in the work environment (Reiter & Runyan, 2013). your own paper. Ethical values and principles involved. The mental health profession is not exempt to this. “I decided to join nursing industry because I enjoyed sports medicine class in school and I see a strong correlation between health and sports. As a health visitor she has a duty of care to protect both parties, however, the interests of the child comes first (RCA, 2008, DO 2004, DOCS 2010). In fact, there may be times that a person with a MA is the supervisor of a person with a PhD. If personal issues affect stability, objectivity, judgment or focus, the counselor may need to take a leave while undergoing therapy. Ethical dilemmas are involved for refuting the moral code or ethical systems for improving or resolving the ethical paradoxes (Shapiro & Stefkovich, 2016). Arguably, by breaking confidentiality the health visitor may be harming the relationship of herself and Sally, she may also be harming sally emotionally, or even be harming the bond between mother and child (Muzzy et al 2013). Recognizing, acknowledging, and respecting this will help to reduce potential conflict from arising in the work environment (Koocher & Keith-Spiegel, 2008). The dilemmas are derived from a discussion of the results of a qualitative research project that took place in five countries of the European Union. This is an example of autonomous principles verses paternalistic principles, which is recently less acceptable (Hendricks, 2004): unless the benefits outweigh the rent risk. Hasman, A., Mcintosh, E. and Hope, T. 2008: Journal of Medical Ethics (2012). 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