Background: Two staff are seen carrying the old woman and throwing her onto her bed. (YouTube) A nursing home along Braddell Road has been suspended from admitting new patients with effect from 12 April after a patient was reported to have been mistreated. The incident at Nightingale Nursing Home came to light after a video of a patient being mistreated was sent to local broadcaster Mediacorp. The footage was shot by a hidden camera on a patient's bedside. In the video, an elderly woman patient is seen sitting stark naked beside a bed with the room ceiling fans on. She is then picked up by two hospital staff and thrown onto a bed, before a staff is shown slapping her on her mouth when she wailed in pain. Reports say the patient has been a resident there for four years and is suffering from stroke. The Ministry of Health (MOH) said it has suspended the nursing home from admitting new patients from 12 April until further notice. The nursing home has also disciplined the staff involved and put in place additional measures such as ward rounds by senior staff, regular meetings with patients and their family members, and management check on staff conduct and patients In a statement to Yahoo! Singapore, a MOH spokesperson said, investigations into the video recording show "significant lapses in the care standards" to the patient in question. "This should not have happened. There should have been tighter supervision of staff rendering care to vulnerable patients. Patient's dignity
The method of ethical decision making which was developed by Dr. Cathryn A. Baird presented two components contained in all ethical decisions which are; The Four ethical Lenses and the 4+1 Decision process. The Four Ethical Lenses issue claims that different ethical theories and the means in which we tend to approach the situations which form part of our ethical traditions are looked at in four different perspectives. From each perspective there are different values on which to decide whether the action taken is either ethical or not and each lens also lays emphasis on determining whether the decision made is of ethical requirement. In the 4+1 Decision Process, people who are responsible for making final decisions in an organization do it
The home shut down and many members of staff were suspended. The members of staff involved in the abuse were all punished and some receiving prison sentences after being found guilty of physical, emotional and verbal abuse. Ever since this case there has been many changes made to how care homes and residential services are regulated especially through CQC.
The purpose of this study, was to create a position paper exploring and creating an ethical dilemma and similarly, to explore and present a decision making model used to work through the dilemma. The study found ways that can assist forensic counselors with this common issue that has prompted numerous legalities filed against them by their evaluees such as, identifying stakeholders and interpreting the situation through awareness and fact finding. Tarvydas’s integrative decision-making of the ethical behavior model can also be essential in solving ethical dilemmas because it incorporates the principle and virtue aspects of decision making approaches. There are four themes or attitudes of the integrative model. Initially, it could be helpful to interpret the situation through awareness and fact finding, consider the facts, responsibilities and rights of all stakeholders involved in the dilemma, formulate ethical decisions, select an action by weighing, competing non moral values, plan and execute the selected course of action and when in doubt forensic counselors can discuss the dilemma with their supervisors.
The ethical decision making model has a total of eight steps. This helps the counselor to know what the client is going through and is able to work towards finding a solution to solve the client’s crisis situation.
Making sound ethical decisions require an intentional process that utilizes thoughtful reflection, supervision/consultation, and action. Many ethical decision making models exist and the seven-step model introduced by Forester-Miller and Davis (1996) is a succinct amalgamation of these earlier models. The model by Forester-Miller and Davis (1996) follows seven progressive steps: (a) identify the problem, (b) apply the ACA Code of Ethics (2014), (c) determine the nature and dimensions of the dilemma, (d) generate potential courses of action, (e) consider the potential consequences of all options and determine a course of action, (f) evaluate the selected course of action, and (g) implement the course of action.
It goes without saying that at some point in a counselor career, he or she can expect to be faced with an ethical dilemma. Ethical decisions are rarely easy to arrive at, as the dilemmas a counselor is faced with can be very complex
Moral issues are those that arouse conscience, are concerned with important values and norms. The use of a tool such as the Ethical Decision-Making Algorithm in appendix A, can help the nurse resolve an ethical dilemma more efficiently and competently. Furthermore, the use of a nursing codes of ethics, which are formal statements standard for professional actions can help guild a nurses decisions. Nurses have multiple obligations to balance in moral situation. The Ethical Decision-Making Algorithm will be used to find the best action and outcome for a case study.
The first step of the Ethical Decision-Making Procedure is stated as, “1.0 Become Aware of Dilemma” (McNamara). According to the given case scenario, the dilemma is clearly stated. It reads that the client (mother) does not believe in rewards or support the use of them for her son. The mother is going against what the BCBA believes in and stands for, thus causing a direct dilemma. Removing reinforcers is not feasible for the professional BCBA, and this must be properly addressed with the client. Situations like these are where the Ethical Compliance Code comes into place for the sake of the clients and professionals involved.
It was found that the nurses had insufficient recording of wound care and the staff were not monitoring the wounds consistently or keeping Mr Selir’s GP up to date on his condition. After this incident, the nursing home introduced new staff, systems and processes to improve the quality of care to residents. I felt frustrated and disturbed as coming from overseas, my family background has always taught us to respect and look after our elderly therefore back in our country we don’t believe in nursing homes. According to Nursing and Midwifery Board of Australia [NMBA] 2016, health professionals ought to provide safe, appropriate and responsive quality nursing practice.
The ethical dilemma is a situation by which it’s difficult to determine whether a situation is can be handled without disappointing both sides. Therefore, an ethical dilemma exists when the right thing to do is clear or when members of the healthcare team cannot agree on the right thing to do. Ethical dilemmas require negotiation of different points of view (potter, Perry, Stockert, & Hall 2011pg 78).
Business Continuity Plan/Management: It provides risk assessment, planning, and consultation services to both public and private organizations
What are the relevant facts of the case? What facts are not known? Can I learn more about the situation? Do I know enough to make a decision?
Ethical theories in philosophy are used as decision making tools (Trevino p38), many theories with different frameworks with argument with and against.
Working in the field of human services of the needy puts highly consideration for ethical standards to follow. Most of the needy cases give too much detailed concerning their situations; therefore, they are vulnerable. Ethical codes help therapists, psychologists and social workers to know what to do towards an ethical issue, and how to avoid unethical issues in the first place. The ethical standards for resolving ethical issues and for privacy and confidentiality are crucial ethics to follow in my current job.
Ethical decision-making is the practice of reviewing and selecting among alternatives in a manner constant with moral values. In the course of making moral decisions, it is necessary to encode all the crucial information, processes as well as getting rid of unethical alternatives to choose the best decent option. The world we live in is full of information which requires us to make clear choices based on the range of circumstances we stumble upon in our daily lives. This paper aims at assessing the ethical decision-making aspects. In its analysis, it will present ethical dilemma facing the firm operating in the mortgage industry.