Week 4 Problem Solving Report

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1 Problem Solving Report Natcha Miles-Brown University of Phoenix SWRK/220 Laura Snell February 5, 2024

2 Problem Solving Report The use of organ transplantation can help to save many lives. Purchasing a kidney in the United States violates the law, especially through the black market. People who need transplants must use altruistic donation. “The Uniform Anatomical Gift Act drafted in 1984, the same year the National Organ Transplantation Act went into effect made it illegal for anyone to receive any payment or valuable consideration for providing an organ” (Satz, 2010). Legal and Ethical Issues The client needs a kidney transplant and does not qualify for standard healthcare insurance. The client thinks the only answer to his or her problem is doing an illegal transaction for better health outcomes. The informed consent for the client’s needs to purchase a kidney illegally has risks and other alternatives to try before the client makes an official transaction. “The social worker should use clear and understandable language to inform clients of the purpose of services, the risks associated with the services, limits to services because of the requirements of a third party, relevant costs, reasonable alternatives, client’s right to refuse or withdraw consent, and the timeframe, covered by such content” (NASW, 2024). The documentation used in the dilemma is the use of lacking decision-making capacities. The client in this dilemma is lacking decision-making capacity by wanting to break the law even though he or she knows the decision is illegal. The social worker should take reasonable steps for the safeguarding of the client’s interests and rights. The privacy and confidentiality in the health care dilemma is the social worker respecting the client’s right to privacy. Once a person such as a social worker shares the client’s information the confidentiality standards apply. Cultural competency and diversity demonstrate the understanding of culture and the functions of human behavior and society. “The social worker

3 should demonstrate awareness and cultural humility by engaging in critical self-reflection by understanding one’s own bias and engaging in self-correction, recognizing clients as experts of his or her own culture” (NASW, 2021). Personal and/or Professional Value Conflicts The ethical dilemma that poses a personal and/or professional value conflict is the dignity and worth of a person and service. “The service value is a social worker’s primary goal to help people in need and address social problems” (NASW, 2024). The client needs a kidney transplant, and the social worker should ensure the service is above one’s self-interest. The social worker will depend on his or her knowledge, values, and skills to help the needy client. “The dignity and worth of the person are where the social worker respects the inherent dignity and worth of a person” (NASW, 2024). The social worker should also treat the client in a caring and respectful manner to promote socially responsible self-determination. Order of Priority for Addressing Identified Issues and Action Steps The identified issue for the client not qualifying for the Medicaid program may qualify for other low-cost insurance programs. Many people unfortunately do not want to take the risk of waiting for his or her name to become available on the waitlist. This action causes many people to turn to the black organ market to pay for organs and/or surgeries. Many people from other countries such as Pakistan are mostly forced into giving up his or her kidneys during human trafficking instead of making the decision to sell his or her organs. Another issue is the client giving the location of the black-market operation. The information should be delivered immediately to the local authorities to stop such operations. “In one article complications are occurring from these illegal transplants including unsterile environments and the organ’s quality” (Nagappan, 2017).

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4 “The action steps of a nephrology social worker are to assist patients and/or families with psychosocial stresses and facilitate a treatment program to maximize rehabilitation potentials; support federal regulations governing end-stage renal disease (ESRD) regarding the standards for social services: (National Kidney Foundation, 2014). An intervention necessary is identifying psychosocial issues to create barriers to achieving treatment results and implementing clinical interventions. Another intervention is educating the client about other insurance, advocating to stop black market organ sales and behavioral therapy, and any resource referrals to resolve such issues. A professional value conflict is giving the attitude to not give up on his or her life without trying all possible resolutions. A personal value conflict is his or her life is not worth losing from an illegal transaction of the black-market organ transplant. Using both value conflicts is important to resolve the action plans. The intended outcome will have a positive impact on the client from the actions a social worker has used to resolve his or her problems. One ethical standard used in this scenario is a social worker’s responsibilities to clients. Another ethical standard used is the commitment to clients and cultural competence. The professional cultural competence demonstrated is an action used in this scenario. Another professional competence demonstrated is the skills used for a culturally informed service to empower the client. The accountability demonstrated to the client is a commitment as his or her social worker. Accountability to the public is demonstrated by using cultural competence.

5 References Nagappan, A. (2017). Turning to the Kidney Black Market as a Last Resort Retrieved from: https://globalbioethics.org/2017/01/30/turning-kidney-black-market-last- resort/ NASW. (2024). Read the Code of Ethics Retrieved from: https://www.socialworkers.org/about/ethics/code-of-ethics/code-of- ethics-english NASW. (2024). 1. Social Workers’ Ethical Responsibilities to Clients Retrieved from: https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of- Ethics-English/Social-Workers-Ethical-Responsibilities-to-Clients National Kidney Foundation. (2014). Standards of Practice for Nephrology Social Work Retrieved from: https://www.kidney.org/sites/default/files/CNSW%20SOP%206th %20Ed_FINAL_July2014.pdf Reisch, M. (2021). Social work ethics in a changing society (1st ed.). Cognella.

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