Here are the Seven-Step guide to ethical decision-making (Davis 1999): 1. State the problem 2. Check the facts 3. Identify relevant factors (internal or external) 4. Develop a list of options 5. Test the options 6. Make a Choice base on steps 1-5 7. Review steps 1-6 Read the situation below. Apply the Seven step Guide to Ethical Decision- Making by Davis. Illustrate how you will arrive at a decision. -A 22 year old Hispanic male was brought to the ER of a hospital having suffered abdominal injuries due to gunshot wounds obtained in gang violence. He had no medical insurance & his stay in the hospital was somewhat shorter than expected due to his good recovery. Physicians attending to him felt that he could complete his recovery at home just as easily as in the hospital and he was released after only a few days in the hospital. During his stay in the hospital, the patient admitted to his primary physician that he was HIV positive, having contracted the virus that causes AIDS. This was confirmed by a blood test administered while he was hospitalized. When he was discharged from the hospital, the physician recommended that a professional nurse visit him regularly at home in order to change the bandages on his still substantial wounds and to ensure that an infection did not develop. Since he had no health insurance he was dependent on MedicAid, a government program that pays for necessary medical care for those who cannot afford it. However, MedicAid refused to pay for home nursing care since there was someone already in the home who was capable of providing the necessary care. That person was the patient's sister, who was willing to take care of her brother until he was fully recovered. Their mother had died years ago and the sister was accustomed to providing care for her younger siblings. The patient had no objection to his sister providing this care, but he insisted that she not be told that he has tested HIV positive. Though he had always had a good relationship with his sister, she did not know that he was an active homosexual. His even greater fear was that his father would hear of his homosexual orientation and lifestyle. (Homosexuality is generally looked upon with extreme disfavor among Hispanics.) Now, there lies the moral dilemma. The patient's doctor is bound by his code of ethics that puts a very high priority on keeping confidentiality. This code mandates that information about one's medical condition that he/she does not want known cannot be revealed by the physician. Some would even argue that the obligation of confidentiality is even greater with HIV/AIDS since revelation of somebody's homosexual orientation usually carries devastating personal costs for the person who is forced "out of the closet". On the other hand, the patient's sister, without knowing the truth, is putting herself at risk by providing nursing care for him. Some would categorically argue that she has the right to know the risks to which she is subjecting herself, especially since she willingly volunteered to take care of her brother. So if you were the physician, what would you do in this case? Would you breach/break the rule of confidentiality to safeguard the patient's sister, or would you come to him from his other family members, especially his father?

Here are the Seven-Step guide to ethical decision-making (Davis 1999): 1. State the problem 2. Check the facts 3. Identify relevant factors (internal or external) 4. Develop a list of options 5. Test the options 6. Make a Choice base on steps 1-5 7. Review steps 1-6 Read the situation below. Apply the Seven step Guide to Ethical Decision- Making by Davis. Illustrate how you will arrive at a decision. -A 22 year old Hispanic male was brought to the ER of a hospital having suffered abdominal injuries due to gunshot wounds obtained in gang violence. He had no medical insurance & his stay in the hospital was somewhat shorter than expected due to his good recovery. Physicians attending to him felt that he could complete his recovery at home just as easily as in the hospital and he was released after only a few days in the hospital. During his stay in the hospital, the patient admitted to his primary physician that he was HIV positive, having contracted the virus that causes AIDS. This was confirmed by a blood test administered while he was hospitalized. When he was discharged from the hospital, the physician recommended that a professional nurse visit him regularly at home in order to change the bandages on his still substantial wounds and to ensure that an infection did not develop. Since he had no health insurance he was dependent on MedicAid, a government program that pays for necessary medical care for those who cannot afford it. However, MedicAid refused to pay for home nursing care since there was someone already in the home who was capable of providing the necessary care. That person was the patient's sister, who was willing to take care of her brother until he was fully recovered. Their mother had died years ago and the sister was accustomed to providing care for her younger siblings. The patient had no objection to his sister providing this care, but he insisted that she not be told that he has tested HIV positive. Though he had always had a good relationship with his sister, she did not know that he was an active homosexual. His even greater fear was that his father would hear of his homosexual orientation and lifestyle. (Homosexuality is generally looked upon with extreme disfavor among Hispanics.) Now, there lies the moral dilemma. The patient's doctor is bound by his code of ethics that puts a very high priority on keeping confidentiality. This code mandates that information about one's medical condition that he/she does not want known cannot be revealed by the physician. Some would even argue that the obligation of confidentiality is even greater with HIV/AIDS since revelation of somebody's homosexual orientation usually carries devastating personal costs for the person who is forced "out of the closet". On the other hand, the patient's sister, without knowing the truth, is putting herself at risk by providing nursing care for him. Some would categorically argue that she has the right to know the risks to which she is subjecting herself, especially since she willingly volunteered to take care of her brother. So if you were the physician, what would you do in this case? Would you breach/break the rule of confidentiality to safeguard the patient's sister, or would you come to him from his other family members, especially his father?

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Here are the Seven-Step guide to ethical decision-making (Davis 1999): 1. State the problem

2. Check the facts 3. Identify relevant factors (internal or external)

4. Develop a list of options

5. Test the options

6. Make a Choice base on steps 1-5 7. Review steps 1-6

Read the situation below.

Apply the Seven step Guide to Ethical Decision- Making by Davis. Illustrate how you will arrive at a decision.

-A 22 year old Hispanic male was brought to the ER of a hospital having suffered abdominal injuries due to gunshot wounds obtained in gang violence. He had no medical insurance & his stay in the hospital was somewhat shorter than expected due to his good recovery. Physicians attending to him felt that he could complete his recovery at home just as easily as in the hospital and he was released after only a few days in the hospital. During his stay in the hospital, the patient admitted to his primary physician that he was HIV positive, having contracted the virus that causes AIDS. This was confirmed by a blood test administered while he was hospitalized. When he was discharged from the hospital, the physician recommended that a professional nurse visit him regularly at home in order to change the bandages on his still substantial wounds and to ensure that an infection did not develop. Since he had no health insurance he was dependent on MedicAid, a government program that pays for necessary medical care for those who cannot afford it. However, MedicAid refused to pay for home nursing care since there was someone already in the home who was capable of providing the necessary care. That person was the patient's sister, who was willing to take care of her brother until he was fully recovered. Their mother had died years ago and the sister was accustomed to providing care for her younger siblings. The patient had no objection to his sister providing this care, but he insisted that she not be told that he has tested HIV positive. Though he had always had a good relationship with his sister, she did not know that he was an active homosexual. His even greater fear was that his father would hear of his homosexual orientation and lifestyle. (Homosexuality is generally looked upon with extreme disfavor among Hispanics.) Now, there lies the moral dilemma. The patient's doctor is bound by his code of ethics that puts a very high priority on keeping confidentiality. This code mandates that information about one's medical condition that he/she does not want known cannot be revealed by the physician. Some would even argue that the obligation of confidentiality is even greater with HIV/AIDS since revelation of somebody's homosexual orientation usually carries devastating personal costs for the person who is forced "out of the closet". On the other hand, the patient's sister, without knowing the truth, is putting herself at risk by providing nursing care for him. Some would categorically argue that she has the right to know the risks to which she is subjecting herself, especially since she willingly volunteered to take care of her brother. So if you were the physician, what would you do in this case? Would you breach/break the rule of confidentiality to safeguard the patient's sister, or would you come to him from his other family members, especially his father?

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