Ethicaldilemma speaker notes
Thecase is from the series, the neighborhood, season 2, episode 9, whichrefers to Pamela Allen and her family. Pamela is quite sick withColorectal Cancer and her family also suffers in a major wayfollowing such a case.
Thefirst ethical dilemma involves the fact that Pamela Allen is sickwith Colorectal cancer, and there are very low chances that she maysurvive the illness. She is going through so much pain, and there isa chance that her suffering could be stopped through the applicationof mercy killing. Either her continual suffering or going ahead withthe mercy killing are not an easy decision to make, therefore,creating a sense of dilemma.
Thesecond ethical dilemma is the fact that the family is torn betweenwhether to inform Pamela that she has a very short period to live ornot.
Ethicalprinciples related to the case of Pamela Allen and her Family
Fromthe first ethical dilemma,the principles of beneficence and respect for autonomy.
Theprinciple of Beneficence basically means that the family needs tomake a decision that with good intentions at heart. The applicationof the principle of respect for autonomy shall take intoconsiderations the views and wishes of Pamela since she is the onewho is directly affected.
Fromthe second ethical dilemma,the principle of fidelity comes into play. The family needs to bequite honest with Pamela, regarding her condition, regardless of howbad the situation is.Roleof the nurse in caring for this family
Thenurse would care for the family in the following ways
Shewould take care of Pamela Allen, following her placement of colostomyand abdominal surgery
Thenurse would also advise the family on how well they can take care ofPamela
Shewould also help to counsel the family so that they may be able tohandle the problem of Pamela being sick quite well.
Bairdmodel (ethical decision-making model)Themodel is made up of five components. These are
Beattentive-This involves the ability of an individual to be focused to whateverthe other party is saying in a bid to understand the person’s pointof view
Bereflective-This involves the ability of one party to try to reason out from theother party’s point of view with the full intention of establishingwhether such a party is making sense with the ideas that he is tryingto put across.
BeResponsible-This entails all the parties involved in decision-making to have aclear intention of making a worthwhile decision in the long run.
Bereasonable- Thistouches on the ability of all parties involved in decision-making totry to settle on an idea that appears sensible, regardless of whetherthey agreed with it at first or not. They are, therefore, notsupposed to be rigid in their perspectives but be willing toaccommodate any other views as well.
Beintelligent-This involves the ability of all the parties taking part in thedecision-making process to apply insight and better processing ofinformation that they have at hand to make sound decisions that arelikely to be highly beneficial.
Thefamily shall be able to make better decisions through theapplications of the ethical principles in solving the two dilemmasaddressed.
AmericanPsychological Association. (2002). Ethical principles ofpsychologists and code of conduct. AmericanPsychologist, 57(12),1060-1073.
Barry,M. J., & Edgman-Levitan, S. (2012). Shared decision making—thepinnacle of patient-centered care. NewEngland Journal of Medicine, 366(9),780-781.
Theneighborhood,Season 2, episode 9