Ethics And Values

estimable motive And ValuesEthical quandaryThe ethical dilemma I will discuss will be based on several(prenominal) truth of an event that happened when I was a punt worker v years ago in a noetic health trust organisation. The long-suffering will be referred to as lady friend A and members of the multidisciplinary team will be referred to as victors. A very plan description of the missys psychical health illness was schizophrenia this female genital organ lay down an effect on a soulfulnesss mind in such a way that they bath hear voices and send smells that be non real to the human eye.Other features can include delusional thoughts this is w here(predicate) the psyche can desire that accredited situations and circumstances have happened to them and it is very clear to the mortal on the contrary it can acquire a person feel that others do non believe them (CAMHS, 2002).The ethical dilemmaGirl A was 15 years of age, when she was incisional beneath the 1983 Men tal wellness actuate section 2.Girl A reliable a letter from a friend at home. This letter revealed that her friend had been raped from girl As mothers boyfriend.Girl A had prior to this letter disclosed to the nursing team that she herself had been raped from her mothers boyfriend. She decided non to take consummation for fear of losing the relationship she had recently built up with her mother. At this time the girl wanted her mother to never find out puff up-nigh the disclosure of this rape ordeal.The friend told girl A that this situation was going to greet.At this point girl A decided it was time to found closure on her own rape ordeal and and then wanted to go to court and confine her own rape ordeal.The ethical dilemma is should the girl called go to court or not? root Reading from Leathard, A. McL ben. (2007) Ethics contemporary challenges in health and social c be. The Policy Press UK.There ar triad more onward motiones which often conflict with many ethical problems they are deontology, conceptualism and virtue moral philosophy (Leathard McLaren, 2007). It onward motiones can give directions to ethical dilemmas.Consequentialism -also referred to as utiliarism discovered by Jeremy Bentham and John Stuart Mill. The aims of this set out are consider the consequences of pickings a bad-tempered form of action (ibid). all told areas of an ethical dilemma victimization this address would be given equal weight when considering the out arise (ibid). In health care this near can be seen to be used when considering decisions that need to be made nearly the allocation of resources (ibid).Personal Values my ad hominem valueYou will describe your set but in that respect is no right/wrong effect to this. It is basically how you presented your dilemma to the ethic group Julie.How does my personal knowledge, culture, and life experience affect this dilemma for you?feelingsWhat values are in conflict and how has this made you feel?What were your fears?Given similar circumstances with another person would the outcome be the same?how do these impact on the questions you makeedresp. to me as a person physical processHow and why am I making a choice I am making i.e., what did I think, feel, and what did I do or not do?How was my decision making affective by what factors of legislation, standards, policies and organisational policies/procedures and values?What other resources would be helpful to me in making the decisions about the dilemma?Keep using reflexion I think this part Julie is where you have begun to described the different ethical approaches.Deontology deon means duty and ology is the science, this approach was discovered by Kantian. The aims of this approach does not consider the consequences rather it acts on what is morally right, in particular deontologists treat the situation or client with respect for individuality which is its superior importance. This approach would not honor of telling lies to a cl ient even if it was in the best interest. Any decision is made using deontology would have to be based on fact. Duty based theories which would allow the worker and the client to acts of the greatest outcome which would avoid trauma. This approach recognises autonomy, trust and the equity of pro imaginativenesss (ibid).Virtue derived from Aristotelian ideologies. Thomas doubting Thomas (1990) defines virtue ethics is not only knowledge but also the approach taken to depart integration using this knowledge for an ethical dilemma situation, an area of manifestation of ethical professional conduct (ibid 71). Virtue ethics describe a persons character beliefs and values quality is in actions that they believe are morally sound.Beauchamp and tikeress (1989) describe four ethical principles that should be considered when dealing with any ethical dilemma they are kindliness, non-maleficence, autonomy and justice (ibid 72). However these four ethical principles at times can conflict in that respectfore critical judgement is required when choosing a particular procedure to take. These four ethical principles they can come through a framework to assist the worker(s)/client(s) situation by empowering the thinking process, this helps with the decision process of the ethical dilemma (ibid). In virtuous practician must take into account the different quite a littlepoints by recognising the potential conflicts that can happen between these four ethical principles. It is therefore recommended that a practitioner makes critical judgements as to which approach would be more appropriate to the ethical dilemma. Gardiner (2003) comments that the virtuous practitioner is driven by deep thirst to behave well and that this approach has a flexibility that can encourage innovative solutions while acknowledging that there will often be elements of pain or regret (ibid 76).So from the ethical dilemma if beneficence was applied the patients best interest and wishes and feelings would have been considered using this approach. Although, it could appear harmful to the patient, if the sole becharms of her situation were considered because this could have had an adverse effect on the best interests of the patient.Non-maleficence applying this approach to the ethical dilemma could verbalize how the professional has protect the patient from actual or potential harm this is particularly successful when the practitioner evaluates his/her knowledge and skills realistically ensuring any form of intervention is taken within their professional capacity. However should the worker feel there could be limitations then they should seek and share this training with the team of professionals caring for the girl? This particular approach may have been applied from actualise worker/ unproblematic care workers point of view this is because non-maleficence provides the support worker/primary care worker with more details from the clients perspective of the situation wher eas a professional may only work with the girl on if few occasions. Therefore the implications of the support worker/primary care worker not sharing information with other professionals can cause great harm to the patient. If the support worker/primary care worker advises the patient there is nothing more I can do then this will be harmful and unhelpful to the patient (ibid 74).Autonomy the principle of autonomy and impact on disclosure and confidentiality. However a patient has a right to information about their condition and their situation, the patients views beliefs and values should be respected. Although, legally the girl in the ethical dilemma was sectioned at a lower steer the 1983 mental health act section 2 and therefore their grounds a practitioner must take with insures to an appropriate decision this can conflict the patients best interest/wishes and feelings. Using the ethical dilemma in this instance shows when beneficence or non-maleficence overruling patient aut onomy (ibid 75). The practitioner will strive to the first duty to the patient however the practitioner must balance this duty to the patient with regard to the wider risks and involvement of others. Gillon (2003), autonomy is a component of the other three ethical principles and autonomy should take precedency with respect for the patient (ibid).Justice and equityThe Aristotelian principles suggest that I trust system should run into equal and should be treated equally and unequals unequally (ibid 77). Considering justice and equity to the ethical dilemma the patient may feel the decision to not go to court un-fair. However the practitioner should deliver an Albanys about the criteria that was used to make the decisions they made about this ethical dilemma. The principles of justice and equity can allow for decisions to be made and distributed according to the patients need, merits, capacity or rights. In this situation a practitioner may prompt the patient of her rights in res pect to a complaints procedure (ibid).ISSUESPOWER/policesWhat are the rights of the child?What rights as a person?Are there any rights in terms of seeking closure?All your doing here is answering and showing Why and what policies may be used with this dilemma.Julie notes for powerevery child matters is a Green paper that was published in 2003 by the government as a response to the expiration of Victoria Climbie. In 2000 for the childrens act became law from a thorough consultation process and it is this legislation that chthonianpins the legalities of every Child Matters, by ensuring five necessary outcomes are followed when ensuring the health, safety and well be of children from birth to 19 years. The five outcomes are being healthy, staying safe, enjoying and achieving, making a positive contribution and achieving economic well-being (Every Child Matters, 2003 Cited in http//www.dcsf.gov.uk/everychildmatters/about/ on 20/10/09 1305).RESP.OF ORG.What is the organisations poin t of view?Ie NHS, CAMHS why do they use them what are the values of these principles to s/uOrganisations policiesThis report sets out a untried vision for the future of mental health and well-being in England. Based on four principles, it outlines the prioritieswe believe should underpin mental health policy for the next decade.Our four principles for mental health policy areMental health and well-being is everybodys business. It affects every family in Britain and it can only be improved if coordinated, cocky action is taken across Whitehall and at all levels of government.Good mental health holds the key to a better quality of life in Britain. We need to promote positive mental health, prevent mental ill health and intervene early when people become unwell.People should get as a good deal support to gain a good quality of life and fulfil their potential from mental health services as they expect to receive from physical healthcare services. Mental health care should invite hop e and support for people to recover and live their lives on their own terms.We need a novel relationship between mental health services and those who use them. Service users, carers and communities should be offered an active purpose in shaping the support available to them. With these principles at the heart of policy, we believe we can create a society in which good mental health is nurtured and in which mental ill health is managed well.As a consequence, our mental well-being will be a core concern of government. Effective action to promote good mental health will be taken among people of all ages and assorted backgrounds. People who experience mental distress will receive timely support to live well and have a fair and equal chance to fulfill their potential.The actions that would be needed to make our vision a reality are summarized overleaf.(wellness, 2009)Organisation/mental healthWhat is sectioning?Most patients in hospital wards cannot be prevented from leaving when they wish, and their consent must be obtained before treatment is given. The same applies to most patients who are in hospital for psychiatric treatment. They do not object to being in hospital or being treated and are referred to as informal or voluntary patients. However, the Mental Health solve 1983 allows some people to be detained in hospital. When this happens, they are called detained patients and their consent to treatment may no longer be required. This is often known as being sectioned.Some people are detained in hospital by the courts after being charged with a crime. (See Mind rights guide 5 mental health and the courts.) However, most people are detained under the civilized sections of the Mental Health Act, which does not involve a court at all. This booklet sets out what must happen before somebody can be detained under a civil section, and outlines some of the effects. Mind rights guides 2-5 describe, in more detail, other relevant information about consent to treatmen t and what to do if you are being detained and you want to leave hospital.What is the process for detaining someone under a civil section?There are two main civil sections of the Mental Health Act 1983, which are used to detain someone section 2 and section 3. For each section, three people must agree that the individual needs to be detained. Usually, they would be an Approved Mental Health Professional (AMHP), a section 12 approved doctor and a registered medical practitioner.The two doctors must agree the person needs to be in hospital and recommend detention. Then, the AMHP decides whether or not to make an application for the persons compulsory admission to hospital. The Nearest Relative (NR) (see below) has the right to make an application. However, the Mental Health Act Code of Practice makes it clear that an AMHP is the preferred applicant and applications by an NR are very rare (the sense of taste for the AMHP as applicant over the NR is re-stated in the new Code of Practic e at para 4.28). It does not matter where the person is at the time. They may be at home, in hospital, in a place of safety, or in a police station following an arrest for an alleged criminal offence.In an urgent situation, someone may be admitted to hospital compulsorily, with only one medical recommendation to support an application (section 4). This is allowed if it is felt the criteria for section 2 (see below) are met, but there is no time to depend for another medical recommendation. The second medical recommendation must be obtained within 72 hours.It is strategic to note that people need not have committed a crime to be detained under a civil section. The law allows anyone to be detained under the procedure described above.What do the different civil sections mean?Section 2 allows for a person to be detained if they are suffering from a mental disorder and they need to be detained, at least for a limited period, for assessment (or for assessment followed by medical treatme nt) for their own health or safety, or for the tax shelter of other people.Detention can stick out for up to 28 days. The section cant be renewed, but you may be assessed before the 28 days expires to see if detention under section 3 is necessary.Section 3 allows for a person to be detained if they have a mental disorder, and it is necessary for their own health or safety, or for the protection of other people, and treatment cannot be provided unless they are detained in hospital. A patient cannot be detained under this section unless the doctors also agree that appropriate medical treatment is available for him or her.Detention can shoemakers last for up to six months. The section can then be renewed by six months, initially, and by a year at a time, subsequently (MIND, 2009).Other professionalsAlan suggest the Mental Health Act could be one.What rights does she have under this ACT?Who was present? Consider their positions, charaters, virtues, values ect.why is it a dilemmaDEONT OLOGYThis is what is meant by your code of conduct this is the contact lens between philsophy and practice it is through the codes of conduct. You will show how the philosophical system feeds into codes of conduct and then feeds into practice. Alan explains this is about respect for the person and autonomy. So you need to say A deontology approach would argue this. and this approach would be used because of thisAlan gives an type of how to apply this to your scenario Julie you could argue from one position that deontology is a person in her own right, this does not exist therefore the duty is to the right of this person this is rather deontological this approach also looks at Law, human rights, that sort of thing. Most social workers are this approach All you have to do here is say how and why this approach may be applied to the scenario and where it come from i.e., KANTConsequential/UnitarianismThis is what is meant by your code of conduct this is the link between philsophy a nd practice it is through the codes of conduct. You will show how the philosophy feeds into codes of conduct and then feeds into practice. Alan notes. A unitarism approach would argue this. and this approach would be used because of this.Alan example of how to hit this, Consequentialism would suggest you look at the outcomes, if we do not intervene at this point and show some support then this person will suffer damage, they could be harmed that is more this approach and this is the link I want you to make. Most social worker are this approach. All your doing here is saying where did this approach come from how and why would it be used in your dilemmavirtue ethicsVirtue ethics = the character of the person, so in the same way that I was arguing with the boys you could argue your point of view with your dilemma Alan. Questions to ask and answer with these approaches areWhat is the thing that makes one of them valid?Probably the character of the person doing the argument other words y ou Julie are very dominate and persuading and therefore one needs to ask is your position genuine? Is it a valid argument?Are you taking it from uprightness (honesty, goodness) or serenity (calm, peace, composure, calmness)? All you doing here is saying where this approach came from and why and how would it be used in this dilemmaCode of ethic ValuesThese three streams of values in social work submit our practice and are described as TRADITIONAL (being to the tradition route), EMANCIPATORY (to give independence to free someone from something) AND GOVERNANCE (controlled or overlooked by government) Values. How did the GSCC BASW and NOS codes of ethics guide your decision and practice outcomes?social constructionist viewbibliography