Ethical dilemma can be defined asa dire situation whereby a person or a health practitioner is subjected to anunfavorable situation or circumstance that will force them to take a decisionbetween two conflicting situations. (Slade & Prinsloo, 2013). However, it is important to note that it isnot easy to separate morals and ethics. Aswe know, the morals of an individual is the make-up of that individual. Inother words, ethical dilemma can also be defined as adecision-making challenge between two possible moral situations, neither ofwhich is unambiguously acceptable or preferable.
The complexity of suchdecision making tends to mainly arise out of the situational conflict in whichone is pleased and the other displeased. Summaryof Moral/ Ethical Issues in the Article According to the code of ethics setby the American Medical Association, it is recommended that physicians andproviders are not supposed to treat self or their close relatives. This isbecause the natural human solicitude and tension that is experienced by theprovider due to the sickness of a close friend, spouse, child or any otherrelative may obscure his or her judgments, thereby having high probability ofcausing timidity and irresolution.
(Fromme, 2016). In the article selected, itwas noticed that the physician in the case is the grandfather of the patient.The doctor’s son and his family were all in the vehicle from a restaurant whenthe accident happened. The only injured person was the 5year old grandson.Being in a sad event, the grandfather decided to operate on the son by himself.Few hours later into the surgery, the boy died.
Such a tragedy! After theincident, the grandfather was summoned by the board of physicians. His actionto self treat was not justified because it was assumed that is was all done outof emotion. (Youn, 2012)Moral and Ethical Dilemmas inthe Article From the article, there are differentscenarios that bring out ethical dilemmas; and one of those ethical dilemmas surroundsthe issue of providers providing medical care, emergency or primary care totheir family members, relatives and friends.
(Youn, 2012). The dilemma isbrought by the fact that the American Medical Association came up with codes ofethics and guidelines in 1993 that states; physicians are neither supposed totreat themselves nor their immediate family members. The ethical dilemmascenario that presents itself in this article is that family physicians andmedical practitioners who also doubles as the family members are facingnumerous conflicts of interest due to their double roles. Despite the fact thatproviders may view themselves as the proper or best advocates for their familymembers, it would be quite easy to lose the perspective especially when one hasemotional aspects, and also informal care may actually present a risk or be damagingto the patient. In the state of Texas, providers are able to offer medical care to their family membersor offer informal or undocumented careto neighbors, friends and colleagues that may not be their patients.
(Fromme,2016)Ethical Decision Making Process Decision making process in ethicaldilemmas includes thorough evaluation and choosing between alternatives in sucha way that is in line with ethical principles that have been set by the professioncode of ethics. In the reviewed article, the process includes consciousness,commitment and competency. An advanced practitioner will have to first lookdeep into his or her consciousness, and make the decision whether to offerhealth services to his or her family members or not.
With all that being said, itis only prudent for the provider to steer clear from such dilemma, in order tobe safe. (Ford & Richardson,2013). References Ford, R. C., & Richardson, W.
D.(2013). Ethical decision making: A review of the empirical literature. In Citationclassics from the Journal of Business Ethics (pp.
19-44). SpringerNetherlands.Anthony Youn. M.D (2012).
DoctorPatient Relationship. Why doctors shouldn’t treat family members. Retrievedfrom http://thechart.blogs.cnn.com/2012/01/09/why-doctors-shouldnt-treat-family-members/Slade,S., & Prinsloo, P.
(2013). Learning analytics: Ethical issues and dilemmas.American Behavioral Scientist, 57(10),1510-1529.
ErikFromme. M.D. (2016). AMA Journal of Ethics. Request for care from FamilyMembers. Retrieved from http://journalofethics.ama-assn.org/2012/05/ecas1-1205.html