Ethical treat self or their close relatives.


     Ethical dilemma can be defined as
a dire situation whereby a person or a health practitioner is subjected to an
unfavorable situation or circumstance that will force them to take a decision
between two conflicting situations. (Slade & Prinsloo, 2013).  However, it is important to note that it is
not easy to separate morals and ethics.  As
we know, the morals of an individual is the make-up of that individual. In
other words, ethical dilemma can also be defined as a
decision-making challenge between two possible moral situations, neither of
which is unambiguously acceptable or preferable. The complexity of such
decision making tends to mainly arise out of the situational conflict in which
one is pleased and the other displeased.

of Moral/ Ethical Issues in the Article

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            According to the code of ethics set
by the American Medical Association, it is recommended that physicians and
providers are not supposed to treat self or their close relatives. This is
because the natural human solicitude and tension that is experienced by the
provider due to the sickness of a close friend, spouse, child or any other
relative may obscure his or her judgments, thereby having high probability of
causing timidity and irresolution. (Fromme, 2016). In the article selected, it
was 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 when
the 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 the
incident, the grandfather was summoned by the board of physicians. His action
to self treat was not justified because it was assumed that is was all done out
of emotion. (Youn, 2012)

Moral and Ethical Dilemmas in
the Article

            From the article, there are different
scenarios that bring out ethical dilemmas; and one of those ethical dilemmas surrounds
the issue of providers providing medical care, emergency or primary care to
their family members, relatives and friends. (Youn, 2012). The dilemma is
brought by the fact that the American Medical Association came up with codes of
ethics and guidelines in 1993 that states; physicians are neither supposed to
treat themselves nor their immediate family members. The ethical dilemma
scenario that presents itself in this article is that family physicians and
medical practitioners who also doubles as the family members are facing
numerous conflicts of interest due to their double roles. Despite the fact that
providers may view themselves as the proper or best advocates for their family
members, it would be quite easy to lose the perspective especially when one has
emotional aspects, and also informal care may actually present a risk or be damaging
to the patient. In the state of Texas, providers are able  to offer medical care to their family members
or  offer informal or undocumented care
to neighbors, friends and colleagues that may not be their patients. (Fromme,

Ethical Decision Making Process

            Decision making process in ethical
dilemmas includes thorough evaluation and choosing between alternatives in such
a way that is in line with ethical principles that have been set by the profession
code of ethics. In the reviewed article, the process includes consciousness,
commitment and competency. An advanced practitioner will have to first look
deep into his or her consciousness, and make the decision whether to offer
health services to his or her family members or not. With all that being said, it
is only prudent for the provider to steer clear from such dilemma, in order to
be safe. (Ford & Richardson,2013).






Ford, R. C., & Richardson, W. D.
(2013). Ethical decision making: A review of the empirical literature. In Citation
classics from the Journal of Business Ethics (pp. 19-44). Springer

Anthony Youn. M.D (2012). Doctor
Patient Relationship. Why doctors shouldn’t treat family members. Retrieved

S., & Prinsloo, P. (2013). Learning analytics: Ethical issues and dilemmas.
American Behavioral Scientist, 57(10),

Fromme. M.D. (2016). AMA Journal of Ethics. Request for care from Family
Members. Retrieved from