illinois department of aging 2012 elder rights conference reaching within session t13
TRANSCRIPT
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Illinois Department of Illinois Department of AgingAging
2012 Elder Rights 2012 Elder Rights ConferenceConference
Reaching WithinSession T13
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Reaching Within, Part Two: Reaching Within, Part Two:
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What is a dilemma?What is a dilemma?
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DilemmaDilemma
• From the Greek:
• Di—two• Limos—horns
• Literally, Two horned
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Our dilemma’s become Our dilemma’s become ethical when the good or bad ethical when the good or bad
choices have a moral choices have a moral componentcomponent
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Important DistinctionImportant Distinction
• If something is governed by legal precedent, it is not an ethical dilemma.
• The dilemma might become whether you choose to follow that law or not.
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Common APS DilemmasCommon APS Dilemmas
• Self determination vs. worker’s perception of client’s best interests
• Freedom vs. safety• Protecting confidentiality vs.
prevention of harm• Respect for a colleague vs. loyalty
to your agency
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Dilemma ParadigmsDilemma Paradigms
• Truth versus loyalty • Individual versus community • Short term versus long term• Justice versus mercy
Precisely because right versus right is harder than right versus wrong
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Having a framework for Having a framework for ethical decision making ethical decision making is important.is important.
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Review Applicable Code of Review Applicable Code of EthicsEthics
• Ethical codes are not a legal document, but professionals are bound to the tenets of their code and can be sued for breach
• Codes can be revised or updated as needed
• Know your Code!
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What Makes a Good Code What Makes a Good Code of Ethics?of Ethics?
• Mission statement• Value base of the organization• Ethical principles to guide
practices• Ethical standards
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The NAPSA Ethical Principles The NAPSA Ethical Principles and Best Practice Guidelinesand Best Practice Guidelines
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Framework for Framework for Ethical Decision MakingEthical Decision Making
1) Describe the problem within its correct context (exactly who is this really a problem for?)
2) Define the problem in its ethical terms
3) Identify and rank the key values and principles involved (CRITICAL)
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Framework, continuedFramework, continued
4. Gather your information (laws, policies, applicable ethical codes, the affected individual’s views and values, your own biases)
5. Determine possible options (identify cost and benefit of each option)
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Framework, continuedFramework, continued
6. Consider possible courses of action * discard any you can’t put into action* discard those which violate the
value symptoms of those being affected
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Framework, continuedFramework, continued
• Put your plan into action!• Evaluate the outcomes for each
person involved• Submit your difficult cases to an
ethical review board
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Questions?Questions?
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Ethical Case Studies Ethical Case Studies ActivityActivity
• Form Triads• Review assigned case• Apply framework, discussing the
steps• Prepare action plan• Debrief with large group