Reference no: EM133736134
Case: As a health care manager, you are included in the ethics committee. There has been a new case brought before the committee for your review and recommendation. You will be responsible for reviewing the facts and providing a written response to the committee with your recommendations. This process will allow you the opportunity to analyze the health care manager's role in ethical decision-making in a health care ethics case.
Read the Ethics Committee Case Study & Consideration Questions.
Review the questions to consider when reviewing an ethical dilemma.
Review the Ethical Decision Models & Problem-Solving Methodologies.
Assessment Deliverable
Write an 875- to 1,225-word response to the ethical committee regarding your recommendation as a health care manager presented with this case. In your response, you should:
Identify the major stakeholders in the case.
Identify the ultimate decisions makers (e.g., medical team, parents, etc.) in the case.
Explain Baby Bundle's rights in this case.
Describe the ethical theories or principles that pertain to the case.
Analyze your role as a health care manager in this ethics committee decision.
Based on your review of the case and the fact that the parents are not in agreement, state your recommendation to the committee for next steps.
Cite at least 2 sources according to APA guidelines.
Case Study
You are a manager of the Child Specialty Clinics at a major University Hospital Center. You are also a member of the Ethics Committee. Today is your monthly Ethics Committee Meeting. The Committee consists of the Committee Chair, a recording Secretary, an ICU doctor, three nurses, a social worker, a Nurse Practitioner, the CNO, the Chief Medical Officer, the Chaplain, a public member, a nurse from the pediatric ICU, and a doctor from the Pediatric ICU. After gathering lunch, reading and approving the minutes of last month's meeting, the Chairman states that there is an urgent case to discuss. There is a situation in the Neonatal Intensive Care Unit (NICU). A Baby Bundle was born yesterday with anencephaly. Because he had trouble breathing, he was placed on a ventilator and is in the NICU. For our public member I will explain: Anencephaly in this child is a congenital neural tube defect where a major portion of his brain, skull, and scalp are missing. The brain stem is the only part of the brain that is present. The brain stem supports the autonomic functions and reflex actions, but he remains permanently unconscious because he lacks his cerebrum. The cerebrum is important because it sets us apart as humans. Not only is the cerebrum the largest part of the brain in humans, but cerebrum also enables speech, thinking and reasoning, judgment, problem-solving, emotions, and learning. It also serves to initiate and coordinate movements and initiate movement. Anencephaly is always fatal. The children almost always die within a few days, although there have been a very few exceptions. Parents of children with anencephaly are often approached by the transplant team to donate various organs from their child. Thus, Baby Bundle has no cognitive abilities or awareness, and cannot hear or see or otherwise interact with his environment. Baby Bundle's brain stem supports his autonomic and reflex actions, but he is permanently unconscious because he lacks a cerebrum. The issue we are looking at today is the father wants to terminate Baby Bundle's treatment. The mother wants to continue medical treatment. The doctors have informed the parents of the dismal future for the child and advise termination of treatment. The nurses feel that the child feels pain and is suffering when they suction his ventilator tube and take blood work. Mr. and Mrs. Bundle have been married for 5 years and this is their first child. Mr. Bundle is an accountant and Mrs. Bundle works for NASA but is now on maternity leave for 6 month.
.Ethical Decision Models & Problem-Solving Methodologies 7 Step Guide Moral Model State the problem (specific thought or feeling that prompts you to feel uncomfortable).
Check facts (consider all points of view).
Identify relevant factors (people involved, laws, personal codes of conduct, etc.).
Develop a list of options (consider a variety of decisions or solutions).
Test the options.
harm test: Does this option do less harm than the alternatives?
Publicity test: Would I want my choice of this option published in the newspaper? Would I want my grandmother to know?
Defensibility test: Could I defend this choice of option before a committee of peers, or a Congressional Committee without appearing self-serving?
Reversibility test: Would I still think this choice of option was good if it were applied to me instead of others especially if some of the effects are adverse?
Colleague test: What might my profession's governing board or ethics committee say about this option?
Organization test: What does my organization's ethics officer or legal counsel say about this?
Virtue test: Would a virtuous person do this? What kind of person does this? What kind of person would I become if I did this kind of thing all the time?