Choose an ethical decision-making model from among the following three discussed in the lecture and other readings
Choose an ethical decision-making model from among the following three discussed in the lecture and other readings (Scroll down to see the lecture): Nashs 12 Questions for Moral Choices, Kidders Ethical Checkpoints, and Uustals Ethical Decision-Making Model. Apply your chosen model to the following ethical dilemma: Your terminally ill patient told you at her last visit that, since her pain could no longer be completely controlled by any means, and in her opinion she was just waiting to die, she was going to Holland to participate in its physician-assisted suicide program. What would your advice to this patient be? In a 500-750 word paper, include a letter to your patient offering your insights and recommendations regarding this decision. In addition, following your letter, include a subsection in which you address the following when completing this assignment: 1. Explain the theory of the chosen ethical decision-making model as it relates to this scenario. What effect have this and other models had on medical practice over the years? 2. Should a doctor be able to end the life of an individual who is suffering and who has no hope of recovery? Why or why not? 3. How might a living will be used, or not, to guide an individual’s end of life decisions? 4. How does the use of technology complicate the dying process? 5. Include at least three scholarly, peer-reviewed references from the Library to support your positions (the sources are already attached to this assignment, please use them). Prepare this assignment according to the APA guidelines. An abstract is not required. This assignment uses a rubric (also attached). Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Lecture: Ethical Decision Making in Health Care Just as health care providers utilize scientific methods to investigate the causes of disease and develop plans to address the physical needs of patients, health care professionals apply similar methods to objectively assess ethical dilemmas and determine a reasonable solution. Ethical decisions are reasoned choices based on: The dilemma itself The principles in conflict The people involved The outcome of the proposed action The ethical reasoning process selected When faced with an ethical dilemma, the following ethical questions must be answered: Who should be involved in the decision-making process? Who has the right to make the final decision? What ought to be done to address the dilemma? What harm or good will result from the decision? Who will benefit? Decision-Making Models Decision-making models offer clearly defined steps for decision-making that are based upon objective assessments of the dilemma at hand. Models most commonly applied to health care include: Nash’s 12 Questions for Moral Choices, Kidder’s Ethical Checkpoints, and Uustal’s Ethical Decision-Making Model. The following is a brief overview of each decision-making model. Nash’s 12 Questions for Moral Choices: Laura Nash (1981) 1. Have you defined the problem accurately? 2. How would you define the problem if you stood on the other side of the fence? 3. How did this situation occur in the first place? 4. To whom and what do you give your loyalties as a person and as a member of the (institution)? 5. What is your intention in making this decision? 6. How does this intention compare with the likely results? 7. Whom could your decision or action injure? 8. Can you engage the affected parties in a discussion of the problem before you make your decision? 9. Are you confident that your position will be as valid over a long period of time as it seems now?