Human Service Ethics Term Paper

Download this Term Paper in word format (.doc)

Note: Sample below may appear distorted but all corresponding word document files contain proper formatting

Excerpt from Term Paper:

Morality and ethics: what are they and why do they matter?

All you need to know about ethics approaches and theories

Means, ends, principles and virtues six step process of ethical decision making for you to follow

Surviving professional life ethically

Ethical dimensions of the professional -patient relationship

Special challenges: "difficult patients" and patients in suicidal crisis

This is a time of great change in our understanding of health, illness, and health care systems. Medical researchers, practitioners, and administrators must realize that these changes are taking place and look to current, valid research for some answers to the questions which come with increasingly complicated technology and better medications. Since knowledge is the basis for effective decision making, one goal for any medical leader should be to attain as much knowledge as possible.

Ethics has been defined as "rules of conduct recognized in respect of a particular class of human actions." Certainly, a health care administrator should possess a strong sense of what is right and what isn't and have the courage to make sure that everyone in the health care organization understands the difference.

Four principles which health care practitioners must consider when faced with a dilemma are A) autonomy, B) beneficency, C) nonmalficence, and 4) justice. Autonomy is the independence to determine one's own direction, conditioned only by the need to respect others' individual liberties. Beneficence is the righteous philosophy of doing good, while nonmalficence adds the condition that no harm should be done. Justice, the quality which creates the most controversy, may be defined as fair, just, equitable, and unbiased decision making.1

Morality and ethics: what are they and why do they matter?

Case studies become much more than words on a page when health care professionals see these names as people, who hurt, are afraid, and look to you, a medical professional for comfort. The actions the medical practitioner take next will help define their moral values. As Dr. Purtilo states on page 7, "The goal of morality is to protect a high quality of life for an individual or for a community as a whole." When one enters training to become a health care professional, the next stop should be to prepare themselves to deal with three types of morality: their own, their society's, and that of society as a whole. These are pretty heavy topics for young people of 18 or 20 to ponder, but ponder them they must. If knowledge is the foundation of trust, morality must be its supporters. All medical professionals will encounter situations which should cause them to "search their souls" for the best answers. The case studies which Dr. Purtilo presents throughout this book are actually a means to play the "what if" game. "What if it were my father/husband/brother/son? What would I do?" Dr. Purtilo closes this first chapter by saying that the formation of our morality and values is an on-going process. Each case will present slightly different variables and questions, therefore each day will be a type of check-up of our values and morality.

All you need to know about ethics approaches and theories

Technologic advances are challenging the way health care is delivered and, more than ever, health practitioners as well as administrators are constantly confronted with ethical dilemmas. The DNR - do not resuscitate - order is one of the more challenging edicts to health care professionals today. The medical professional may have grown to know the patient and family well; the patient may be a terminally ill child or an older person who resembles your grandmother. The desire to save lives has been ingrained in all health professionals from the beginning of their training and perhaps ever longer. A DNR order is one which the patient's family has chosen to be the right course of action.

Dr. Purtilo makes mention of different types of ethics which suit several situations with the goal of giving health practitioners a choice or merely a moment to think before life and decisions must be made:

metaethics occur when one attempts to discover the nature and meaning of ethical reasons we propose for making judgments about morality. A thorough understanding of metaethics requires that one should become more familiar with your own beliefs - religious, philosophical, and how you decide what is right and what is wrong. Self-awareness will lead to knowledge and confidence in making difficult decisions.

A normative ethics ask concrete questions related to morality. Within the framework of normative ethics, a person may explore what types of actions are morally right or wrong, what are the actions or ideas which are morally praiseworthy? Answering these types of questions about your own thoughts and beliefs will help you be better prepared to answer the difficult questions which will surely come from a patient, a patient's loved ones, another healthcare practitioner, or even from yourself. Basically, normative ethics involve what makes up a person's value structure, what he/she will stand for, and what he/she will not tolerate. Normative ethics are the stuff with which a conscience is filled.

A the ethics of care - hopefully, the concept of "care" has not been lost in this age of increased technology and alternative medical choices. A health care provider must keep the patient and family foremost in his mind whenever a decision is made about the patient's well-being. Care is the touchstone of medicine and should always be. Budgets, egos, and expectations from other professionals should never overcome care in the decision-making process.

Means, ends, principles and virtues

Duties and rights will help you to have the conceptual tools for recognizing and working to resolve problems that arise in your everyday practice. The development of moral character will help you be ready for the hard times when no answers seem forthcoming or when you are confronted that is not easy to face" (Purtilo, p. 63-64). Being prepared to face the "hard times" in medicine will make one a better healthcare provider. In an article entitled, "Ethical decision making at the end of a life" Deborah Kaplan tells the story of Mrs. C., a 52-year-old woman with metastatic ovarian cancer who is hospitalized with bowel obstruction and pain. She has undergone all the suggested and conventional therapies for her cancer, but now any further intervention is not indicated due to the invasive nature of her cancer in the abdomen. Mrs. C. does not have an official advance directive, but has expressed her desire to be kept pain free even if this requires her to be sedated at the end of her life. She was started on I.V. morphine which provided good pain relief, but caused her to go into a coma. Mrs. C.'s family has requested that her morphine dosage be lowered so that she can be alert and interactive and have also asked that she have TPN (total parenteral nutrition) so she won't "starve to death." The moral and ethical question here is: whose orders should be followed, the patient's or the family's? "These are the decisions which face health care practitioners nearly every day. Having a solid foundation in ethics and a firm grasp on your own moral beliefs will be of help when facing situations such as this. Please notice that I said "help" not "the right answer," because every patient, every family, and every illness in different in at least one respect.

A six step process of ethical decision making for you to follow

Dr. Purtilo had outlined an excellent set of questions for the health care practitioner and/or administrator to ask:

Get the story straight: Gather relevant information. In other words, "just the facts, ma'm" Your data gathering should cover: A) clinical indications, B) Perference of the patient, C) Quality of life, and D) Contextual Factors.

Identify the type of ethical problem: A caring health care provider should try to find out the patient's ethical distress, his/her ethical dilemma, and if there is a locus of authority problem.

Use ethics theories or approaches to analyze the problem.

Explore practical alternatives.

Complete the action.

Evaluate the process and the outcome.

Section two: ethical dimensions of professional roles

There are several ethical situations which may arise during the time one is a student. Knowing what you believe, how strongly you believe it, your status as a student, and what your moral convictions are will serve you well when you face an ethical question as a student.

Surviving professional life ethically

In this situation, the necessity for taking care of yourself is of utmost importance. A moral and ethical health care practitioner will consider the fact hat he/she needs to: A) strengthen one's own self-awareness, B) reflect on past experiences, C) commit to living according to one's own personal values system, D) be vigilant in maintaining personal integrity, and E) develop strategies for fulfilling responsibilities to yourself.

Ethical dimensions of the professional -patient relationship study conducted at Harvard Medical School identified the five components of quality end-of-life care as described by the patients themselves. They are in order of…[continue]

Cite This Term Paper:

"Human Service Ethics" (2003, January 30) Retrieved December 2, 2016, from

"Human Service Ethics" 30 January 2003. Web.2 December. 2016. <>

"Human Service Ethics", 30 January 2003, Accessed.2 December. 2016,

Other Documents Pertaining To This Topic

  • Human Services Steve and the Counselor What

    Human Services Steve and the Counselor What has the counselor learned from Steve? Halstead explains that "Empowerment comes from the process of discovering new learning," and in effect what the counselor learned from Steve has empowered the counselor for the future. Empowerment also comes from "enduring the struggle" and "overcoming obstacles" that previously prevented progress (Halstead, 2000, p. 2). The obstacles that Steve had to overcome were huge, and notwithstanding the fact

  • Human Services the National Organization for Feminist

    Human Services The National Organization for Feminist Human Services evaluation of human resource practices MACROBUTTON NoMacro [Click here and type name] ADMINISTRATIVE MEMORANDUM - HUMAN SERVICES The Human Services Council appreciates the opportunity to provide comment and guidance on the merits and drawbacks of incorporating inclusive and anti-oppressive practices in our human service delivery. As you may already know, in the past, many feminist social service agencies such as ours have faced grave trials in

  • Human Services Discussion Response on Human Services

    Human Services Discussion response on human services The problem is ethical, and it affects the people within the organization, following its growth. The organization lack ethical principles that will guide them in decision-making, and have to cope with the apartheid regime in the state. Having social equity will integrally balance the social environment and any management decisions. Two levels of administration will have equal opportunities in decision-making and will ensure employment of

  • Human Services Professional Faces Many Opportunities Throughout

    human services professional faces many opportunities throughout his or her professional career. Opportunities to be a resource to help others grow, help organizations succeed and to act as a catalyst for positive change in the life of another abound. Human services professionals make decisions that will change the lives of those individuals they serve. Working with people is both an art and a science. Success can sometimes be attributed

  • Relevance to Human Service Practice According to

    Relevance to Human Service Practice According to Australian Government - Office of the Privacy Commissioner (2007), the Australian human services confidentiality is a major principle defining the relationship between the human service workers and the clients. In the two cases the human services have privileged the notion of confidentiality over the more fundamental right of privacy. They argue there is a persistent confusion between these two concepts and that privacy is

  • Online Human Services Class People Counseling Career

    online Human Services class people counseling career. You book paper, therefor I've downloaded Professor's lesson overviews. Please contact . The book "Effective Helping: Interviewing Counseling Techniques" Seveneth Edition By, Barbara F. Application of helping theories Creating efficiency and effectiveness in the counseling career is a challenge for every counselor since they are required to apply different theories of helping which emphasize on the behavior, attitude, techniques and methods that are used

  • Values for Your Work as Human Services

    Values for Your Work as Human Services Professional As human service professional, I interact in various ways. These include caregiver, case manager, teacher, counselor, behavior changer, consultant, mobilizer, advocate, community planner, community change organizer and implementer, administrator, and evaluator (*). In order to most effectively and successfully carry out these responsible and diverse roles, I am recommended to adhere to a set of values and ethics particularly prescribed for human

Read Full Term Paper
Copyright 2016 . All Rights Reserved