Topic 5: resolving ethical issues

Question 1

Give the tools for analysis of clinical ethics case

Answer 1

• Using ethical theories
• Frameworks:
  > 4 principles
  > 4 topic approach
  > Structures case analysis model

Question 2

Describe the structured case analysis model

Answer 2

• Summarise case
• State moral dilemma
• State assumptions being made
• Analyze case referring to consequences/codes/law
• Acknowledge justifiable ethical solutions + non-justifiable
• State preferred approach + explanation

Question 3

Give the steps for ethical analysis

Answer 3

1) Determine if issue is ethical
2) Consult authoritative sources
3) Consider alternative solutions
4) Discuss solution with those it will effect
5) Make decision + act
6) Evaluate decision

Question 4

What to do after considering ethical argument and not reaching a decision?

Answer 4

• Clinical ethics support
• CE committes
• CE consultancy

Question 5

Describe CECs

Answer 5

• Multidisciplinary + independant groups
• Members = health professionals + management + legal members + ethics academics + religous representatives
• Aim = provide support for decision making on ethical issues NOT take over responsibility of clinical decisions from doctors
• Functions = case consultation + policy development