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Group 5: Osariemen Enabulele, Amanda Estey, John Ferketich, Briana Fife

Assignment #3: Ethics Assignment (Chapter 10)


PART I. DEFINITIONS / DISTINICTIONS / EXAMPLES - TO BE COMPLETED PRIOR TO CLASS.
Instructions: Using chapter 10 of your textbook, define each term below. Provide a personal example
for each definition. Download this form, type in your answers - no more than 2 pages for Part I.
Term
a. Ethics
b. Values

c. Morals

d. Principles

e. Advocacy

f.

Distributive Justice

g. Utilitarianism

h. Egalitarianism
i.

Libertarianism

j.

Deontology opposite
of utilitarianism

Definition
Practice of goodness and rightness
over wrongness and badness
Enduring beliefs based on some
early form of indoctrination and
experience

Example
Decisions to forgo lifesustaining treatment
Respect, integrity,
compassion, collaboration,
stewardship, accountability,
quality
Applied practices derived from
Tell the truth, don't judge, be
ethical framework that's based on
dependable, respect others,
values and beliefs
have integrity
Immutable characteristics of value
Comprehensiveness,
based decision making that are
universality, portability,
broken down into mutually exclusive accessibility and public
categories of outcomes or answers
administration
Act of pleading for, supporting, or
Explaining options to a patient
recommending
deciding to undergo
treatment
Foundation of ethics; Attempts to
Cultural conflict being
install a set of values, ideals of
resolved by dividing resource
fairness based on those values, and
according to what is fair
beliefs in the allocation of resources
Maximizes the possible happiness of Giving up personal opinion if
society as a whole; satisfy greater
the group votes differently
number
Everyone should have equal amount Not discriminating when
of resources
hiring people
Market forces should determine
Deregulate all aspects of
distribution of resources
medicine from
pharmaceuticals to medical
licensing
Actions should be judged as right or A nurse decides to administer
wrong based on own values and
CPR first to a 23 yr. old
principle-driven characteristics
instead of a 93 yr. old with

Group 5: Osariemen Enabulele, Amanda Estey, John Ferketich, Briana Fife

k. Pluralism

Goods are too different to be


distributed according to one
criterion

l.

Patient's rights to self-governance


and medical decision making
Requirement for health organization
to do good
Requirement for health organization
to do no harm

Autonomy

m. Beneficence
n. Nonmaleficence

o. Justice
p. Regulatory Compliance

Obligation to give patients fair


resource allocation
Reduces legal liability, community
negativity, and potential financial
loss

renal disease
Areas in cities being referred
to as China Town or Little Italy
where people from those
countries keep tradition
Patient wants to sign Do Not
Resuscitate form
Providing CPR to someone
drowning
Providing employees with
appropriate training and
education
Supporting patient's right to
self-governance
Complying with all federal,
state and local statutory
regulations

Group 5: Osariemen Enabulele, Amanda Estey, John Ferketich, Briana Fife


PART II. APPLICATION OF DISTRIBUTIVE JUSTICE TO BE COMPLETED IN CLASS.
Instructions: Choose one of the distributive justice theories on pages 250-252 which most represents
your point of view of health resources allocation. Explain how you will use your chosen theory when
dealing with the following scenario. This should not be more than one full page of narrative.
Scenario: You are a manager at the local Rural Health Clinic, which is also a Federally Qualified Health
Center (FQHC). According to Illinois law, a billable patient encounter is when a patient has a face-to-face
encounter with a physician, physician assistant, midwife or nurse practitioner, or a dentist, licensed
psychologist, license social worker, or licensed clinical professional counselor.
You came to work on Monday morning to find of your two nurse practitioners, one resigned that
morning and the other, who is her back-up, is too sick to come to work. Your physician normally is in the
clinic on Tuesdays and Thursdays. You have 12 patients scheduled that day, including several child
immunizations and flu shots. Your licensed practical nurse (LPN) is plenty capable of administering the
immunizations and flu shots but you know these are not billable to the Illinois Department of Healthcare
and Family Services. Determine your course of action and use a specific distributive justice theory of
utilitarianism, egalitarianism, libertarianism, deontology, or pluralism to justify your actions.

After reading the situation, the best theory to use in combating these issues would be
distributive justice. This theory attempts to instill a set of values, and beliefs in the allocation of
resources (e.g. food, housing, water) throughout a society. As managers and practitioners, our first duty
is to provide quality healthcare in an efficient and timely manner. To do this, we must feel our best. So,
the nurse practitioner who is too sick to come in must stay at home to protect herself as well as the sick
patients coming into the office. When taken individually, distributive justice theories are not right or
wrong, however, situations and contingency values must be considered in the selection and application
(level of morality) of the distribution of resources (Pg. 250 Ethics in Health Leadership). The toughest
part of selecting ethical decisions is based on one important truth, resources are scarce in society,
healthcare organizations, in departments, units, families and for individuals. In this case, I believe the
best way to allocate resources is to allow the physicians to administer as many vaccinations as possible.
When someone else comes in needing services other than vaccinations, the LPNs can check them,

Group 5: Osariemen Enabulele, Amanda Estey, John Ferketich, Briana Fife


retrieve vitals and place them in a room for the attending physician. While physicians are seeing other
patients the LPNs can administer vaccinations. Although the LPN vaccinations are technically free the
office is not completely losing out on revenue and all patients are able to be seen on their scheduled
appointment day. We know healthcare is expensive but this is a real life scenario and choices must be
made. Healthcare facilities may have to pocket a loss due to patient inability, unwillingness or other
misfortune taking place.

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