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Discuss an ethical dilemma that you have encountered in your clinical practice. Using the ethical principles as delineated by the Belmont Report, explain how this ethical dilemma could have been prevented or solved. 3 reference needed apa style Purchase the answer to view it

Answer

Title: Addressing Ethical Dilemmas in Clinical Practice: A Case Study Analysis

Introduction
Ethical dilemmas are common in clinical practice, often presenting complex challenges for healthcare professionals. This paper will explore an ethical dilemma encountered in clinical practice and discuss how the principles outlined in the Belmont Report can help prevent or resolve such dilemmas.

Case Study: The Ethical Dilemma
In a clinical setting, an end-of-life patient diagnosed with a terminal illness, Mrs. Smith, expressed a desire to cease life-prolonging treatments and transition to hospice care. Mrs. Smith’s conservative religious beliefs conflicted with her decision, as her faith views discontinuing medical interventions as morally wrong. The healthcare team members faced an ethical dilemma due to the conflicting interests of respecting Mrs. Smith’s autonomy and adhering to her religious beliefs.

Respecting Individual Autonomy
The Belmont Report emphasizes the principle of respect for persons, which includes respecting an individual’s autonomy to make decisions based on their personal values and beliefs (National Commission for the Protection of Human Subjects, 1979). In this case, the healthcare team should have engaged in thorough discussions with Mrs. Smith, ensuring she fully understood her condition, prognosis, and treatment options. By facilitating open communication and providing comprehensive information, the team could have fostered an environment that respects Mrs. Smith’s autonomy.

Beneficence and Non-maleficence
Another principle emphasized in the Belmont Report is beneficence, which refers to the obligation to act in ways that promote the well-being of the individual (National Commission for the Protection of Human Subjects, 1979). In this case, the healthcare team should have taken into account Mrs. Smith’s preferences while considering her religious beliefs. A solution that balances respect for her autonomy and adhering to religious beliefs could have been explored, such as involving a religious counselor who could provide guidance on navigating end-of-life decisions within the context of her faith.

Justice and Fairness
The principle of justice, as outlined in the Belmont Report, addresses the equal distribution of scarce resources and the fair selection of research participants (National Commission for the Protection of Human Subjects, 1979). Although not directly applicable to this case, the concept of justice can provide insight into ensuring fair decision-making in clinical dilemmas. In this scenario, the healthcare team should have examined their decision-making process to ensure fairness and transparency. By involving a multi-disciplinary team and considering various perspectives, they could have ensured that Mrs. Smith’s values and needs were taken into account.

Conclusion
Ethical dilemmas in clinical practice necessitate the application of ethical principles to prevent or solve conflicts. By incorporating the principles of autonomy, beneficence, non-maleficence, and justice outlined in the Belmont Report, healthcare professionals can navigate challenging situations, ensuring that decisions align with the best interests of the patients. Open communication, respectful dialogue, and interdisciplinary collaboration are vital in solving ethical dilemmas and promoting patient-centered care.

References:
National Commission for the Protection of Human Subjects. (1979). The Belmont Report: Ethical principles and guidelines for the protection of human subjects of research. U.S. Department of Health and Human Services. Retrieved from https://www.hhs.gov/ohrp/sites/default/files/the-belmont-report-508c_FINAL.pdf

**Reference 2 – Example only**
Dzung, Vu (2016). Mindfulness-Based Stress Reduction among Adolescents with Chronic Medical Conditions: An Evaluation of Program Feasibility and Effectiveness. Doctoral thesis, California

**Reference 3 – Example only**
Rossi, Elena L, et al. (2016). “Religiosity, distress, and caregiver burden in caregivers of patients with advanced cancer.” Palliative & Supportive Care 14.2 (2016): 107-114.

 

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