Case Application Assignment Ethics Case: Jim

For this assignment, you will be writing a 5 page formal, APA-formatted paper examining the utility of the common morality framework and one other framework for solving an ethical dilemma, how those frameworks align with the NASW Code of Ethics, and professional social work practice issues present in the ethical dilemma case.

Please choose one of the following frameworks to discuss in addition to the common morality framework:

-utilitarianism

-deontology

-Rawls’s ideas on justice

-virtue ethics

Create a paper in which you must include the following points:

– Describe both of the frameworks using terminology that relates directly to the frameworks

– Identify the pros and cons of each framework for solving ethical dilemmas in regard to the promotion of social justice

– Apply the frameworks in order to solve the provided ethical dilemma case.

***IMPORTANT NOTE: Summarize how the common morality framework is used/implemented to solve the case. Use ONE side of the dilemma to identify harms and benefits, moral rule violations, beliefs of the person, and alternatives to moral rule violations as well as why the action/rule violation is publicly allowed. DO NOT include a detailed description of all 10 morally relevant features and step 2 for both sides of the dilemma. This paper is a 5 page paper! REMEMBER: The aim is to demonstrate your understanding of how the framework is used to solve an ethical dilemma.

Describe how each framework aligns (or does not align) with the NASW Code of Ethics

Describe how at least one practice issue is present in the ethical dilemma and demonstrate your understanding of the issue.  Pick at least one of the following  practice issues:  professional social work practice, autonomy/self-determination, paternalism, cultural competence, bias, the duty to warn, and informed consent.

You are required to use a minimum of five scholarly sources for this paper: at least two sources for the common morality framework, at least two sources for the other framework you choose, and the NASW Code of Ethics.

Jim’s Ethical Dilemma Case

        Jim is a single man in his late 20s who used to be a pilot in the Air Force. In partnership with his father, he has had a successful real estate business after leaving the military. He has always been active in a variety of sports, including football, basketball, and soccer.

        One day, when Jim and his father were inspecting a piece of property, there was a freak accident. Their truck ignition ignited gas that was leaking from an underground line on the property, and the truck exploded into flames, setting both men on fire in the blast. Jim’s father died on the way to the hospital, and Jim survived but is severely burned over almost 100% of his body. The burns have left him blind, bedridden, and deformed. However, his hearing is only partially impaired, and there are no problems with his mental capacities or his speech. He is perfectly lucid and capable of discussing his condition logically. With continued treatment, his chances of survival are excellent, but he will always be severely disfigured, sightless, and probably unable to ever walk again. This will have great implications for how he can live his life.           

        To prevent a fatal infection while his burns are healing, Jim must receive twice daily dressing changes and cleanings, a process that is extremely painful for him. Since his arrival at the hospital for treatment, Jim has asked that he be sent home with pain medication to his apartment. He has hinted that he may find a way to kill himself, and that he thinks it would be alright if his wounds became infected and he died from the infection.

        He has been in the hospital for six months, and he has continuously asked to be discharged since he has been conscious and able to talk. Several psychiatrists have evaluated Jim, and all have concluded that he is mentally competent. His attending physicians, however, continue to refuse to release him. Jim has tried to leave the hospital against medical advice (AMA), but since he cannot walk he has been unable to do so and has been unable to get anyone to help him leave the hospital. 

Do you advocate for Jim’s discharge on his behalf with the attending physicians, or do you support the physicians’ plan for him to remain in the hospital?

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