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Illinois Department of Illinois Department of AgingAging
2012 Elder Rights 2012 Elder Rights ConferenceConference
Reaching WithinSession T13
Reaching Within, Part Two: Reaching Within, Part Two:
What is a dilemma?What is a dilemma?
DilemmaDilemma
• From the Greek:
• Di—two• Limos—horns
• Literally, Two horned
Our dilemma’s become Our dilemma’s become ethical when the good or bad ethical when the good or bad
choices have a moral choices have a moral componentcomponent
Important DistinctionImportant Distinction
• If something is governed by legal precedent, it is not an ethical dilemma.
• The dilemma might become whether you choose to follow that law or not.
Common APS DilemmasCommon APS Dilemmas
• Self determination vs. worker’s perception of client’s best interests
• Freedom vs. safety• Protecting confidentiality vs.
prevention of harm• Respect for a colleague vs. loyalty
to your agency
Dilemma ParadigmsDilemma Paradigms
• Truth versus loyalty • Individual versus community • Short term versus long term• Justice versus mercy
Precisely because right versus right is harder than right versus wrong
Having a framework for Having a framework for ethical decision making ethical decision making is important.is important.
Review Applicable Code of Review Applicable Code of EthicsEthics
• Ethical codes are not a legal document, but professionals are bound to the tenets of their code and can be sued for breach
• Codes can be revised or updated as needed
• Know your Code!
What Makes a Good Code What Makes a Good Code of Ethics?of Ethics?
• Mission statement• Value base of the organization• Ethical principles to guide
practices• Ethical standards
The NAPSA Ethical Principles The NAPSA Ethical Principles and Best Practice Guidelinesand Best Practice Guidelines
Framework for Framework for Ethical Decision MakingEthical Decision Making
1) Describe the problem within its correct context (exactly who is this really a problem for?)
2) Define the problem in its ethical terms
3) Identify and rank the key values and principles involved (CRITICAL)
Framework, continuedFramework, continued
4. Gather your information (laws, policies, applicable ethical codes, the affected individual’s views and values, your own biases)
5. Determine possible options (identify cost and benefit of each option)
Framework, continuedFramework, continued
6. Consider possible courses of action * discard any you can’t put into action* discard those which violate the
value symptoms of those being affected
Framework, continuedFramework, continued
• Put your plan into action!• Evaluate the outcomes for each
person involved• Submit your difficult cases to an
ethical review board
Questions?Questions?
Ethical Case Studies Ethical Case Studies ActivityActivity
• Form Triads• Review assigned case• Apply framework, discussing the
steps• Prepare action plan• Debrief with large group