Ethics. Decision Making

COSC 501

Ethical Decision-Making Paper Assignment Instructions

Overview

The purpose of this assignment is to develop the ability to apply professional values, ethic codes, and a decision-making model to the process of ethical decision-making. The American Counseling Association (ACA) has outlined a model to help structure the decision-making process when counselors are confronted with complex ethical issues.

Instructions

· Choose one ethical dilemma from the two described below to read and analyze, applying the American Counseling Association’s (ACA) Decision Making Model as outlined in the document, “A Practitioner’s Guide to Ethical Decision Making.”

· The body of your paper should be 6-9 pages. Additionally, the paper should include an abstract, title page, and reference page.

· The paper should be written in current APA format.

· Divide the body of your paper into the steps outlined in the ACA document, using APA level headings throughout and making sure to address all questions for each section.

· Using the ACA Decision-Making Model as your guide, first outline the facts of the dilemma and the underlying problem, then identify all applicable ACA ethics codes and moral principles of the profession.

· Next, identify relevant professional literature that applies to dilemma and persons that would potentially be consulted.

· Then list all potential courses of action, describing potential consequences and implications for each course of action.

· Next, identify the best course of action and explain why you chose this action.

· Finally, review the selected course of action to see if it presents any new ethical problems, applying the tests of justice, publicity and universality, and end by describing what steps will be taken to implement the course of action

· At least 3 peer-reviewed journal articles must be cited as well as the course textbook. The web address for state rules/regulations must also be included.

 

Note: Your assignment will be checked for originality via the SafeAssign plagiarism tool.

 

Ethical Dilemma 1

 

Amanda, a counselor in a public high school, decides to start a “relationship skills” group for juniors and seniors. She posts an advertisement for the group in the school counseling office. Her advertisement provides minimal information including the name of the group, the date and time of the first meeting and the school counseling office secretary is listed as the contact. Amanda instructs the secretary for the counseling office to admit the first nine students who call to enroll. The secretary adds students to the group as they call in irrespective of the nature of their problems, their personal goals for the group or previous experience with group.

 

At the first meeting, nine students show up including seven females and two males. Having never talked with or met the students before, Amanda begins by asking them to share why they have come to the group. One of the males, Paul, shares that he was new to the high school this year, and had just been released from a detention center after serving one year for domestic violence. Paul states that he has “anger issues” especially directed at “women”. At break, five of the females leave and do not return to the group. Paul breaks down in the group and states that he is going to kill himself when he gets home.

 

Ethical Dilemma 2

 

Jason, a 7th grader, was referred to you by a teacher who said Jason expressed suicidal intentions because he is having some personal and family issues. You talk to Jason long enough to assess that he is at imminent risk of suicide. Since Jason is a minor, the school counselor contacts the Jason’s parent(s) and prints a resource list of community mental health counselors to give to the parent. Is this the best course of action, ethically and legally, on behalf of this student?

What did you notice was different about each site when you entered the same medication (diazepam) into each?

I NEED THIS 12/12/2020 BY 1PM

Please no plagiarism and make sure you are able to access all resources on your own before you bid. You need to have scholarly support for any claim of fact or recommendation regarding treatment. Grammar, Writing, and APA Format: I expect you to write professionally, which means APA format, complete sentences, proper paragraphs, and well-organized and well-documented presentation of ideas. Remember to use scholarly research from peer-reviewed articles that are current. Sources such as Wikipedia, Ask.com, PsychCentral, and similar sites are never acceptable. Each classmate’s post is listed so please respond separately.

Read your classmates’ postings. Respond to your classmates’ postings.

  • Respond to all colleagues by reflecting on what you learned from your peer about determining the accuracy and reputability of a site. In addition, do you have any questions about the sites they chose?

1. Classmate (B. Par)

Web MD seems to be a more professional site compared to drugs.com. Their pro’s are that they’re page seems more organized and easier to navigate. They seem to have more reliable sources and they seem to be an entire better page altogether. They list the drugs at the bottom of the page too if you just want to scroll which drugs.com does not do. Drugs.com site seems to not be as “put together” as WebMD. WebMD seems to have more sponsor’s and more finances or something. Drugs.com does have similar information though but possibly more medications but I am not sure about that. Drugs.com does have a nice way to compare drugs which WebMD does not do. Drugs.com has all the information about side effects and about the medication that WebMD also has. It seems drugs.com gets their information from one place called IBM Watson and WebMD gets their information from multiple sources including urac, truste, tag, and hdn code. Drugs.com seems to provide more information on each drug as well. Both sites are peer reviewed and get information from accurate sources according to the sites. What was different about each medication was that they had similar tabs but drugs.com had more tabs such as side effects, interactions, FAQ, among more with drugs.com and WebMD had less information about each drug compared to drugs.com. Drugs.com is a site I have used in the past but I was not aware that WebMD also had a similar site and therefore, if I were to use one again I would use drugs.com even though WebMD is more pleasing to the eye, drugs.com is easier to navigate with its simplicity and provides more information for each drug.

2. Classmate (C. D-B)

Introduction

Sinacola, Peters-Strickland & Wyner (2020) states pharmacology provides basic information to assist with understanding of various medication, their action regarding their day-to-day use and practice. The discussion will address review and discuss the pros and cons of the medication search sites. Determine where the site gets the information. Explain what make the site academic and reputable.  Last, determine what was noticed differently from each site when the same medication information was entered

What are the pros and cons of each site?

The pros of each site are each can be early search with the link.  The Center of Disease Control and Prevention provided 142 results for diazepam. The National Institute of Mental Health link open to mental health medications overview. The list various medications by classification, for example: antipsychotics, anti-depressants, or stimulants. The CDC site provides less information. The opening page gives information on the Medication Safety programs.

What makes this site academic and reputable?

The NIMH provides research data, public health information, FDA reporting, brochures, and facts sheets.  The information is provided in English and Spanish.  The CDC site offers various safety measures, contact information 24/7. Both are academic and reconsidered trustworthy

What did you notice was different about each site when you entered the same medication (diazepam) into each?

Center of Disease Control and Prevention provided 142 results for diazepam. The National Institute of Mental Health: Mental Health Medications, automatically provided an example of the meaning. The site provides additional links to the crisis and needs; coordination specialty care for first episodes; Trastorno bipolar in Spanish and Brain imaging. Occasional anxiety is a normal part of life. You might worry about things like health, money, or family problems. But people with generalized anxiety disorder (GAD) feel extremely worried or feel nervous about these and other things—even when there is little or no reason to worry about them.

In conclusion the medications list website offers counselor various understanding of medications, their action mechanisms. The information assist professionals with day-to-day use and practices. Therefore, it is important to understand the effects medications have on the brain.  Counselor will stay informed by utilizing the medications site search to access the information requested and their professional confidence

References

Centers for Disease Control and Prevention (CDC): Medication Safety Program: https://www.cdc.gov/medicationsafety/index.html

National Institute of Mental Health: Mental Health Medications: https://www.nimh.nih.gov/health/topics/mental-health-medications/index.shtml

Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson.

3. Classmate (K. Ros)

Pros and Cons of The National Institute of Mental Health (NIH) Website

The first site that I chose, was the National Institute of Mental Health (NIH) site. There are many pros to this site. For instance, on the home page, you will see “Mental Health Information”. Information given includes an overview to medication such as their role in treating mental health disorders (National Institute of Mental Health, 2020). Next, is a brief overview of what to do once medication is prescribed to you, such as things to look for and what to do and what not to do. Then, there is an explanation on antidepressants and some of their side effects and how people may respond to them. After that, there is the same type of explanation for anti-anxiety, stimulant, anti-psychotic and mood stabilizer medications. This is all on the home page, making navigation simple and user friendly. There are also links to learn more and to explain the job of the FDA such as what they are responsible for and how to report any issues with product quality and/or serious side-effects. Links off to the side on the homepage include: a suicide hotline, suicide chat and a Veteran’s hotline. Special needs groups also have a link on the homepage. Special needs groups include children and adolescents, older adults and pregnant women. There are fact sheets and a link on how to find help. Lastly, the search bar makes it easy for a patient and counselor to search the website for what they need.

I do not see many cons on this website. As a counselor, the website is packed full of information from overviews of a number of medications, to statistics and brochures. You can get to all of this information from the homepage; however, I can see where a client exploring the website could get overwhelmed by all of this information appearing at once.

Where Does the NIH Get Its Information From and is This Site Reputable?

The NIH is the Lead Federal Agency for research on mental health disorders (NIH, 2020). The NIH conducts clinical research and collaborates with universities, medical centers and other institutions. The NIH consists of Intramural Investigations (IRP), which includes 40 research groups that conduct neuroscience research and clinical investigation of mental illnesses and brain function. The NIH is extremely reputable. The NIH is the largest biomedical research agency in the world. It is part of the U.S. Department of Health and Human Services (HHS).

Pros and Cons of the Mayo Clinic’s Medication Research Website

On the home page, there is drug and supplemental information listed. If you click on that link, medications will be listed in alphabetical order, which makes it easy to search what you are looking for, whether you are the counselor or client. Once you click on the medication that you are researching, there is a description of the medication, what do to before you start the medication, proper use of the medication, side effects and more (Mayo Foundation for Medical Education and Research, 2020). Some medication is listed on the home page which makes searching easier, along with a search bar up top. For clients, there is a link up top to request an appointment online, which is convenient. Other topics are also listed up top such as patient health and care.

Some cons of this website include the fact that the counselor and client would have to do a lot of clicking in order to get where they need to be, on the website. Also, on the homepage, the medications that are listed, are not in alphabetical order. Lastly, there is a lot of information listed on the homepage. I feel the way that it is presented, could be overwhelming for some.

Where Does the Mayo Clinic Get Its Information From and is This Site Reputable?

The Mayo Clinic gets its information from clinical trials and Mayo study teams. These study teams consist of investigators that use Mayo’s research core facilities so that therapies can move from lab to clinic (Mayo Foundation for Medical Education and Research, 2020). The investigators have strong experience in particular fields and the core facilities provide expert technical and consultative services to them. I believe that information on this website is reputable. Mayo Clinic’s quality dates back 150 years. In 2017, Mayo Clinic was named the best hospital in the country (Madson, 2017). More than 1.3 million patients seek its expertise per year.

Differences on Each Site When Searching for Medications

When I search for “citalopram” on NIH’s site, the results include 5 pages. Each page contains different information. One page tells the reader what citalopram classifies as (Selective Serotonin Reuptake Inhibitor-SSRI). The next page, along with some others, explains what mental health issues, citalopram can help with. There are also pages including common question and answers, along with some pages in Spanish.

When I conduct the same search on Mayo Clinic’s website, there are more than 5 pages of information. These pages include different information as well. For example, there is a page that talks about precautions, one that talks about proper use and one that explains side effects of the drug. One difference that I noticed is that when I searched for citalopram on this site, different studies were included in the results along with research on genomes. This site includes a lot of scientific research beneficial to Medical Professional and Universities.

Reference

Madson, R. (2017). Mayo clinic ranked top hospital nationwide by U.S. news & world report. Retrieved from https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-ranked-top-hospital-nationwide-by-u-s-news-world-report/

Mayo Foundation for Medical Education and Research. (2020). Health information. Retrieved from https://www.mayo.edu/research/search/search-results?q=medications&topics=Drugs%20%26%20Supplements

National Institute of Mental Health. (2020). Mental health medications. Retrieved from https://www.nimh.nih.gov/health/topics/mental-health-medications/index.shtml

Required Resources

Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson.

· Chapter 2, “Basic Neurobiology”

· Chapter 3, “Psychopharmacology and Pharmacokinetics”

Document: Academic, Scientific, and Professional Sites for Researching Medications (Word Document)

Required Media

CrashCourse (2015, February 23). The nervous system, part 1: Crash Course A&P #8 [Video file]. Retrieved from https://youtu.be/qPix_X-9t7E

Note: The approximate length of this media piece is 11 minutes.

CrashCourse (2015, March 2). The nervous system, part 2 – Action! Potential: Crash Course A&P #9 [Video file]. Retrieved from https://youtu.be/OZG8M_ldA1M

Note: The approximate length of this media piece is 12 minutes

CrashCourse (2015, March 10). The nervous system, part 3 – Synapses!: Crash Course A&P #10 [Video file].  Retrieved from https://youtu.be/VitFvNvRIIY

Note: The approximate length of this media piece is 11 minutes.

Laureate Education (Producer). (2018). Assessing your instructor feedback [Video file]. Baltimore, MD: Author.

Note: The approximate length of this video is 4 minutes.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Optional Resources

Inside Science. (n.d.) Human. Retrieved June 11, 2019, from https://www.insidescience.org/human

Neuroscience News. (n.d.) Retrieved June 11, 2019, from https://neurosciencenews.com/

Scientific American. (n.d.) Mind. Retrieved June 11, 2019, from https://www.scientificamerican.com/mind/

Science Daily. (n.d.) Mind and brain news. Retrieved June 11, 2019, from https://www.sciencedaily.com/news/mind_brain/

ScienceNews. (n.d.) Retrieved June 11, 2019, from https://www.sciencenews.org

TED. (2013, January). David Anderson: Your brain is more than a bag of chemicals [Video file]. Retrieved from https://www.ted.com/talks/david_anderson_your_brain_is_more_than_a_bag_of_chemicals

Note: The approximate length of this media piece is 15 minutes.

TED. (2017, April). Rebecca Brachman: A new class of drug that could prevent depression and PTSD [Video File]. Retrieved from https://www.ted.com/talks/rebecca_brachman_a_new_class_of_drug_that_could_prevent_depression_and_ptsd

Note: The approximate length of this media piece is 5 minutes.

Assignment Feedback

© 2018 Laureate Education, Inc. 1

Assignment Feedback Program Transcript [MUSIC PLAYING]

HILLARY WENTWORTH: Throughout your Walden course, your instructor will provide feedback on discussions, assignments, and possibly other graded items. To grow as a scholar, you should get into the habit of locating, reviewing, and acting on that feedback each week. This video shows you how to locate assignment feedback in particular.

From your course home page, click on My Grades on the left navigation menu. You will see a list of discussions, assignments, and other items on the next screen. If an item has been graded by your instructor, you will see an associated numerical grade. Click on the assignment title on the left to access all feedback associated with a graded assignment.

Instructors can provide written feedback in several different areas. The first is the Feedback to Learner box on the right. Here you may find a summary comment, a link, or further instructions.

The second area to look for feedback is within the assignment submission itself. Faculty can choose to comment using Blackboard’s in-line grading tool, called Box, or using Microsoft Word. If your instructor has to use the in-line grading tool, you will see comment icons, highlighting, or drawing directly on the Blackboard screen. Click on each blue comment icon to reveal the comment text. You can minimize the left menu and the grading pane to make the assignment bigger.

If your instructor has used Microsoft Word to provide comments, you will see a link in the feedback box on the right side of your screen. Click on the link to download the assignment with comments. Your instructor may have written directly in the body of the paper, as at the top of this example, or added comments appearing in the margins. If you do not immediately see any corrections or comments, go to the Review tab and make sure that all markup is showing, rather than no markup or original. You can also use the Review tab to accept and reject the changes your instructor has made the draft and to delete comments. If the comments are appearing too small to read, go to the View tab and zoom in. The Academic Skill Center has additional tutorials on Microsoft Word to assist you in navigating a document.

The final place that your instructor can provide written feedback is in the rubric. Click on the rubric icon beside your grade to reveal your rubric scores, as well as more information on the grading criteria. You can also access the rubric from the main My Grades area.

 

 

Assignment Feedback

© 2018 Laureate Education, Inc. 2

If you have difficulty locating or understanding your instructor’s feedback, contact them. Your instructor is here to support you in your scholarly development. Thank you, and good luck.

[MUSIC PLAYING]

What protein transports oxygen in our body and explain its structure?

Signature Assignment: Pernicious Anemia Case AnalysisTeri goes to see her PCP after feeling depressed last couple of months as well as experiencing a seizure earlier this week. The physician orders a few test, results are shown below:

  • Low hematocrit
  • Low levels of Vit B12
  • Low Oxygen levels
  • Presence of autoantibodies against the parietal cell
  • Peripheral blood smear shows abnormal RBC (large pale RBCs)

After viewing the results, Teri is diagnosed with Pernicious Anemia; a condition in which autoantibodies destroys the parietal cells found within the stomach.Address each of the following regarding Teri’s case:

  1. Since the parietal cell is destroyed, which substance(s) is Teri lacking as a consequence?
  2. What is the correlation between destruction of parietal cells and Vit B12 deficiency?
  3. Due to her condition, Teri lacks Pepsin. Explain why.
  4. If Teri were healthy, explain what her RBCs would look like?
  5. What is hematocrit?
  6. Low oxygen levels stimulate her body to create new RBCs by stimulating which process? Explain that process in depth.
  7. What protein transports oxygen in our body and explain its structure?
  8. What cell secretes antibodies and explain the various functions of antibodies.
  9. What are the different types of antibodies and give two characteristics for each?
  10. Explain the structure of an immunoglobulin.

Specifics:

  • Support your opinions with evidence from your readings and research.
  • You must reference a minimum of three (3) scholarly sources in your paper, which includes one non-Internet source.
  • Use current APA Style to format your paper and to cite your sources.
  • Your paper/total responses must be 3– to 4-pages in length not including the title page, abstract, and reference pages.
    • Title page: Case Title, Full Name, Section, Date, Instructor and Campus
    • Abstract: Summarize the case in a paragraph
    • Introduction: The physiological importance of the digestive system, immune system, and cardiovascular system for the proper functioning of the human body
    • Body: Organize your analysis with headings that thoroughly answer the prompts
    • Conclusion: Summarize the paper in a paragraph

Active Vs. Passive Euthanasia

Watch Physician-Assisted Death, Are There Limits to Patient Determination of Life vs. Death?, Prolonging Life: A Patient’s Choice and Physician-Assisted Suicide.  In 250-300 words, discuss active versus passive euthanasia.  Present a personal perspective on this controversy and defend your stance.  Consider the impact of the medical costs of illness and healthcare coverage as it relates to this controversy