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Lou Gehrig’s Disease

Lou Gehrig’s Disease
Frank is an elderly man with ALS (Lou Gehrig’s Disease). In his counseling session, he presents with concerns about dealing with the progression of his illness and uncertainty about his future. He lives alone and until the progression of his illness, was active at the local Veteran’s Affairs center. His wife passed away prior to his being diagnosed with ALS. Frank has been on an experimental drug trial for some of the symptoms of the disease that seemed to help at first, but his symptoms have increased.
Frank thinks his quality of life is poor right now because of the advanced state of his disease, with his daily symptoms including muscle weakness in his hands, arms, legs and the muscles of speech, swallowing or breathing twitching and cramping of muscles, especially those in the hands and feet impairment of the use of the arms and legs. His thick speech frustrates him and he avoids calling friends. He has shortness of breath, difficulty in breathing and swallowing and he sleeps with the aid of a respirator, without which he would not be able to breathe on his own.
At the end of the session Frank says that he has appreciated talking and that it has helped him to look at everything he is facing in his life and what his future holds. He says that after listening to himself, he has decided that it makes the most sense to stop using his breathing machine at night and let the disease “runs its course”. He does not want to schedule another session, and says he feels much better already.
You are the director of client services at a social service agency. You oversee caseworkers and counselors. Frank’s counselor comes to see you and is seeking your help in deciding the most appropriate course of action with this client. Use the Forrester-Miller & Davis (1996) ethical decision making model and the ACA Code of Ethics to decide on the most appropriate course of action for the counselor to use with this client.
Using an the Forrester-Miller & Davis (1996) ethical decision making model and a professional code of ethics, determine what course of action you would take. In your case study, address each of the following steps:
A description and discussion of the steps follows.
Identify the Problem. Outline the facts, separating out innuendos, assumptions, hypotheses, or suspicions. There are several questions you can ask yourself: Is it an ethical, legal, professional, or clinical problem? Is it a combination of more than one of these? It is good to remember that dilemmas you face are often complex, so a useful guideline is to examine the problem from several perspectives and avoid searching for a simplistic solution.
Apply the ACA Code of Ethics. After you have clarified the problem, refer to the Code of Ethics (ACA, 2005) to see if the issue is addressed there. If there is an applicable standard or several standards and they are specific and clear, following the course of action indicated should lead to a resolution of the problem.
Determine the nature and dimensions of the dilemma.
Consider the moral principles of autonomy, nonmaleficence, beneficence, justice, and fidelity. Decide which principles apply to the specific situation, and determine which principle takes priority for you in this case. Review the relevant professional literature to ensure that you are using the most current professional thinking in reaching a decision.
Identify potential courses of action. Brainstorm as many possible courses of action as possible. Be creative and consider all options.
Identify the potential consequences of all options and determine a course of action. Considering the information you have gathered and the priorities you have set, evaluate each option and assess the potential consequences for all the parties involved. Ponder the implications of each course of action for the client, for others who will be affected, your employee, and for yourself as an administrator. Eliminate the options that clearly do not give the desired results or cause even more problematic consequences. Review the remaining options to determine which option or combination of options best fits the situation and addresses the priorities you have identified.
Evaluate the selected course of action. Review the selected course of action to see if it presents any new ethical considerations. If the course of action you have selected seems to present new ethical issues, then you’ll need to go back to the beginning and reevaluate each step of the process. Perhaps you have chosen the wrong option or you might have identified the problem incorrectly.
Implement the course of action. Discuss how you would specifically address the parties involved in the ethical dilemma.
Your paper must conform to APA style and be at least 500 words or two double-spaced pages, not including a title page and a reference page.
________________________________________
Case Study – Stacy
You are the director of client services at a social service agency. You oversee caseworkers and counselors. Stacy is a counselor at your agency. She has been very busy with two upcoming presentations and a consulting job she had taken on in the middle of the year. She has talked with one of the other counselors, named Gloria, about her difficulty keeping up with her outside obligations and her counseling caseload. Stacy is paid based on how many client hours she bills. Gloria suggests that Stacy spread her counseling appointments out over several months. Concerned that she would have to do without the income, Stacy said that did not seem possible. Gloria told her that she was in a similar situation and spread out her caseload, but continued to bill Medicaid and two other providers. Stacy thanked Gloria and returned to her office. Your administrative assistant overheard the conversation and reported it to you.
Using an the Forrester-Miller & Davis (1996) ethical decision making model and a professional code of ethics, determine what course of action you would take. In your case study, address each of the following steps:
A description and discussion of the steps follows.
Identify the Problem. Outline the facts, separating out innuendos, assumptions, hypotheses, or suspicions. There are several questions you can ask yourself: Is it an ethical, legal, professional, or clinical problem? Is it a combination of more than one of these? It is good to remember that dilemmas you face are often complex, so a useful guideline is to examine the problem from several perspectives and avoid searching for a simplistic solution.
Apply the ACA Code of Ethics. After you have clarified the problem, refer to the Code of Ethics (ACA, 2005) to see if the issue is addressed there. If there is an applicable standard or several standards and they are specific and clear, following the course of action indicated should lead to a resolution of the problem.
Determine the nature and dimensions of the dilemma.
Consider the moral principles of autonomy, nonmaleficence, beneficence, justice, and fidelity. Decide which principles apply to the specific situation, and determine which principle takes priority for you in this case. Review the relevant professional literature to ensure that you are using the most current professional thinking in reaching a decision.
Identify potential courses of action. Brainstorm as many possible courses of action as possible. Be creative and consider all options.
Identify the potential consequences of all options and determine a course of action. Considering the information you have gathered and the priorities you have set, evaluate each option and assess the potential consequences for all the parties involved. Ponder the implications of each course of action for the client, for others who will be affected, your employee, and for yourself as an administrator. Eliminate the options that clearly do not give the desired results or cause even more problematic consequences. Review the remaining options to determine which option or combination of options best fits the situation and addresses the priorities you have identified.
Evaluate the selected course of action. Review the selected course of action to see if it presents any new ethical considerations. If the course of action you have selected seems to present new ethical issues, then you’ll need to go back to the beginning and reevaluate each step of the process. Perhaps you have chosen the wrong option or you might have identified the problem incorrectly.
Implement the course of action. Discuss how you would specifically address the parties involved in the ethical dilemma.
Your paper must conform to APA style and be at least two double-spaced pages, not including a title page and a reference page.
__________________________________________________________________
Relationships with former clients
Choose one of the cases below for the final case analysis:
Case #1
Casey has been a counselor at the local mental health clinic in Texas for the past eight years. During her third year, she counseled a college student named John. John was a likeable client, always showed up for his sessions, and was one of Casey’s successful clients in terms of progress in counseling. Casey receives an email 7 years later from John asking her to meet him for lunch to catch up. He tells her that he considers her help integral in his improvement. Casey has been married to her husband Kevin for 10 years. She does not see any harm in seeing John as a friend rather than a client. John mentions in his email that he is single and not in a relationship.
3 topics on case studies
Case #2
Samantha has come to you with the following scenario: The health clinic in rural Montana consists of only one therapist. The population is 3,200 people approximately and is located over an hour away from any larger towns or cities. Dwayne is the local mechanic and is in need of counseling after his marriage ends. He says he barely makes a profit at his garage and has had to take odd jobs to make ends meet. He does not have health insurance and asks about bartering for services. He is also concerned about people in town knowing that he is seeing a “shrink”. Being the director of the health clinic, how would you approach this scenario?
Using an the Forrester-Miller & Davis (1996) ethical decision making model and a professional code of ethics, determine what course of action you would take. In your case study, address each of the following steps:
A description and discussion of the steps follows.
Identify the Problem. Outline the facts, separating out innuendos, assumptions, hypotheses, or suspicions. There are several questions you can ask yourself: Is it an ethical, legal, professional, or clinical problem? Is it a combination of more than one of these? It is good to remember that dilemmas you face are often complex, so a useful guideline is to examine the problem from several perspectives and avoid searching for a simplistic solution.
Apply the ACA Code of Ethics. After you have clarified the problem, refer to the Code of Ethics (ACA, 2005) to see if the issue is addressed there. If there is an applicable standard or several standards and they are specific and clear, following the course of action indicated should lead to a resolution of the problem.
Determine the nature and dimensions of the dilemma.
Consider the moral principles of autonomy, nonmaleficence, beneficence, justice, and fidelity. Decide which principles apply to the specific situation, and determine which principle takes priority for you in this case. Review the relevant professional literature to ensure that you are using the most current professional thinking in reaching a decision.
Identify potential courses of action. Brainstorm as many possible courses of action as possible. Be creative and consider all options.
Identify the potential consequences of all options and determine a course of action. Considering the information you have gathered and the priorities you have set, evaluate each option and assess the potential consequences for all the parties involved. Ponder the implications of each course of action for the client, for others who will be affected, your employee, and for yourself as an administrator. Eliminate the options that clearly do not give the desired results or cause even more problematic consequences. Review the remaining options to determine which option or combination of options best fits the situation and addresses the priorities you have identified.
Evaluate the selected course of action. Review the selected course of action to see if it presents any new ethical considerations. If the course of action you have selected seems to present new ethical issues, then you’ll need to go back to the beginning and reevaluate each step of the process. Perhaps you have chosen the wrong option or you might have identified the problem incorrectly.
Implement the course of action. Discuss how you would specifically address the parties involved in the ethical dilemma.
Your paper must conform to APA style and be at least two double-spaced pages, not including a title page and a reference page
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